Monoclonal antibodies (mAbs) have become an important modality for cancer t
herapy. A genetically engineered humanized anti-CD33 antibody HuM195 has de
monstrated activity against overt relapsed acute myelogenous leukemia (AML)
and against minimal residual disease in acute promyelocytic leukemia (APL)
. Radioimmunotherapy with beta (beta) particle-emitting isotopes hers produ
ced significant responses while minimizing radiation exposure to normal tis
sues in both nonmyeloablative and myeloablative regimens. Targeted alpha (a
lpha) particle therapy with Bi-213-labeled HuM195 offers the possibility of
more selective tumor cell kill. Additionally, directed chemotherapy using
an anti-CD33-calicheamicin conjugate (CMA-676) has produced remissions in p
atients with relapsed AML.