Pancreatic cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Patients with a definitive diagnosis of pancreatic adenocarcinoma or invasive ductal carcinoma of pancreas. (2)Patients with expression of survivin protein in cancer cells. (3)Patients must meet all of the following criteria. a)Patients with inoperable status like distant metastasis, local recurrence or locally advanced cancer. b)Patients with cancer which did not respond or intolerable to gemcitabine or TS-1. c)Patients who could not receive or refused to receive either gemcitabine or TS-1. (4)Patients with measurable lesion based on RECIST as determined by CT or MRI at screening period. (5)Patients with HLA-A*2402 positive. (6)Patients with ECOG Performance Status 0 or 1. (7)Patients without serious organ failure within 30 days prior to registration (neutrophil >=1,500/uL, hemoglobin level >=8.0 g/dL, platelet count >=75*103/uL, 1.5 times serum creatinine level <= normal upper limit level, 3 times total serum bilirubin level <= normal upper limit level, AST and ALT <=3 times normal upper limit level). (8)Patients aged 20-85 years when providing informed consent. (9)Patients who have received sufficient explanation of this trial.
Exclusion criteria
Exclusion criteria: (1)HIV positive. (2)Heart disease under NYHA III or IV classification. (3)Uncontrollablediabetes/hypertension. (4)Pleural effusion/pericardial fluid/ascites). (5)Brain metastatic. (6)Multiple malignancies. (7)Autoimmune disease. (8)Under suspicion of severe inflammatory disease. (9)History of interstitial pneumonia. (10)Life-threatening diseases. (11)History of immune cell therapy for cancer. (12)Received followingtreatmentdesignated period prior to registration. a)Surgery/radiotherapy. b)Chemotherapy. c)Endocrine therapy/immunotherapy. d)Blood transfusion/hematopoietic factor. e)Application of immunosuppressive drug. f)Investigational/unlicensed drugs. (13)Use of Sho-sai-koto/warfarin/ theophylline. (14)Steroids use required. (15)History of severe drug allergy. (16)Sensitive to cow materials. (17)Sensitive to biological preparation.(18)Severe psychosis/neurologic manifestation. (19)Pregnant/lactating. Hope to conceive during trial/unable to use contraception.(20)Disqualified for trial by principal investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to progression | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Immunological response a)SVN-2B peptide specific CTL number (Tetramer analysis) b)SVN-2B peptide specific CTL activation(ELISPOT analysis) 2)Anti-tumor effect based on RECIST guideline 3)Safety a)Adverse Effect b)Laboratory Data | — |
Countries
Japan
Contacts
Sapporo medical university Department of Pathology(I)