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Pancreatic Cancer: December 1995

Last modified on: Tuesday, April 20, 1999 13:03:10
Copyright © 1994-2008, Information Ventures, Inc.

Monoclonal antibody PAM4 - The "stealthy" nature of pancreatic cancer makes it more essential even than for other tumors to have some means of early diagnosis - this we have stressed before. Two reports in the December 1, 1995, supplement to Cancer Research describe studies with a new monoclonal antibody, PAM4, specifically targeted to pancreatic cancer. Researchers from the Garden State Cancer Center in Newark, New Jersey, and the University of Genoa, Italy, performed work in both mice implanted with human tumors and in human patients. When labeled with radioactive iodine, the antibody localized to the tumors in the mice, and with enough radioactivity to kill cells, showed a very significant antitumor effect. Given to five patients, the labeled antibody could be imaged in the pancreatic cancer of the four who were proved to have the disease. Imaging of both primary and metastatic disease was achieved in 72-96 hours (except for peritoneal metastases which were detected at 24-48 hours), while radioactivity in the spleen and liver, which would interfere with pancreatic visualization, was very low.


Radiotherapy and 5-Fu/leucovorin - A joint effort from the University of Kentucky in Lexington, and Thomas Jefferson University in Philadelphia on treatment of pancreatic cancer was reported in the November, 1995 issue of the Journal of Clinical Oncology. They used intraoperative radiotherapy in which radiation is delivered to the opened abdomen, with simultaneous intravenous feeding, followed by chemotherapy with 5-Fu/leucovorin, and then external beam radiation and maintenance chemotherapy. Survival was 55% at 1 and 22% at 2 years, not impressive, but better than three other major studies in this disease which is so rapidly fatal after diagnosis.



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