Biodistribution of anti-CEA F(ab')2 fragments after intra-arterial and intravenous injection in patients with liver metastases due to colorectal carcinoma

Nucl Med Commun. 1996 Jun;17(6):500-3. doi: 10.1097/00006231-199606000-00008.

Abstract

The biodistribution of simultaneous intra-arterial and intravenous injections of a radiolabelled anti-CEA MAb F(ab')2 fragment was studied in three patients with liver metastases from colorectal cancer. Identical MAb fragments, labelled with either 125I or 131I, were injected over a period of 30 min into the hepatic artery and into a peripheral vein. After 1 or 2 days, biodistribution was measured in the surgically removed metastases, normal tissue samples and blood. By tissue radioactivity counting, tumour uptake in the range 6.3-9.1% of injected dose per gram was found. Superimposable metastasis-to-blood and metastasis-to-normal liver ratios were obtained for both iodine isotopes in all three patients. The results indicate that the intra-arterial injection of MAb F(ab')2 fragments gives no measurable advantage over more convenient injections into a peripheral vein.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal
  • Carcinoembryonic Antigen / immunology
  • Colonic Neoplasms / diagnostic imaging*
  • Colonic Neoplasms / pathology
  • Female
  • Humans
  • Immunoglobulin Fab Fragments
  • Injections, Intra-Arterial
  • Injections, Intravenous
  • Iodine Radioisotopes / administration & dosage
  • Iodine Radioisotopes / pharmacokinetics
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / pathology
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / surgery
  • Male
  • Middle Aged
  • Radioimmunodetection*
  • Rectal Neoplasms / diagnostic imaging*
  • Rectal Neoplasms / pathology
  • Sensitivity and Specificity
  • Tissue Distribution

Substances

  • Antibodies, Monoclonal
  • Carcinoembryonic Antigen
  • Immunoglobulin Fab Fragments
  • Iodine Radioisotopes