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Dosimetry and microdosimetry of {sup 188} Re-anti-CD20 and {sup 131} I-anti-CD20 for the treatment of No Hodgkin lymphomas; Dosimetria y microdosimetria del {sup 188} Re-anti-CD20 y {sup 131} I-anti-CD20 para el tratamiento de linfomas No Hodgkin

Abstract

The purpose of this investigation was to prepare {sup 131}I-anti-CD20 and {sup 188}Re-anti-CD20 and to estimate the radiation absorbed dose at macro- and micro- level during a NHL treatment. The work was divided in 4 general objectives: 1) preparation of {sup 131}I-anti-CD20 and {sup 188}Re-anti-CD20, 2) application in patients to obtain biokinetic parameters and estimate the organ absorbed doses 3) estimation of the cellular dosimetry using the MIRD methodology and the MCNP4C2 code and 4) estimation of the cellular microdosimetry using the NOREC code. {sup 188}Re-anti-CD20 was prepared by a direct labelling method using sodium tartrate as a weak ligand. To evaluate the biological recognition a comparative study of the in vitro binding of {sup 188}Re-anti-CD20, {sup 125}I-anti-CD20 (positive control) and {sup 188}Re-anti-CEA (negative control) to normal B Iymphocytes was performed. Biodistribution studies in normal mice were accomplished to assess the in vivo Re-anti-CD20 complex stability. The binding of ' Re-anti-CD20 to cells was in the same range as '251-anti-CD20 (>80%) considered as the positive control. {sup 188}Re-anti-CD20 and '3'1-anti-CD20 prepared were administered in patients diagnosed with B cell NHL at the Centro Medico Siglo XXI (IMSS). The protocol was approved by the hospital's Medical Ethics Committee. AJI patients signed  More>>
Authors:
Publication Date:
Jul 01, 2007
Product Type:
Thesis/Dissertation
Report Number:
INIS-MX-2528
Resource Relation:
Other Information: TH: Thesis (Ph.D.)
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BLOOD; CHEMICAL PREPARATION; DOSIMETRY; FORECASTING; GAMMA CAMERAS; IMAGES; IMMUNOTHERAPY; IODINE 131; LYMPHOCYTES; LYMPHOMAS; MICRODOSIMETRY; MONOCLONAL ANTIBODIES; PATIENTS; RADIATION DOSES; RADIOIMMUNOTHERAPY; RADIOPHARMACEUTICALS; RHENIUM 188; TEMPERATURE DEPENDENCE
OSTI ID:
21016728
Research Organizations:
Universidad Autonoma del Estado de Mexico, Facultad de Medicina, 50000 Toluca, Estado de Mexico (Mexico)
Country of Origin:
Mexico
Language:
Spanish
Other Identifying Numbers:
TRN: MX0800135038960
Availability:
Available from INIS in electronic form; Also available from the Instituto Nacional de Investigaciones Nucleares, Centro de Informacion y Documentacion Nuclear, 52750 La Marquesa, Estado de Mexico (MX). e-mail: svp@nuclear.inin.mx; rbc@nuclear.inin.mx
Submitting Site:
MXN
Size:
153 pages
Announcement Date:
May 29, 2008

Citation Formats

Torres G, E. Dosimetry and microdosimetry of {sup 188} Re-anti-CD20 and {sup 131} I-anti-CD20 for the treatment of No Hodgkin lymphomas; Dosimetria y microdosimetria del {sup 188} Re-anti-CD20 y {sup 131} I-anti-CD20 para el tratamiento de linfomas No Hodgkin. Mexico: N. p., 2007. Web.
Torres G, E. Dosimetry and microdosimetry of {sup 188} Re-anti-CD20 and {sup 131} I-anti-CD20 for the treatment of No Hodgkin lymphomas; Dosimetria y microdosimetria del {sup 188} Re-anti-CD20 y {sup 131} I-anti-CD20 para el tratamiento de linfomas No Hodgkin. Mexico.
Torres G, E. 2007. "Dosimetry and microdosimetry of {sup 188} Re-anti-CD20 and {sup 131} I-anti-CD20 for the treatment of No Hodgkin lymphomas; Dosimetria y microdosimetria del {sup 188} Re-anti-CD20 y {sup 131} I-anti-CD20 para el tratamiento de linfomas No Hodgkin." Mexico.
@misc{etde_21016728,
title = {Dosimetry and microdosimetry of {sup 188} Re-anti-CD20 and {sup 131} I-anti-CD20 for the treatment of No Hodgkin lymphomas; Dosimetria y microdosimetria del {sup 188} Re-anti-CD20 y {sup 131} I-anti-CD20 para el tratamiento de linfomas No Hodgkin}
author = {Torres G, E}
abstractNote = {The purpose of this investigation was to prepare {sup 131}I-anti-CD20 and {sup 188}Re-anti-CD20 and to estimate the radiation absorbed dose at macro- and micro- level during a NHL treatment. The work was divided in 4 general objectives: 1) preparation of {sup 131}I-anti-CD20 and {sup 188}Re-anti-CD20, 2) application in patients to obtain biokinetic parameters and estimate the organ absorbed doses 3) estimation of the cellular dosimetry using the MIRD methodology and the MCNP4C2 code and 4) estimation of the cellular microdosimetry using the NOREC code. {sup 188}Re-anti-CD20 was prepared by a direct labelling method using sodium tartrate as a weak ligand. To evaluate the biological recognition a comparative study of the in vitro binding of {sup 188}Re-anti-CD20, {sup 125}I-anti-CD20 (positive control) and {sup 188}Re-anti-CEA (negative control) to normal B Iymphocytes was performed. Biodistribution studies in normal mice were accomplished to assess the in vivo Re-anti-CD20 complex stability. The binding of ' Re-anti-CD20 to cells was in the same range as '251-anti-CD20 (>80%) considered as the positive control. {sup 188}Re-anti-CD20 and '3'1-anti-CD20 prepared were administered in patients diagnosed with B cell NHL at the Centro Medico Siglo XXI (IMSS). The protocol was approved by the hospital's Medical Ethics Committee. AJI patients signed a consent form after receiving detailed information on the aims of the study. N data were the input for the OLINDA/EXM software to calculate the radiation absorbed dose to organs and whole body. Dosimetric studies indicate that after administration of 6.4 GBq and 4.87 to 8.75 GBq of '3'1-anti-CD20 and {sup 188}Re-anti-CD20 respectively, the absorbed dose to total body would be 0.75 Gy which corresponds to the recommended dose for NHL therapies. The calculated organ absorbed doses indicate that {sup 188}Re-anti-CD20 may be used in radioimmunotherapy without the risk of toxicity to red marrow or healthy organs. The absorbed dose (D) into cellular nucleus was calculated by two different methodologies, the MIRD methodology and Monte Carlo using the MCNP4C2 code. In both cases, the model used for the estimation of S value consists of two concentric spheres representing the nucleus and cell surface, spheres were filled and embedded in a water medium and an isotropic point source was placed on the cell surface to simulate the binding of anti-CD20 radiolabelled with either {sup 138}Re or 1311. D was calculated for 10 different cell geometries. One aim of this work was to calculate the imparted energy to the cell nucleus, using microdosimetric techniques. This is the first time that {sup 183}Re-anti-CD20 is reported as a new potential radiopharmaceutical for the treatment of patients diagnosed with B-cell non-Hodgkin's Iymphoma. (Author)}
place = {Mexico}
year = {2007}
month = {Jul}
}