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'''Edrecolomab''' (MAb17-1A) is a murine monoclonal antibody to the cell-surface glycoprotein 17-1A, which is expressed on epithelial tissues and on various carcinomas. Preliminary studies had shown promise of a possible use in patients with colorectal carcinoma. However, when put to a phase III study (2,761 patients) it did not provide any benefit when compared to conventional chemotherapeutic agents
{{Drugbox
<ref>''Punt CJ et al, Edrecolomab alone or in combination with fluorouracil and folinic acid in the adjuvant treatment of stage III colon cancer: a randomised study. The Lancet, Volume 360, Issue 9334, Pages 671-677''   [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=12241873&query_hl=1&itool=pubmed_DocSum]
| Verifiedfields = changed
</ref>. It is important to mention that edrecolomab was well tolerated and as such research has now concentrated on whether it can be of any use in other forms of cancer.
| verifiedrevid = 461092781
| image = 
 
<!--Monoclonal antibody data-->
| type = mab
| mab_type = mab
| source = o
| target = [[EpCAM]] (17-1A)
 
<!--Clinical data-->
| tradename = Panorex
| pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X -->
| pregnancy_US = <!-- A / B            / C / D / X -->
| pregnancy_category = 
| legal_AU = <!-- S2, S3, S4, S5, S6, S7, S8, S9 or Unscheduled-->
| legal_CA = <!-- Schedule I, II, III, IV, V, VI, VII, VIII -->
| legal_UK = <!-- GSL, P, POM, CD, or Class A, B, C -->
| legal_US = <!-- OTC / Rx-only / Schedule I, II, III, IV, V -->
| legal_status = 
| routes_of_administration = 
 
<!--Pharmacokinetic data-->
| bioavailability = 
| protein_bound = 
| metabolism = 
| elimination_half-life = 
| excretion = 
 
<!--Identifiers-->
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = NA
| CAS_number_Ref = {{cascite|changed|??}}
| CAS_number = 156586-89-9
| ATC_prefix = L01
| ATC_suffix = XC01
| PubChem = 
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = 
 
<!--Chemical data-->
| chemical_formula = 
 
| molecular_weight = 
}}
__NOTOC__
 
{{SI}}
 
{{CMG}}
 
==Overview==
'''Edrecolomab''' (MAb17-1A, trade name '''Panorex''') is a mouse-derived [[monoclonal antibody]] targeting the cell-surface [[glycoprotein]] [[EpCAM]] (17-1A), which is expressed on [[epithelium|epithelial tissues]] and on various [[carcinoma]]s.
 
Preliminary studies had shown promise of a possible use in patients with stage III [[colorectal carcinoma]] (with [[metastasis]] to the [[lymph nodes]]).<ref name="Lancet1994">Riethmüller G, Schneider-Gädicke E, Schlimok G ''et al.'' Randomised trial of monoclonal antibody for adjuvant therapy of resected Dukes' C colorectal carcinoma. German Cancer Aid 17-1A Study Group. ''Lancet''. 1994;'''343(8907)''':1177-83. PMID 7909866</ref><ref name="Proc2002">Fields AL, Keller AM, Schwartzberg L ''et al.'' Edrecolomab (17-1A antibody) in combination with 5-fluorouracil based chemotherapy in the adjuvant treatment of stage III colon cancer: results of a randomised North American phase III study (abstract). ''Proc Am Soc Clin Oncol''. 2002;'''21''':128a.</ref> However, when put to a phase III study (2,761 patients) it did not provide any benefit when compared to conventional [[chemotherapy|chemotherapeutic]] agents.<ref>Punt CJ, Nagy A, Douillard JY ''et al.'' Edrecolomab alone or in combination with [[fluorouracil]] and [[folinic acid]] in the adjuvant treatment of stage III colon cancer: a randomised study. ''Lancet''. 2002;'''360(9334)''':671-7. {{DOI|10.1016/S0140-6736(02)09836-7}} PMID 12241873</ref> No effect has been demonstrated for stage II (locally advanced cancer without spread to the lymph nodes) colon cancer.<ref name="stageII">Colacchio TA, Niedzwicki D, Compton C, ''et al.'' Phase III trial of adjuvant immunotherapy with MoAb 17-1A following resection for stage II adenocarcinoma of the colon (CALGB 9581). ''Proc Am Soc Clin Oncol''. 2004;'''23''':251a.</ref>
 
Edrecolomab was well tolerated in these studies and as such research has now concentrated on whether it can be of any use in other forms of cancer.


==References==
==References==
<references/>
{{reflist|2}}
 
{{Extracellular chemotherapeutic agents}}
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Revision as of 14:06, 7 April 2015

Edrecolomab
Monoclonal antibody
TypeWhole antibody
SourceTemplate:Infobox drug/mab source
TargetEpCAM (17-1A)
Clinical data
Trade namesPanorex
ATC code
Identifiers
CAS Number
ChemSpider
E number{{#property:P628}}
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Edrecolomab (MAb17-1A, trade name Panorex) is a mouse-derived monoclonal antibody targeting the cell-surface glycoprotein EpCAM (17-1A), which is expressed on epithelial tissues and on various carcinomas.

Preliminary studies had shown promise of a possible use in patients with stage III colorectal carcinoma (with metastasis to the lymph nodes).[1][2] However, when put to a phase III study (2,761 patients) it did not provide any benefit when compared to conventional chemotherapeutic agents.[3] No effect has been demonstrated for stage II (locally advanced cancer without spread to the lymph nodes) colon cancer.[4]

Edrecolomab was well tolerated in these studies and as such research has now concentrated on whether it can be of any use in other forms of cancer.

References

  1. Riethmüller G, Schneider-Gädicke E, Schlimok G et al. Randomised trial of monoclonal antibody for adjuvant therapy of resected Dukes' C colorectal carcinoma. German Cancer Aid 17-1A Study Group. Lancet. 1994;343(8907):1177-83. PMID 7909866
  2. Fields AL, Keller AM, Schwartzberg L et al. Edrecolomab (17-1A antibody) in combination with 5-fluorouracil based chemotherapy in the adjuvant treatment of stage III colon cancer: results of a randomised North American phase III study (abstract). Proc Am Soc Clin Oncol. 2002;21:128a.
  3. Punt CJ, Nagy A, Douillard JY et al. Edrecolomab alone or in combination with fluorouracil and folinic acid in the adjuvant treatment of stage III colon cancer: a randomised study. Lancet. 2002;360(9334):671-7. doi:10.1016/S0140-6736(02)09836-7 PMID 12241873
  4. Colacchio TA, Niedzwicki D, Compton C, et al. Phase III trial of adjuvant immunotherapy with MoAb 17-1A following resection for stage II adenocarcinoma of the colon (CALGB 9581). Proc Am Soc Clin Oncol. 2004;23:251a.

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