Skip to main content
Log in

Minor human antibody response to a mouse and chimeric monoclonal antibody after a single i.v. infusion in ovarian carcinoma patients: a comparison of five assays

  • Original Article
  • Human Anti-(Mouse lg), Chimeric Antibody, Double-Antigen Assay
  • Published:
Cancer Immunology, Immunotherapy Aims and scope Submit manuscript

Abstract

The human anti-(mouse Ig) antibody (HAMA) response was measured in serum of 52 patients suspected of having ovarian carcinoma who had received an i.v. injection of either the murine monoclonal antibody (mAb) OV-TL 3 F(ab′)2 (n=28, 1 mg) or the chimeric mouse/human mAb MOv18 (cMOv18;n=24, 3 mg). Serum samples were taken before injection and 2–3 and 6–14 weeks after administration. A double-antigen or bridging assay was developed to detect responses against both murine as well as chimeric antibodies. In addition, an indirect enzyme-linked immunosorbent assay (ELISA) as well as three commercially available assays were used to study antibody response against the murine antibody OV-TL 3. With both the double-antigen (bridging) assay and the indirect ELISA 1 of the 28 patients (4%) injected with murine OV-TL 3 F(ab′)2 showed a HAMA reaction 6 weeks after injection, which was demonstrated to be a mixed anti-isotypic and anti-idiotypic response. None of the 24 patients injected with the chimeric MOv18 showed an anti-chimeric antibody response. The various commercially available assays demonstrated conflicting results. The double-antigen-or bridging assay is a reliable method to detect anti-murine and antichimeric antibodies. The assay can be easily adapted for use with human antibodies. The immunogenicity of OV-TL 3 F(ab′)2 and cMOv18 in patients is low, making both antibodies candidates for immunotherapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Sakahara H, Reynolds JC, Carrasquillo JA, Lora ME, Maloney PJ, Lotze MT, Larson SM, Neumann RD (1989) In vitro complex formation and biodistribution of mouse antitumor monoclonal antibody in cancer patients. J Nucl Med 30: 1311

    PubMed  Google Scholar 

  2. Courtenay-Luck NS, Epenetos AA, Moore R, Larche M, Pectasides D, Dhokia B, Ritter MA (1986) Development of primary and secondary immune responses to mouse monoclonal antibodies used in the diagnosis and therapy of malignant neoplasms. Cancer Res 46: 6489

    PubMed  Google Scholar 

  3. LoBuglio AF, Saleh MN, Lee J, Khazaeli MB, Carrano R, Holden H, Wheeler RH (1988) Phase I trial of multiple large doses of murine monoclonal antibody CO17-1A. I. Clinical aspects. J Natl Cancer Inst 80: 932

    PubMed  Google Scholar 

  4. Hansen HJ, LaFontaine G, Newman ES, Schwartz MK, Malkin A, Mojzisik K, Martin EW, Goldenberg DM (1989) Solving the problem of antibody interference in commercial “sandwich”-type immunoassays of carcinoembryonic antigen. Clin Chem 35: 146

    PubMed  Google Scholar 

  5. Boerman OC, Segers MFG, Poels LG, Kenemans P, Thomas CMG (1990) Heterophilic antibodies in human sera causing falsely increased results in the CA 125 immunofluorometric assay. Clin Chem 36: 888

    PubMed  Google Scholar 

  6. Kenemans P, vam Kamp GJ, Oehr P, Verstraeten RA (1993) Heterologous double-determinant immunoradiometric assay CA 125 II: reliable second-generation immunoassay for determining CA 125 in serum. Clin Chem 39: 2509

    PubMed  Google Scholar 

  7. Buist MR, Kenemans P, Vermorken JB, Golding RP, Burger CW, Hollander W den, Kamp GJ van, Lingen A van, Teule JJ, Baak JPA, Roos JC (1992) Radiommunotargeting in ovarian carcinoma patients with indium-111 labeled monoclonal antibody OV-TL 3 F(ab′)2: pharmacokinetics, tissue distribution, and tumor imaging. Int J Gynecol Cancer 2: 23

    PubMed  Google Scholar 

  8. Buist MR, Kenemans P, Hollander W den, Vermorken JB, Molthoff CFM, Burger CW, Helmerhorst TJM, Baak JPA, Roos JC (1993) Kinetics and tissue distribution of the radiolabeled chimeric monoclonal antibody MOv18 and F(ab′)2 fragments in ovarian carcinoma patients. Cancer Res 53: 5413

    PubMed  Google Scholar 

  9. Campbell IG, Freemont PS, Oulkes W, Trowsdale J (1992) An ovarian tumor marker with homology to vaccinia virus contains an IgV-like region and multiple transmembrane domains. Cancer Res 52: 5416

    PubMed  Google Scholar 

  10. Poels LG, Peters D, Megen Y van, Vooijs PG, Verheijen RHM, Willemen A, Niekerk CC van, Jap PHK, Mungyer G, Kenemans P (1986) Monoclonal antibody against human ovarian tumor-associated antigens. J Natl Cancer Inst 76: 781

    PubMed  Google Scholar 

  11. Kenemans P (1990) CA 125 and OA 3 as target antigens for immunodiagnosis and immunotherapy in ovarian cancer. Eur J Obstet Gynecol Reprod Biol 36: 221

    PubMed  Google Scholar 

  12. Miotti S, Canevari S, Menard D, Mezzanzanica D, Porro G, Pupa SM, Regazzoni M, Tagliabue E, Colnaghi MI (1987) Characterization of human ovarian carcinoma associated antigens defined by novel monoclonal antibodies with tumor restricted specificity. Int J Cancer 39: 297

    PubMed  Google Scholar 

  13. Campbell IG, Jones TA, Foulkes WD, Trowsdale J (1991) Folate-binding protein is a marker for ovarian cancer. Cancer Res 51: 5329

    PubMed  Google Scholar 

  14. Coney LR, Tomassetti A, Carayannopoulos L, Frasca V, Kamen BA, Colnaghi MI, Zurawski VR (1991) Cloning of a tumor-associated antigen: MOv18 and MOv19 antibodies recognize a folate-binding protein. Cancer Res 51: 6125

    PubMed  Google Scholar 

  15. Coney LR, Mezzanzanica D, Sanborn D, Casalini P, Colnaghi MI, Zurawski VR (1994) Chimeric murine-human antibodies directed against folate binding receptor are efficient mediators of ovarian carcinoma cell killing. Cancer Res 54: 2448

    PubMed  Google Scholar 

  16. HAMA survey Group (1993) Survey of methods for measuring human anti-mouse antibodies. Clin Chim Acta 215: 153

    Google Scholar 

  17. Khazaeli MB, Conry RM, LoBuglio AF (1994) Human immune reponse to monoclonal antibodies. J. Immunother 15: 42

    PubMed  Google Scholar 

  18. Bolhuis RLH, Lamers CHJ, Goey SH, Eggermont AMM, Trimbos JBMZ, Stoter G, Lanzavecchia A, Dire E, Miotti S, Raspagliesi F, Rivoltini L, Colnaghi MI (1992) Adoptive immunotherapy of ovarian carcinoma with bs-MAb-targeted lymphocytes—A multicenter study. Int J Cancer Supp 7: 78

    Google Scholar 

  19. Schroff RW, Foon KA, Beatty SM, Oldham RK, Morgan AC (1985) Human anti-murine immunoglobulin responses in patients receiving monoclonal antibody therapy. Cancer Res 45: 879

    PubMed  Google Scholar 

  20. Moseley KR, Knapp RC, Haisma HJ (1988) An assay for the detection of human anti-murine immunoglobulins in the presence of CA125 antigen. J Immunol Methods 106: 1

    PubMed  Google Scholar 

  21. Khazaeli MB, Saleh MN, Wheeler RH, Huster WJ, Holden H, Carrano R, LoBuglio AF (1988) Phase I trial of multiple large doses of murine monoclonal antibody CO17-1A. II. Pharmacokinetics and immune response. J Natl Cancer Inst 80: 937

    PubMed  Google Scholar 

  22. Saleh MN, LoBuglio AF, Wheeler RH, Rogers KJ, Haynes A, Lee JY, Khazaeli MB (1990) A phase II trial of murine monoclonal antibody 17-1A and interferon-gamma: clinical and immunological data. Cancer Immunol Immunother 32: 185

    PubMed  Google Scholar 

  23. Goodman GE, Hellstrom I, Yelton DE, Murray JL, Ohara S, Meaker E, Zeigler I, Palazollo P, Nicaise C, Usakewicz J, Hellstrom KE (1993) Phase-I trial of chimeric (human-mouse) monoclonal antibody L6 in patients with non-small-cell lung, colon, and breast cancer. Cancer Immunol Immunother 36: 267

    PubMed  Google Scholar 

  24. Massuger LFAG, Thomas CMG, Segers MFG, Corstens FHM, Verheijen RHM, Kenemans P, Poels LG (1992), Specific and nonspecific immunoassays to detect HAMA after administration of Indium-111-labeled OV-TL 3 F(ab′)2 monoclonal antibody to patients with ovarian cancer. J Nucl Med 33: 1958

    PubMed  Google Scholar 

  25. Pimm MV, Leong KS, Markham AJ (1990) A passive haemagglutination test for human anti-mouse antibody responses in patients undergoing immunoscintigraphy. Nucl Med Commun 11: 121

    PubMed  Google Scholar 

  26. Steis TG, Carrasquillo JA, McCabe R, Bookman MA, Reynolds JC, Larson SM, Smith II JW, Clark JW, Dailey V, Del Vecchio S, Shuke N, Pinsky CM, Urba WJ, Haspel M, Perentesis P, Paris B, Longo DL, Hanna MG (1990) Toxicity, immunogenicity, and tumor radioimmunodetecting ability of two human monoclonal antibodies in patients with metastatic colrectal carcinoma. J Clin Oncol 8: 476

    PubMed  Google Scholar 

  27. Seccamani E, Tattanelli M, Mariani M, Spranzi E, Scassellati GA, Siccardi AG (1989) A simple qualitive determination of human antibodies to murine immunoglobulines (HAMA) in serum samples. Nucl Med Biol 16: 167

    Google Scholar 

  28. Abdel-Nabi H, Doerr RJ, Chan HW, Balu D, Schmelter RF, Maguire RT (1990) In-111 labeled monoclonal antibody immunoscintigraphy in colorectal carcinoma: safety, sensitivity, and preliminary clinical results. Radiology 175: 163

    PubMed  Google Scholar 

  29. Lind P, Lechner P, Arian-Schad K, Klimpfinger M, Cesnik H, Kammerhuber F, Eber O (1991) Anti-carcinoembryonic antigen immunoscintigraphy (technetium-99m-monoclonal antibody BW 431/26) and serum CEA levels in patients with suspected primary and recurrent colorectal cancer. J Nucl Med 32: 1319

    PubMed  Google Scholar 

  30. Hertel A, Baum RP, Lorenz M, Baew-Christow T, Encke A, Hor G (1990) Immunoscintigraphy using a technetium-99m labelled monoclonal anti-CEA antibody in the follow-up of colorectal cancer and other tumours producing CEA. Br J Cancer 62 [Suppl, X]: 34

    Google Scholar 

  31. Chung JK, Kang SB, Lee HP, Lee MC, Koh CS, Sakahara H, Endo K (1993) Clinical immunoscintigraphy of ovarian carcinoma using iodine-131-labeled 145-9 monoclonal antibody. J Nucl Med 34: 1651

    PubMed  Google Scholar 

  32. Surwit EA, Childers JM, Krag DN, Katterhagen JG, Gallion HH, Waggoner S, Mann WJ (1993) Clinical assessment of In-111-CYT-103 immunoscintigraphy in ovarian cancer. Gynecol Oncol 48: 285

    PubMed  Google Scholar 

  33. Murray JL, Rosenblum MG, Zhang HZ, Podoloff DA, Kasi LP, Curley SA, Chan JC, Roh M, Hohn DC, Brewer H, Cunningham JE, Thompson LB, Bhadkamkar V, Pinsky CM, Fogler WE (1994) Comparative tumor localization of whole immunoglobulin G anticarcinoembryonic antigen monoclonal andtibodies Immu-4 and Immu-4 F(Ab′)2 in colorectal cancer patients. Cancer 73: 850

    PubMed  Google Scholar 

  34. Khazaeli MB, Saleh MN, Liu TP, Kaladas PM, Gilman SC, LoBuglio AF (1992) Frequent anti-V-region immune response to mouse B72.3 monoclonal antibody. J Clin Immunol 12: 116

    PubMed  Google Scholar 

  35. Courtenay-Luck NS, Epenetos AA, Winearls CG, Ritter MA (1987) Preexisting human anti-murine immunoglobulin reactivity to polyclonal rheumatoid factors. Cancer Res 47: 4250

    Google Scholar 

  36. Colcher D, Milenic DE, Ferroni P, Carrasquillo JA, Reynolds JC, Roselli M, Larson SM, Schlom J (1990) In vivo fate of monoclonal antibody B72.3 in patients with colorectal cancer. J Nucl Med 31: 1133

    PubMed  Google Scholar 

  37. Meredith RF, Khazaeli MB, Plott WE, Saleh MN, Liu T, Allen LF, Russell CD, Orr RA, Colcher D, Schlom J, Shochat D, Wheeler RH, LoBuglio AF (1992) Phase I trial of iodine-131-chimeric B72.3 (human IgG4) in metastatic colorectal cancer. J Nucl Med 33: 23

    PubMed  Google Scholar 

  38. Meredith RF, LoBuglio AF, Plott WE, Orr RA, Brezovich IA, Russell CD, Harvey EB, Yester MV, Wagner AJ, Spencer SA, Wheeler RH, Saleh MN, Rogers KJ, Polansky A, Salter MM, Khazaeli MB (1991) Pharmacokinetics, immune response, and biodistribution of iodine-131-labeled chimeric mouse/human IgG1,k 17-1A monoclonal antibody. J Nucl Med 32: 1162

    PubMed  Google Scholar 

  39. Haisma HJ, Pinedo HM, Kessel MAP, Muijen M van, Ros JC, Plaizier ABD, Martens HJM, DeJager R, Bowen E (1991) Human IgM monoclonal antibody 16.88: pharmacokinetics and immunogenicity in colorectal cancer patients. J Natl Cancer Inst 83: 1813

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This work was supported by a clinical research grant of the Netherlands Organization for Scientific Research (NWO 900-716-020) and by the Biocare Foundation (grant 92-05).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Buist, M.R., Kenemans, P., van Kamp, G.J. et al. Minor human antibody response to a mouse and chimeric monoclonal antibody after a single i.v. infusion in ovarian carcinoma patients: a comparison of five assays. Cancer Immunol Immunother 40, 24–30 (1995). https://doi.org/10.1007/BF01517232

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01517232

Key words

Navigation