Adult T cell leukemia/lymphoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Pre-treated ATL patients in stable disease for at least one month (exclude 1st CR) 2)positive for any of HLA-A*0201, *2402, or *1101 3)No previous therapy has been performed within 4 weeks before vaccination 4)ECOG performance status 0 or 1 5) Meet the following criteria for apheresis Hb >= 8.0 g/dL platelet count >= 100,000/mm3, <= 600,000/mm3 systolic blood pressure >= 90 mmHg 6) Meet the following criteria for organ function serum-Cr < 2.0 mg/dL. AST, ALT < 3 X ULN value, 7)Negative for hepatitis B antigen, anti-hepatitis C antibody, anti-HIV antibody, anti-HTLV-1 antibody and syphilis serodiagnosis 8)Positive for complete type of HTLV-1 Tax which consists of intact amino acids arrangement in the epitope region 9)Negative for HLA-A*0201/Tax 11-19, HLA-A*2402/Tax301-309,HLA-A*1101/ Tax88-96 tetramer CD8+T cells, or impaired function of Tax tetramer CD8+T cells 10)Written informed consent obtained
Exclusion criteria
Exclusion criteria: 1) Patients with severe complications: cardiovascular disorders, respiratory disorders, renal dysfunction, immunodeficiency, hematological disorders, autoimmune diseases, sever allergy and severe infectious disease. 2) Patients who should receive systemic administration of steroid or immunosuppressive agents. 3) Presence of active brain metastases 4) Pregnant, lactating, or possiblly pregnant women, or willing to be pregnant 5) Severe psychiatric disorder 6) History of HAM/TSP 7) Active multiple cancers 8) Inappropriate for study entry judged by an attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety of administrating dose of Tax specific dendritic cells | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Feasibility of DC preparation 2) Tax specific CTL response 3) Anti viral (HTLV-1) effect 4) Anti leukemia/lymphoma effect | — |
Countries
Japan
Contacts
National Hospital Organization Kyushu Cancer Center Hematology