TABLE 1.

Select Clinical PRIT and Targeted Radiotherapy Studies with Emphasis on Dosimetry

YearVehicleTRT typeNo. of stepsAntigen targetsTumor typesNo. of patientsRIT/PRIT radiocarrierAdministered activitycGy/37 MBq to tumorTIReference
MarrowKidneyLiver
1997IgG–biotinPRIT5*CEA, TAG-72, tenascinAdvanced metastatic (breast, brain, colon)1190Y-biotin1.85–5.55 GBq15.2 ± 8.713.83.410.1(29)
1997IgGRIT1TAG-72Metastatic gastrointestinal tract carcinomas1290Y-IgG0.640–1.421 GBq34.5 ± 24.6 (7.0–80.9)15.2 (3.6–42.1)ND0.9 (0.3–1.5)(45)
1998mAb– streptavidinPRIT3EpcamVarious4090Y-biotin2.035–10.693 GBq (0.925–5.18 GBq/m2)16.4 ± 13.248.21.435.47(40,42)
1999IgG–biotinPRIT5*TenascinHigh-grade glioma4890Y-biotin2.22–2.96 GBq/m215.20 ± 8.7019.05.6310.1(31)
1999F(ab)′ × F(ab)′PRIT2CEAMTC26131I-diDTPA(indium)- hapten0.888–2.22 GBq/m2 (1.41–4.14 GBq)44.33 ± 53.39 (2.91–184)29.62 ± 35.328.36 ± 10.0210.86 ± 13.55(71)
2000mAb– streptavidinPRIT3CD20Non-Hodgkin lymphoma790Y-biotin1.11 or 1.85 GBq/m229 ± 231815.818(41)
2004(scFv)4– streptavidinPRIT3CD20Non-Hodgkin lymphoma1590Y-biotin0.555 GBq/m226 ± 4 (2–69)1043.422(57)
2005(scFv)4– streptavidinPRIT3TAG-72Metastatic CRC990Y-biotin0.37 GBq/m228.9 (4.18–121.6)117.4 (25.8–399.1)4.128.0 (1.9–17.6)(46)
2014DNLPRIT2CEAMetastatic CRC20177Lu-IMP2882.5–7.4 GBqND177Lu: 4.68 (0.68–10.91); simulated 90Y: 5.41 (0.99–13.72)NDND(110)
  • * IgG-biotin/avidin chase/streptavidin/biotinylated albumin CA/90Y-biotin.

  • Refractory epithelial (including ovary, colon, prostate, breast).

  • Not reported as cGy/37 MBq, but based on absorbed doses to tumor determined using Monte Carlo-based 3D-RD dosimetry package (0.46–4.52 Gy) and corresponding administered activities (5.6 and 2.5 GBq for 0.46 and 4.52 Gy, respectively), range of 0.30–6.69 cGy/37 MBq was calculated.

  • TRT = targeted radiotherapy; RIT = radioimmunotherapy; ND = not determined.

  • All treatments were administered intravenously.