Combination treatment of pancreatic cancer
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example a
[0078] G17DT was administered to 28 patients with advanced pancreatic adenocarcinoma at weeks 0,1 and 3 at a 250 μg dose[16]. Only one patient failed to mount an antibody response. G17DT was well tolerated with no systemic side effects. One patient developed a sterile abscess that settled following aspiration. Survival was found to be significantly improved in G17DT patients when compared to an historical control matched in terms of age, stage and co-existing morbidity by POSSUM scoring[40].
[0079] Concerning the response rates of subjects with pancreatic cancer the median time to onset of the immune response to G17DT appears to be dose related and to be optimal at ≧250 μg G17DT.
example b
[0080] The immuno-electronmicroscopy studies used an antiserum directed against the amino-terminal end of the CCK-B / gastrin-receptor (GRE-1 epitope) show that after one hour incubation, the distribution of immunogold-label CCK-B / gastrin-receptor antibody was quickly internalized as 12% of the antibody receptor complex was associated with the cell membrane, 36.6% within the cytoplasm, 7.9% in the nuclear membrane and, quite surprisingly, 43.5% within the cell nucleus. Areas of intense CCK- B / gastrin-receptor immunoreactivity within the nucleus were found on chromatin, which may suggest specific binding sites for regulation of the DNA.
[0081] These electron microscopy studies with anti-immunoglobulin conjugated to gold beads (immmunogold) reveal that an extremely rapid turnover of the anti-receptor / receptor complex occurs in the tumor cells; as early as 10 seconds after exposure to antibodies, complexes are detectable in the cell nucleus.
example c
Immunological Efficacy
[0082] Patients' sera were assessed for antibodies to G17 gastrin at 2-4 weekly intervals. Anti-gastrin-17 antibodies were measured using a titration and inhibition radioimmunoassay with 125I labeled human gastrin-17. Assays for antibodies to G17 gastrin in the pancreatic cancer trials 1 and 2 have been performed by a G17 antigen-based ELISA.
[0083] The pharmacodynamics of the immune response to G17DT was evaluated as a function of the dose and treatment regimen for G17DT. The frequency of seroconversion and time to onset of production of G17 gastrin-specific antibodies was used to estimate the optimal dose.
[0084] A positive immune response in test serum by RIA was defined as being ≧40 fold above non-specific background determined on a 1:40 dilution of pre-immune subject serum within the first 12 weeks post-immunization. This corresponds to approximately 10% of total 125I G17 cpm added in the RIA assay. A positive response in the ELISA assay approximates ≧4 u...
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