Antibody response to DT-GM, a novel fusion toxin consisting of a truncated diphtheria toxin (DT) linked to human granulocyte-macrophage colony stimulating factor (GM), during a phase I trial of patients with relapsed or refractory acute myeloid leukemia

Copyright 2001 Academic Press.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 100(2001), 2 vom: 11. Aug., Seite 191-7
1. Verfasser: Hall, P D (VerfasserIn)
Weitere Verfasser: Virella, G, Willoughby, T, Atchley, D H, Kreitman, R J, Frankel, A E
Format: Aufsatz
Sprache:English
Veröffentlicht: 2001
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Clinical Trial Clinical Trial, Phase I Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. Antibodies Diphtheria Toxin Recombinant Fusion Proteins Granulocyte-Macrophage Colony-Stimulating Factor 83869-56-1
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245 1 0 |a Antibody response to DT-GM, a novel fusion toxin consisting of a truncated diphtheria toxin (DT) linked to human granulocyte-macrophage colony stimulating factor (GM), during a phase I trial of patients with relapsed or refractory acute myeloid leukemia 
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500 |a Date Revised 14.11.2007 
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520 |a We are conducting a Phase I trial of a fusion toxin (DT-GM) for the treatment of relapsed or refractory acute myeloid leukemia (AML). The fusion toxin consists of a truncated diphtheria toxin (DT) linked to human granulocyte-macrophage colony stimulating factor (GM). Prior to beginning the Phase I trial, our first goal was to determine whether healthy controls and adult AML patients had preexisting antibodies able to inhibit DT-GM. Sera from 5 of the 9 controls completely neutralized DT-GM by an in vitro bioassay to assess the inhibition of DT-GM. Sera from 43 patients with AML were tested by bioassay and a specific enzymoimmunoassay (EIA) for anti-DT-GM antibodies. Forty-two of 43 samples were positive by EIA, and 5 patients (11.6%) showed complete neutralization of DT-GM in the bioassay. Anti-DT-GM concentrations were significantly higher in samples demonstrating neutralization than in samples demonstrating no neutralization (P = 0.003). In the Phase I trial of DT-GM prior to therapy, none of 28 patients exhibited neutralization by bioassay, but 89% were positive by EIA. After the first course of DT-GM, 23% developed neutralizing antibodies by the bioassay, and 64% of patients exhibited an increase in their anti-DT-GM antibody concentrations by EIA. Further studies are needed to determine the clinical impact of the anti-DT-GM antibodies and whether the neutralization bioassay can be replaced by our EIA 
650 4 |a Clinical Trial 
650 4 |a Clinical Trial, Phase I 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Research Support, U.S. Gov't, P.H.S. 
650 7 |a Antibodies  |2 NLM 
650 7 |a Diphtheria Toxin  |2 NLM 
650 7 |a Recombinant Fusion Proteins  |2 NLM 
650 7 |a Granulocyte-Macrophage Colony-Stimulating Factor  |2 NLM 
650 7 |a 83869-56-1  |2 NLM 
700 1 |a Virella, G  |e verfasserin  |4 aut 
700 1 |a Willoughby, T  |e verfasserin  |4 aut 
700 1 |a Atchley, D H  |e verfasserin  |4 aut 
700 1 |a Kreitman, R J  |e verfasserin  |4 aut 
700 1 |a Frankel, A E  |e verfasserin  |4 aut 
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