RT Journal Article SR Electronic T1 211At Radioimmunotherapy of Subcutaneous Human Ovarian Cancer Xenografts: Evaluation of Relative Biologic Effectiveness of an α-Emitter In Vivo JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 2061 OP 2067 VO 46 IS 12 A1 Tom Bäck A1 Håkan Andersson A1 Chaitanya R. Divgi A1 Ragnar Hultborn A1 Holger Jensen A1 Sture Lindegren A1 Stig Palm A1 Lars Jacobsson YR 2005 UL http://jnm.snmjournals.org/content/46/12/2061.abstract AB The use of α-particle emitters in radioimmunotherapy (RIT) appears to be promising. We previously obtained convincing results in the treatment of microscopic intraperitoneal ovarian cancer in nude mice by using the α-emitter 211At. This study was performed to evaluate the relative biological effectiveness (RBE) of 211At compared with that of 60Co γ-irradiation in an RIT model. Our endpoint was growth inhibition (GI) of subcutaneous xenografts. Methods: GI after irradiation was studied with subcutaneous xenografts of the human ovarian cancer cell line NIH:OVCAR-3 implanted in nude mice. The animals received an intravenous injection of 211At-labeled monoclonal antibody MX35 F(ab′)2 at different levels of radioactivity (0.33, 0.65, and 0.90 MBq). Control mice received unlabeled MX35 F(ab′)2 only. To calculate the mean absorbed dose to tumor, a separate biodistribution study established the uptake of 211At in tumors and organs at different times after injection. External irradiation of the tumors was performed with 60Co. Tumor growth was monitored, and the normalized tumor volume (NTV) was calculated for each tumor. GI was defined by dividing the NTV values by the fitted NTV curve obtained from the corresponding control mice. To compare the biologic effects of the 2 radiation qualities, the mean value for GI (from day 8 to day 23) was plotted for each tumor as a function of its corresponding absorbed dose. From exponential fits of these curves, the doses required for a GI of 0.37 (D37) were derived, and the RBE of 211At was calculated. Results: The biodistribution study showed the uptake of the immunoconjugate by the tumor (amount of injected radioactivity per gram) to be 14% after 7 h. At 40 h, the ratio of uptake in tumors to uptake in blood reached a maximum value of 6.2. The administered activities of 211At corresponded to doses absorbed by tumors of 1.35, 2.65, and 3.70 Gy. The value (mean ± SEM) for D37 was 1.59 ± 0.08 Gy. Tumor growth after 60Co external irradiation showed a value for D37 of 7.65 ± 1.0 Gy. The corresponding RBE of 211At irradiation was 4.8 ± 0.7. Conclusion: Using a tumor GI model in nude mice, we were able to derive an RBE of α-particle RIT with 211At. The RBE was found to be 4.8 ± 0.7.