Publications [#98482] of John H Sampson

Papers Published

1. JH Sampson, G Akabani, AH Friedman, D Bigner, S Kunwar, MS Berger, KS Bankiewicz, Comparison of intratumoral bolus injection and convection-enhanced delivery of radiolabeled antitenascin monoclonal antibodies., Neurosurgical focus, United States, vol. 20 no. 4 (2006), pp. E14, ISSN 1092-0684
   (last updated on 2006/06/06)

   Abstract:
   OBJECTIVES: Convection-enhanced delivery (CED) is a novel technique used to deliver agents to the brain parenchyma for treatment of neoplastic, infectious, and degenerative conditions. The purpose of this study was to determine if CED would provide a larger volume of distribution (Vd) of a radiolabeled monoclonal antibody (mAb) than a bolus injection. METHODS: Patients harboring a recurrent glioblastoma multiforme that reacted with the antitenascin mAb 81C6 during immunohistochemical analysis were randomized to receive an intratumoral injection of the human-murine chimeric mAb Ch81C6, which had been labeled with the 123I tracer. The mAb was administered by either a bolus injection or CED via a stereotactically placed catheter; between 48 and 72 hours later the mAb was again administered using the other technique. Injections of escalating doses of a 131I-labeled therapeutic mAb were then delivered using the technique shown to produce the largest Vd by single-photon emission computerized tomography. CONCLUSIONS: Convection-enhanced delivery has enormous potential for administering drugs to sites within the central nervous system. For the relatively small volumes injected in this study, however, CED did not provide a significant increase in the Vd when compared with the bolus injection. Nevertheless, a clear cross-over effect was seen, which was probably related to the temporal proximity of the two infusions.

   Keywords:
   Antibodies, Monoclonal • Brain • Brain Neoplasms • Dose-Response Relationship, Drug • Drug Administration Routes • Drug Delivery Systems • Glioblastoma • Humans • Immunotherapy • Infusion Pumps • Iodine Radioisotopes • Magnetic Resonance Imaging • Microinjections • Neoplasm Recurrence, Local • Stereotaxic Techniques • Survival Rate • Tenascin • Tomography, Emission-Computed, Single-Photon • Treatment Outcome • administration & dosage • administration & dosage* • drug therapy • drug therapy* • immunology • immunology* • instrumentation • methods • methods* • pathology • radionuclide imaging • surgery