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Prepublished online as a Blood First Edition Paper on March 20, 2003; DOI 10.1182/blood-2002-11-3601.

Submitted December 2, 2002
Accepted February 24, 2003
Effective therapy for a murine model of adult T-cell leukemia with the humanized anti-CD2 monoclonal antibody, MEDI-507
Zhuo Zhang, Meili Zhang, Jeffrey V Ravetch, Carolyn Goldman, and Thomas A Waldmann*
Metabolism Branch, National Cancer Institute/NIH, Bethesda, MD, USA
Laboratory of Molecular Genetics and Immunology, The Rockefeller University, New York, NY, USA
* Corresponding author; email: tawald{at}helix.nih.gov.
Adult T-cell Leukemia (ATL) develops in a small proportion of individuals infected with the retrovirus HTLV-1. We evaluated the efficacy of MEDI-507 (a humanized monoclonal antibody directed against CD2) alone and in combination with humanized anti-Tac (HAT) directed toward CD25, the IL-2R , using a human Adult T-cell Leukemia xenograft model. Four-weekly treatments with HAT significantly prolonged the survival of the ATL bearing mice when compared to PBS treated controls (P < 0.0001). Mice treated with MEDI-507 (100 µg/week) for four weeks survived longer than those treated with HAT (P < 0.0025). Furthermore prolonged treatment (6 months) of ATL with MEDI-507 significantly improved the outcome when compared with that using a short course (4 weeks) of therapy (P < 0.0036). Such treatment with weekly MEDI-507 for six months led to a prolonged survival of the ATL bearing mice that was comparable to the survival observed in the control group of mice that did not receive a tumor or therapeutic agent. We also found that the expression of Fc receptors (FcR ) on polymorphonuclear leukocytes and monocytes was required for MEDI-507 mediated tumor killing in vivo. Thus the tumor-killing mechanism with MEDI-507 in vivo required the expression of the receptor, FcR III on polymorphonuclear leukocytes and monocytes suggesting that it is mediated by a form of antibody-dependent cellular cytotoxicity. These results demonstrate that MEDI-507 has therapeutic efficacy on ATL in vivo and provides support for a clinical trial involving this monoclonal antibody in the treatment of patients with CD2 expressing leukemias and lymphomas.

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