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Blood, 15 September 2007, Vol. 110, No. 6, pp. 2049-2056.
Prepublished online as a Blood First Edition Paper on May 29, 2007; DOI 10.1182/blood-2007-01-066803.


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Submitted January 8, 2007
Accepted May 25, 2007

Targeted cancer therapy with a novel low dose rate alpha-emitting radioimmunoconjugate

Jostein Dahle*, Jorgen Borrebaek, Thora J. Jonasdottir, Anne Kristine Hjelmerud, Katrine B. Melhus, Oyvind S. Bruland, Oliver W. Press, and Roy H. Larsen

Department of Radiation Biology, The Norwegian Radium Hospital, Oslo, Norway
Research and Development, Algeta ASA, Oslo, Norway
Small Animal Section, Department of Companion Animal Clinical Sciences, Norwegian School of Veterinary Science, Oslo, Norway
University of Oslo, & Department of Oncology, The Norwegian Radium Hospital, Oslo, Norway
Department of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, WA, United States

* Corresponding author; email: jostein.dahle{at}rr-research.no.

Alpha-emitting radionuclides are highly cytotoxic and are of considerable interest in the treatment of cancer. A particularly interesting approach is in radioimmunotherapy. However, {alpha}-emitting antibody conjugates have been difficult to exploit clinically due to short half-life of the radionuclides, low production capability or limited source materials. We have developed a novel technology based on the low dose rate {alpha}-particle emitting nuclide 227Th, exemplified here using the monoclonal antibody rituximab. In vitro, this radioimmunoconjugate killed lymphoma cells at Bq/ml levels. A single injection of 227Th-rituximab induced complete tumor regression in up to 60 % of nude mice bearing macroscopic (32-256 mm3) human B-lymphoma xenografts at Bq/g levels without apparent toxicity. Therapy with 227Th-rituximab was significantly more effective than the control radioimmunoconjugate 227Th-trastuzumab and the standard {beta}-emitting radioimmunoconjugate for CD20 positive lymphoma, Zevalin® (90Y-tiuxetan-ibritumomab). Thorium-227 based constructs may provide a novel approach for targeted therapy against a wide variety of cancers.


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