Radioimmunotherapy: Recent results and future directions

R. B. Wilder, Gerald L Denardo, S. J. DeNardo

Research output: Contribution to journalReview article

136 Scopus citations

Abstract

Purpose: To review antibody structure, function, and production; suitable radioisotopes for radioimmunotherapy; challenges facing the field; recent clinical results; toxicity; and future directions. Design: The radioimmunotherapy literature was reviewed, with an emphasis on clinical results and future directions. Results: The highest complete response rates (overall, 50%) have been achieved in patients with B-cell non-Hodgkin's lymphoma. Challenges that currently face radioimmunotherapy include circulating free antigen, binding of antibodies to nonspecific Fc receptors, insufficient tumor penetration, antigenic heterogeneity and insufficient antigen expression, antigenic modulation, and development of human antimouse antibodies. Possible approaches to these challenges, including high-dose radioimmunotherapy and chemotherapy followed by autologous bone marrow transplantation, the use of radionuclides such as yttrium 90 (90Y) and copper 67 (67Cu), and the development of humanized and bifunctional antibodies, are under investigation. Conclusion: Although radioimmunotherapy is a relative new field, substantial progress has been made. Additional research will ultimately resolve many of the challenges that currently face radioimmunotherapy and hopefully lead to the cure of some currently incurable malignancies.

Original languageEnglish (US)
Pages (from-to)1383-1400
Number of pages18
JournalJournal of Clinical Oncology
Volume14
Issue number4
StatePublished - Apr 1996

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Fingerprint Dive into the research topics of 'Radioimmunotherapy: Recent results and future directions'. Together they form a unique fingerprint.

  • Cite this