A Simple and Safe Method for I-131 Radiolabeling of Rituximab for Myeloablative High-Dose Radioimmunotherapy

L. Tran, J.W. Baars, H.J. Maessen, C.A. Hoefnagel, J.H. Beijnen, A.D.R. Huitema

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The aim of this study was to develop a safe and simple radiolabeling and purification procedure for high-dose I-131-rituximab for treatment of patients with non-Hodgkin's lymphoma. As the starting point, the conventional Iodogen-coated vial method was applied. After the iodogen-coated monoclonal antibody (mAb) method, a labeling method involving much lower amounts of iodogen was assessed. Subsequently, I-131-rituximab was purified with a tangential flow filtration system. Quality control of the final product was performed by using size-exclusion chromatography with ultraviolet detection and by instant high-performance thin-layer chromatography. Immunoreactivity was determined by using a cell-binding assay. During the labeling procedure, radiation exposure was monitored. The coated vial method resulted in a low radiation exposure, but immunoreactivity was highly compromised (37%). Also, formation of aggregates was observed. The maximal observed effective dose was 18 mu Sv, finger thermoluminescence dosemeters revealed a hand-dose measurement of 0.8 mSv. The second method resulted in an immunoreactivity of 70%. Radiochemical purity was >97% after purification. The maximal measured effective dose was 31 mu Sv, and detected exposure to the hands was 1.9 mSv. We have developed a simple labeling technique for the preparation of high-dose I-131-rituximab. The method offers a high purity and retained immunoreactivity with minimal radiation exposure for involved personnel.
Original languageUndefined/Unknown
Pages (from-to)103-110
Number of pages8
JournalCancer Biotherapy and Radiopharmaceuticals
Volume24
Issue number1
Publication statusPublished - 2009

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ISI:000263898300014

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