Metastatic Breast Cancer
Conditions
Keywords
metastatic breast cancer, breast cancer stage IV, vaccination, CD80, immunotherapy
Brief summary
In the last few years there has been a great attempt to develop active immunotherapies for breast cancer patients (BCPs) using undefined as well as selected antigens to activate tumor specific T-lymphocytes. The purpose of this phase-I study was to determine the safety and feasibility of vaccinations with an allogeneic breast cancer cell line, KS24.22, genetically modified to express CD80 and Her-2/neu, and to evaluate the efficacy of inducing tumor antigen-specific immune responses in human leukocyte antigen(HLA)-A\*02-matched patients with metastatic breast cancer.
Detailed description
The trial was designed as an open label phase-I. Informed consent was given twice by the patients (1st for HLA-typing, 2nd for participation in the vaccination trial). The first four vaccinations, which were given every two weeks, were followed by four monthly vaccinations. Additional vaccinations were permitted on request for patients who exhibited stable disease (SD). Immediately before administration, KS24.22 cells were thawed and lethally irradiated. KS24.22 cells were adjusted to 10E7/ml in Ringer-Lactate-solution, transferred to 1 ml syringes and stored on ice until injected within a time frame of 2h. Vaccinations were given i.d. in the thigh with a total volume of 1 ml divided between two injection sites.
Interventions
BIOLOGICALKS24.22 cells
The first four vaccinations, which were given every two weeks, were followed by four monthly vaccinations. Additional vaccinations were permitted on request for patients who exhibited stable disease (SD). Immediately before administration, KS24.22 cells were thawed and lethally irradiated (200 gray). KS24.22 cells were adjusted to 107/ml in Ringer-Lactate-solution, transferred to 1 ml syringes and stored on ice until injected within a time frame of 2h. Vaccinations were given i.d. in the thigh with a total volume of 1 ml divided between two injection sites.
Sponsors
Paul Ehrlich Institute, Langen, Germany
University Hospital Tuebingen
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* proven diagnosis of carcinoma of the breast with distant metastatic disease * patient received either anthracycline- or taxane-based chemotherapy (state of the art) * Karnofsky Score (performance status) 80% * HLA-\*A0201-positive * minimum life expectancy of 6 month * written informed consent * activation of patient's T-lymphocytes by mitogen antibodies and the cell line used for vaccination
Exclusion criteria
* manifestation of CNS metastases * immunosuppressive disease like AIDS, autoimmune disease * no serious concomitant systemic medical disorders or active acute or systemic infection * pregnancy * chemotherapies or radiotherapies in the 4 weeks preceding study entry * biological response modifiers (antibodies, TNF, cytokines) or other immune therapies in the 6 weeks preceding study entry (exclusion: hematopoetic growth factors) * organ transplanted patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| safety of KS24.22 administration | 2 years |
| feasibility | — |
Secondary
| Measure | Time frame |
|---|---|
| immunological response | 2 years |
| progression free survival | — |
| overall survival | — |
Countries
Germany
Outcome results
None listed