4 results on '"ALOJ L."'
Search Results
2. A phase II study of dose-dense and dose-intense ABVD (ABVDDD-DI) without consolidation radiotherapy in patients with advanced Hodgkin lymphoma
- Author
-
Annamaria Bonelli, Franco Ionna, Tindaro Gatani, Elisabetta De Lutio, Cristina Becchimanzi, Gaetano Corazzelli, Gianpaolo Marcacci, Antonello Pinto, Rosaria De Filippi, Annarosaria De Chiara, Ferdinando Frigeri, Secondo Lastoria, Gaetana Capobianco, Filippo Russo, Francesco Volzone, Daniela Donnarumma, Luigi Aloj, Russo, F, Corazzelli, G, Frigeri, F, Capobianco, G, Aloj, L, Volzone, F, De Chiara, A, Bonelli, A, Gatani, T, Marcacci, G, Donnarumma, D, Becchimanzi, C, de Lutio, E, Ionna, F, DE FILIPPI, Rosaria, Lastoria, S, and Pinto, A.
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Dacarbazine ,Phases of clinical research ,Kaplan-Meier Estimate ,Neutropenia ,Vinblastine ,Bleomycin ,Gastroenterology ,Drug Administration Schedule ,Young Adult ,chemistry.chemical_compound ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,Neoplasm Staging ,Dose-Response Relationship, Drug ,business.industry ,Hematology ,Middle Aged ,medicine.disease ,Hodgkin Disease ,Surgery ,Regimen ,Treatment Outcome ,chemistry ,ABVD ,Doxorubicin ,Toxicity ,Female ,Radiotherapy, Adjuvant ,business ,Follow-Up Studies ,medicine.drug - Abstract
Summary We explored activity and safety of a dose-dense/dose-intense adriamycin, bleomycin, vinblastine and dacarbazine regimen (ABVDDD-DI) in 82 patients with advanced Hodgkin Lymphoma. Patients entered a two-stage Bryant-Day Phase II study to receive six cycles of ABVDDD-DI without consolidation radiotherapy. Cycles were supported with granulocyte colony-stimulating factor and delivered every 21 d; drugs were administered on days 1 and 11 at the same doses of standard ABVD except for doxorubicin (35 mg/m2; first four cycles only). Co-primary endpoints were complete response (CR) rate and severe acute cardiopulmonary toxicity; secondary endpoints were event-free (EFS) and disease-free survival (DFS). All patients received the four doxorubicin-intensified courses and 96% concluded all six cycles (82·3% within the intended 18 weeks). This translated into a 66·9% increase of received dose-intensity for doxorubicin and 31·8% for the other agents over standard ABVD. The CR rate was 95·1% (78/82) and 87·8% (72/82) achieved a metabolic CR after two cycles. Cardiopulmonary toxicity never exceeded grade 2 and affected 14·6% of patients. Most frequent toxicities were grade 4 neutropenia (10%) and anaemia (9%), grade 3 infection (17%) and grade 2 mucocutaneous changes (30%). Five-year EFS and DFS was 88·3% and 93·7%, respectively. ABVDDD-DI regimen was well-tolerated and ensured substantial CR and EFS rates without radiotherapy.
- Published
- 2014
- Full Text
- View/download PDF
3. In vivo and in vitro characterization of CCK8 bearing a histidine-based chelator labeled with 99mTc-tricarbonyl.
- Author
-
D'Andrea LD, Testa I, Panico M, Di Stasi R, Caracò C, Tarallo L, Arra C, Barbieri A, Romanelli A, and Aloj L
- Subjects
- Animals, Cell Line, Tumor, Cholecystokinin metabolism, Drug Design, Histidine metabolism, Humans, Isotope Labeling, Mice, Mice, Nude, Neoplasm Transplantation, Peptide Fragments metabolism, Receptors, Cholecystokinin metabolism, Transplantation, Heterologous, Chelating Agents chemistry, Cholecystokinin chemical synthesis, Histidine analogs & derivatives, Histidine chemistry, Organotechnetium Compounds metabolism, Peptide Fragments chemical synthesis, Radiopharmaceuticals
- Abstract
The development of receptor targeting radiolabeled ligands has gained much interest in recent years for diagnostic and therapeutic applications in nuclear medicine. Cholecystokinin (CCK) receptors have been shown to be overexpressed in a subset of neuroendocrine and other tumors. We are evaluating binding and biodistribution properties of a CCK8 peptide derivative labeled with (99m)Tc(I)-tricarbonyl. The CCK8 peptide was modified at its N-terminus by adding to its N-terminus two lysine-histidine modules (KH), where histidine is coupled to the side chain of the lysine ((KH)(2)-CCK8). (99m)Tc(I)-tricarbonyl was generated with the IsoLinktrade mark kit. A431 cells stably transfected with a cDNA encoding for the human CCK2 receptor were utilized to determine binding affinity, internalization, and retention of the labeled peptide, in comparison with wild-type A431 cells. A nude mouse tumor model was obtained by generating A431-CCK2R and A431-control tumors in opposite flanks of the animals. High specific activity labeling with (99m)Tc was achieved. In A431-CCK2R cells, specific saturable binding was observed as well as evident internalization of the radiolabeled peptide after binding. Biodistribution experiments showed rapid, specific localization of (KH)(2)-CCK8 on A431-CCK2R xenografts compared with control tumors, although absolute uptake values were not markedly higher compared with background activity. Clearance of unbound radioactivity was both urinary and hepatobiliary. In imaging experiments, while targeting to CCK2R positive tumors could be appreciated, there was poor contrast between target and nontarget areas. (KH)(2)-CCK8 shows adequate in vitro and in vivo properties for CCK2R targeting although improvement of biodistribution warrant further development., ((c) 2008 Wiley Periodicals, Inc.)
- Published
- 2008
- Full Text
- View/download PDF
4. Peptide-chelating agent conjugate for selective targeting of somatostatin receptor type 1: synthesis and characterization.
- Author
-
Mansi R, Tesauro D, De Capua A, Fattorusso R, Caracò C, Aloj L, Benedetti E, and Morelli G
- Subjects
- Amino Acid Sequence, Indium Radioisotopes, Radiopharmaceuticals chemical synthesis, Radiopharmaceuticals chemistry, Chelating Agents chemical synthesis, Chelating Agents chemistry, Peptides chemical synthesis, Peptides chemistry, Receptors, Somatostatin chemistry, Somatostatin analogs & derivatives, Somatostatin chemical synthesis, Somatostatin chemistry
- Abstract
Previously reported results suggest that the analogue of the somatostatin des-AA1,2,5[D-Trp8,IAmp9]-somatostatin (CH-275) peptide bearing chelating agents able to coordinate radioactive metals could be used for scintigraphic imaging of tumor lesions overexpressing sstr1. An efficient synthetic procedure for the preparation of the somatostatin analogue CH-275 and its conjugate DTPAGlu-Gly-CH-275, bearing the chelating agent DTPAGlu (DTPAGlu=N,N-bis[2-[bis(carboxy-ethyl)amino]ethyl]-L-glutamic acid) on the N-terminus, by solid-phase peptide synthesis and 9-fluorenylmethoxycarbonyl (Fmoc) chemistry, is here reported. Rapid and efficient labeling of DTPAGlu-Gly-CH-275 was achieved by addition of 111In(III) to the compound. Typical yields were greater than 97% as determined by reversed phase high performance liquid chromatography (HPLC) at specific activities in the range 4-9 GBq/micromol (100-250 Ci/mmol). A preliminary biological assay of the binding ability of 111In-DTPAGlu-Gly-CH-275 indicates, however, that the labeled compound does not display any specific interaction with somatostatin sstr1 receptors in the tested cell lines. To confirm this unexpected negative result, competition binding experiments were carried out, in which fixed tracer amounts of the 125I-labeled somatostatin-14 were incubated with the receptor-expressing cells in the presence of DTPAGlu-Gly-CH-275 or CH-275 at concentrations ranging from 10(-10) to 10(-3) M. While CH-275 shows a IC50 of 80 nM similar to that already found in displacement experiments on CHO-K1 sstr1-transfected cells, DTPAGlu-Gly-CH-275 displays instead very low or negligible affinity towards this receptor. The NMR solution characterization indicates that the presence of DTPAGlu does not influence the conformational and chemical features of the peptide moiety, thus suggesting that the loss in binding activity should be due to steric hindrance of either the chelating agent DTPAGlu or its indium complex.
- Published
- 2004
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.