Evidence map›Paper›PMID 33127621›Full record

ArticleJournal of nuclear medicine : official publication, Society of Nuclear Medicine2021

Comparison of CD38-Targeted α- Versus β-Radionuclide Therapy of Disseminated Multiple Myeloma in an Animal Model.

Megan Minnix, Vikram Adhikarla, Enrico Caserta, Erasmus Poku, Russell Rockne, John E Shively, Flavia Pichiorri

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Enhanced Antitumor Efficacy ofInternational journal of radiation oncology, biology, physics · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. A Novel Theranostic Strategy for Malignant Pulmonary Nodules by Targeted CECAM6 withAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Review
  9. GD2-targeted theranostics of neuroblastoma with [European journal of nuclear medicine and molecular imaging · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. CD38 as theranostic target in oncology.Journal of translational medicine · 2024
    Review
  14. Article
  15. Design andNanomedicine (London, England) · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Cure of Disseminated Human Lymphoma with [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Megan MinnixDepartment of Molecular Imaging and Therapy, Beckman Research Institute, City of Hope, Duarte, California.
Vikram AdhikarlaDepartment of Computational and Quantitative Medicine, Division of Mathematical Oncology, Beckman Research Institute, City of Hope, Duarte, California.
Enrico CasertaBriskin Myeloma Center and Department of Hematologic Malignancies Research Institute, City of Hope, Duarte, California; and.
Erasmus PokuRadiopharmacy, City of Hope, Duarte, California.
Russell RockneDepartment of Computational and Quantitative Medicine, Division of Mathematical Oncology, Beckman Research Institute, City of Hope, Duarte, California.
John E ShivelyDepartment of Molecular Imaging and Therapy, Beckman Research Institute, City of Hope, Duarte, California jshively@coh.org.
Flavia PichiorriBriskin Myeloma Center and Department of Hematologic Malignancies Research Institute, City of Hope, Duarte, California; and jshively@coh.org.
City of Hope · USBeckman Research Institute

Funding

Exploring the preclinical relevance of therapeutic radiolabeled daratumumab (anti-CD38) in combination with anti-CS1 CAR T cells as a novel combinatorial treatment for multiple myelomaR01CA238429 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI PICHIORRI, FLAVIA, ROCKNE, RUSSELL CHRISTIAN · 2019 to 2023
$2.0M
NCI NIH HHS R01 CA238429
6 · The paper itself

Abstract

Targeted therapies for multiple myeloma (MM) include the anti-CD38 antibody daratumumab, which, in addition to its inherent cytotoxicity, can be radiolabeled with tracers for imaging and with β- and α-emitter radionuclides for radioimmunotherapy. Methods: We have compared the potential therapeutic efficacy of β- versus α-emitter radioimmunotherapy using radiolabeled DOTA-daratumumab in a preclinical model of disseminated multiple myeloma. Multiple dose levels were investigated to find the dose with the highest efficacy and lowest toxicity. Results: In a dose–response study with the β-emitter 177Lu-DOTA-daratumumab, the lowest tested dose, 1.85 MBq, extended survival from 37 to 47 d but did not delay tumor growth. Doses of 3.7 and 7.4 MBq extended survival to 55 and 58 d, respectively, causing a small equivalent delay in tumor growth, followed by regrowth. The higher dose, 11.1 MBq, eradicated the tumor but had no effect on survival compared with untreated controls, because of whole-body toxicity. In contrast, the α-emitter 225Ac-DOTA-daratumumab had a dose-dependent effect, in which 0.925, 1.85, and 3.7 kBq increased survival, compared with untreated controls (35 d), to 47, 52, and 73 d, respectively, with a significant delay in tumor growth for all 3 doses. Higher doses of 11.1 and 22.2 kBq resulted in equivalent survival to 82 d but with significant whole-body toxicity. Parallel studies with untargeted 225Ac-DOTA-trastuzumab conferred no improvement over untreated controls and resulted in whole-body toxicity. Conclusion: We conclude, and mathematic modeling confirms, that maximal biologic doses were achieved by targeted α-therapy and demonstrated 225Ac to be superior to 177Lu in delaying tumor growth and decreasing whole-body toxicity.

Indexed as

RadioimmunotherapyADP-ribosyl Cyclase 1AnimalsAntibodies, MonoclonalBeta ParticlesCell Line, TumorDisease Models, AnimalHumansMolecular Targeted TherapyMultiple MyelomaSafetyADP-ribosyl Cyclase 1Antibodies, MonoclonaldaratumumabCD38daratumumabmathematic modelingmultiple myelomaradioimmunotherapy

Identifiers

PMID33127621
PMCPMC8729861
OpenAlexW3096944411

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.