Clinical Trials of Bispecific Antibody MDX-210 in Women with Advanced Breast or Ovarian Cancer that Overexpresses HER-2/neu
Abstract
MDX-210 is a bispecific antibody (BsAb) that recognizes Fc gamma R1 on monocytes and macrophages and the cell surface product of the HER-2/neu oncogene, which is overexpressed on some breast and ovarian cancers. Clinical trials have demonstrated that treatment with MDX-210 is well tolerated and that MDX-210 is both immunologically and clinically active. Optimization of the dose and schedule of MDX-210 and development of combination treatments with cytokines that modulate immune effector cells will greatly enhance the efficacy of this novel BsAb construct for treatment of tumours that overexpress HER-2/neu. We envision that MDX-210 will be effective for treating patients with tumors that overexpress HER-2/neu, especially in the minimal disease setting.
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Preclinical data for MDX-210 indicated that measurable tumor-cell lysis required high bispecific antibody concentrations (0.1-1 mg.mL-1) and effector-to-target cell ratios of at least 40:1, even when human neutrophils prestimulated with IFNγ and G-CSF were used.
“These results might be explained by preclinical data for MDX-210 indicating that measurable tumor-cell lysis required high bsAb concentrations (0.1-1 mg.mL -1 ) and effector-to-target cell ratios of at least 40:1, even when human neutrophils that had been prestimulated with IFNγ and G-CSF were used. 13”
From Bispecific antibodies for cancer therapy: The light at the end of the tunnel? (2009) · cites this paper as [13]
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- Authors
- VALONE, F. H., KAUFMAN, P. A., GUYRE, P. M., LEWIS, L. D., MEMOLI, V., ERNSTOFF, M. S., WELLS, W., BARTH, R., DEO, Y., FISHER, J., PHIPPS, K., GRAZIANO, R., MEYER, L., MROZEK-ORLOWSKI, M., WARDWELL, K., GUYRE, V., MORLEY, T. L., ARVIZU, C., WALLACE, P., & FANGER, M. W.
- Affiliations
- Dartmouth Cancer Center (US)
- Venue
- Journal of Hematotherapy
- Publisher
- SAGE Publications
- Published
- 1995-10
- Volume
- 4
- Issue
- 5
- Pages
- 471-475
- ISSN
- 1061-6128 (ISSN-L)
- OpenAlex
- W2084682642
- Cited by
- 48
- References
- 6
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2021: 1 · 2020: 1 · 2018: 3 · 2017: 1 · 2012: 2
- FWCI
- 4.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Hematotherapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (CA23108-15, P30CA023108)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Monoclonal and Polyclonal Antibodies Research
- Health Sciences › Medicine › Oncology › HER2/EGFR in Cancer Research
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- bispecific antibodies, HER-2/neu overexpression, breast cancer, ovarian cancer, monocytes/macrophages, cytokine combination therapy, dose optimization, minimal residual disease, treatment toxicity
- MeSH terms
- Antibodies, Anti-Idiotypic, Antibodies, Monoclonal, Antibodies, Neoplasm, Antibody Specificity, Antibody-Dependent Cell Cytotoxicity, Antineoplastic Combined Chemotherapy Protocols, Breast Neoplasms, Combined Modality Therapy, Drug Administration Schedule, Female, Humans, Hypotension, Immunization, Passive, Neoplasm Proteins, Ovarian Neoplasms, Receptors, Fc, Cohort Studies, Cytokines, Receptors, IgG, Antibodies, Bispecific, Erb-b2 Receptor Tyrosine Kinases
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