ganglioside--gd2 and Hypotension

3F8 is an IgG3 murine monoclonal antibody directed against the ganglioside GD2. In a phase II study, 3F8 was administered i.v. to 16 patients (pts) who had stage 4 neuroblastoma. Response was seen in bony lesions (2 of 7 pts) and marrow (3 of 8 pts). Acute toxicities of pain, fever, urticaria, hypertension, hypotension and anaphylactoid reactions were self-limited and manageable. Three pts are long-term survivors between 79-130+ months after 3F8 treatment without additional systemic therapy and no delayed neurological complications. The potential benefits of 3F8 when added to chemoradio-therapy warrant further investigation.

Topics: Abdominal Pain; Adolescent; Antibodies, Monoclonal; Antibody Formation; Antineoplastic Agents; Child; Child, Preschool; Fever; Gangliosides; Humans; Hypertension; Hypotension; Immunotherapy; Infant; Infant, Newborn; Neuroblastoma; Respiration Disorders; Treatment Outcome; Urticaria