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Blood, 5 March 2009, Vol. 113, No. 10, pp. 2275-2283.
Prepublished online as a Blood First Edition Paper on November 12, 2008; DOI 10.1182/blood-2008-05-160747.


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Submitted May 30, 2008
Accepted October 30, 2008

Complete eradication of human B-cell lymphoma xenografts using rituximab in combination with the immunocytokine L19-IL2

Christoph Schliemann, Alessandro Palumbo, Kathrin Zuberbuhler, Alessandra Villa, Manuela Kaspar, Eveline Trachsel, Wolfram Klapper, Hans Dietrich Menssen, and Dario Neri*

Institute of Pharmaceutical Sciences, Department of Chemistry and Applied Biosciences, Swiss Federal Institute of Technology Zurich, Zurich, Switzerland
Philochem AG, Zurich, Switzerland
Department of Pathology, Haematopathology and Lymph Node Registry, University Hospital Schleswig-Holstein, Kiel, Germany
Bayer Schering Pharma AG, Berlin, Germany

* Corresponding author; email: neri{at}pharma.ethz.ch.

The antibody-mediated delivery of therapeutic agents to sites of angiogenesis is an attractive strategy for anti-cancer therapy, but is largely unexplored in hematologic malignancies. In the present study, we show that the extra domain B (EDB) of fibronectin, a marker of angiogenesis, is expressed in B-cell non-Hodgkin lymphomas (NHLs), and that the human monoclonal anti-EDB antibody L19 can selectively localize to the lymphoma-associated sub-endothelial extracellular matrix. In vivo, the preferential accumulation of the antibody at the tumor site was confirmed by quantitative biodistribution analyses with radioiodinated antibody preparations. The fusion protein L19-IL2, which mediates the delivery of interleukin-2 (IL-2) to the neovasculature, displayed a superior anti-lymphoma activity compared to unconjugated IL-2 in localized and systemic xenograft models of NHL. When co-administered with rituximab, L19-IL2 induced complete remissions of established localized lymphomas and provided long-lasting protection from disseminated lymphoma. The combined use of rituximab and L19-IL2, which dramatically increases the infiltration of immune effector cells in lymphomas, may deserve clinical investigations, facilitated by the fact that L19-IL2 is currently being studied in phase II clinical trials in patients with solid tumors.


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