Patients with NY-ESO-1-expressing advanced esophageal cancer, gastric cancer, lung cancer and malignant melanoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histological diagnosis of any type of cancers expressing NY-ESO-1 antigen. 2. At least 4 weeks since radiotherapy, biological therapy, chemotherapy or surgery prior to first dosing of study agent. 3. Laboratory values within the following limits: Hemoglobin > 8.0 g/dL Lymphocyte count 2,000/mm3 Platelet count 75,000/mm3 Serum creatinine 2.5 mg/dL Serum bilirubin 2.0 mg/dl AST/ALT 150 IU/l 4. Patients must have a ECOG performance status of 0-2. 5. Life expectancy 4 months. 6. Age 20 years. 7. Able and willing to give witnessed, written informed consent for participation in the trial (see Section 12.2) 8. Without allergy against Penicillin
Exclusion criteria
Exclusion criteria: 1. Clinically significant heart disease (i.e., NYHA class 3 congestive heart failure; myocardial infarction within the past six months; unstable angina; coronary angioplasty within the past 6 months; uncontrolled atrial or ventricular cardiac arrhythmias). 2. Other serious illnesses, e.g., serious infections requiring antibiotics, bleeding disorders. 3. Previous bone marrow or stem cell transplant. 4. History of immunodeficiency disease or autoimmune disease except vitiligo. 5. Metastatic disease to the central nervous system, unless treated and stable. 6. Other malignancy within 3 years prior to entry into the study, except for treated early-stage melanoma or non-melanoma skin cancer, or cervical carcinoma in situ. 7. Known HIV, positivity. 8. Concomitant treatment with steroids. Topical or inhalational steroids are permitted. (See also Section 6.7 for restrictions/recommendations on 'Ancillary Therapy'.) 9. Participation in any other clinical trial involving another investigational agent within 4 weeks prior to first dose of study agent. 10. Pregnancy or lactation. 11. Women of childbearing potential not using a medically acceptable means of contraception. 12. Psychiatric or addictive disorders that may compromise the ability to give informed consent. 13. Lack of availability of the patient for immunological and clinical follow-up assessment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Toxicities and adverse events defined by National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Humoral: NY-ESO-1 reactive antibodies measured by ELISA. Cellular: NY-ESO-1 specific CD4 and CD8 T-cells by cytokine secretion as determined by FACS analysis or ELISPOT assay. Tumor response will be assessed according to the Response Evaluation | — |
Countries
Japan
Contacts
Osaka University Graduate School of Medicine Gastroenterological Surgery