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The Journal of Nuclear Medicine Vol. 31 No. 11 1791-1796
© 1990 by Society of Nuclear Medicine
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Imaging of Tumor in Patients with Indium-111-Labeled Biotin and Streptavidin-Conjugated Antibodies: Preliminary Communication

H. P. Kalofonos, M. Rusckowski, D. A. Siebecker, G. B. Sivolapenko, D. Snook, J. P. Lavender, A. A. Epenetos and D. J. Hnatowich

Imperial Cancer Research Fund and Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom
University of Massachusetts Medical Center, Worcester, Massachusetts

Correspondence: For reprints contact: D.J. Hnatowich, Department of Nuclear Medicine, University of Massachusetts Medical Center, Worcester, MA 01655.

ABSTRACT

Tumor localization in patients has been achieved through the in vivo use of streptavidin and biotin. In these preliminary studies, the monoclonal antibody HMFG1 was conjugated with streptavidin and 1 mg was administered intravenously to each of 10 patients with documented squamous cell carcinoma of the lung. Two to 3 days later, 111In-labeled biotin was also administered intravenously. No evidence of toxicity was observed. Background radioactivity levels were reduced in liver (1% ID at 24 hr) and kidneys (2%) and in all other normal tissues and blood. Images of lung tumor were obtained in as little as 2 hr following administration of labeled biotin. In eight patients, tumor was detected with labeled biotin alone without the previous administration of streptavidin-conjugated antibody but in three of these patients, the images were improved with the prior administration of conjugated antibody. These results suggest that this approach may improve the tumor-to-normal tissue radioactivity ratios in radioimmunotargeting.




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