A
fighting chance
(continued)
"We
give patients several different exposures so that the radiation
penetrates better, causing cancer cells to die," said Robert
O'Donnell, an associate professor of internal medicine and physician
in the radioimmunotherapy program. "There is some anticancer
activity from the antibody, but we think the greatest benefit comes
from the radiation."
Gerald
DeNardo, professor emeritus of internal medicine and radiology,
and Sally DeNardo, a professor of internal medicine and radiology,
pioneered the federally funded program at UC Davis. As a Phase I-II
study, it is geared for patients in "salvage mode" - those
who haven't responded to conventional chemotherapy and radiation.
These
are the sickest of the sick - cancer patients who come to the outpatient
clinic seeking precious months and years of life.
In
1985, the DeNardos treated their first patient, a woman with non-Hodgkin's
lymphoma. She was expected to die within days; instead, she had
a partial remission and lived for three more years. It was the first
time in the United States that radioimmunotherapy had been used
on a lymphoma patient.
Since
1985, 217 patients have undergone radioimmunotherapy at the medical
center, 129 of them with lymphoma. Sixty percent of lymphoma patients
responded to treatment. Of these, 90 percent were improved and their
tumors shrank. Another 30 percent had complete remissions.
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