ABSTRACT

Radioimmunotherapy (RIT) has been the subject of investigations since the early

1970s. A tumor antigen-binding protein is labeled with a therapeutic radionuclide

and administered systemically-the radionuclide decay results in lethal radiation

that putatively destroys cancer cells. RIT of lymphoma has shown great promise

(1-5), and two anti-CD20 agents are approved by the Food and Drug Adminis-

tration (FDA) for clinical use. There are no pivotal or phase 3 trials in solid tumor

RIT, partly because the need for nonimmunogenic proteins necessitated the

development of chimeric and humanized antibodies, and also because tumor

radiation-absorbed dose with radiolabeled intact immunoglobulin has been

inadequate in most of the systems studied.