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Vaccination of Triple Negative Breast Cancer Patients

A Combined Phase i/II Efficacy Study of a Carbohydrate Mimotope-based Vaccine With MONTANIDE™ ISA 51 VG STERILE Combined With Neoadjuvant Chemotherapy in Triple Negative Breast Cancer

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02938442
Enrollment
16
Registered
2016-10-19
Start date
2019-01-25
Completion date
2023-01-09
Last updated
2024-11-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Neoplasms, Triple Negative Breast Cancer

Keywords

clinical stage I, II or III, TNBC, ER positive, PR positive, HER2 positive

Brief summary

The purpose of this study is to evaluate a new investigational cancer vaccine, P10s-PADRE in combination with standard neoadjuvant chemotherapy and surgery in patients with clinical stage I, II or III triple negative breast cancer (TNBC). This study will compare the vaccine plus standard neoadjuvant chemotherapy and surgery to standard neoadjuvant chemotherapy and surgery alone.

Detailed description

The purpose of this study is to evaluate an investigational agent, P10s-PADRE, a peptide mimotope-based vaccine, in combination with standard neoadjuvant chemotherapy in patients with clinical stage I, II or III estrogen-receptor (ER) negative, progesterone receptor (PR) negative and HER2-negative (= triple negative - TN) breast cancer. P10s-PADRE will be administered with MONTANIDE™ ISA 51 VG as adjuvant. Human breast cancers that express Tumor Associated Carbohydrate Antigens (TACAs) can be immunogenic, and enhancing the anti-TACA antibodies and immune effector function already present may augment the cytotoxic effects of standard therapies. A randomized two-arm, open-label, multi-center phase I/II trial is designed with the goal being to evaluate the efficacy of combining vaccination of the P10s-PADRE formulation with neoadjuvant chemotherapy. Patients will be randomly assigned in a 2:1 ratio to standard chemotherapy plus P10s-PADRE or to standard chemotherapy alone. Efficacy will be based on the rate of pathologic Complete Response (pCR) observed among TN breast-cancer patients treated with the combination as compared with the group of patients who receive standard chemotherapy alone.

Interventions

BIOLOGICALP10s-PADRE with MONTANIDE™ ISA 51 VG

Subjects randomized to the control arm will receive SoC neoadjuvant chemotherapy starting on week 1. Doxorubicin and cyclophosphamide (AC) will be administered concurrently every two weeks for four cycles with pegfilgrastim (or equivalent growth factor) on day 2 of each AC cycle, followed by paclitaxel weekly x 12 weeks.

DRUGDoxorubicin

Subjects randomized to the chemo+vaccine arm will be immunized with P10s-PADRE in MONTANIDE™ ISA 51 VG a total of three times. The vaccine will be administered on weeks 1, 2 and 3 prior to chemotherapy. Then, they will start their SoC neoadjuvant chemotherapy on week 4. Doxorubicin and cyclophosphamide (AC) will be administered concurrently every two weeks for four cycles with pegfilgrastim (or equivalent growth factor) on day 2 of each AC cycle, followed by paclitaxel weekly x 12 weeks.

DRUGCyclophosphamide

Subjects randomized to the chemo+vaccine arm will be immunized with P10s-PADRE in MONTANIDE™ ISA 51 VG a total of three times. The vaccine will be administered on weeks 1, 2 and 3 prior to chemotherapy. Then, they will start their SoC neoadjuvant chemotherapy on week 4. Doxorubicin and cyclophosphamide (AC) will be administered concurrently every two weeks for four cycles with pegfilgrastim (or equivalent growth factor) on day 2 of each AC cycle, followed by paclitaxel weekly x 12 weeks.

DRUGPaclitaxel

Subjects randomized to the chemo+vaccine arm will be immunized with P10s-PADRE in MONTANIDE™ ISA 51 VG a total of three times. The vaccine will be administered on weeks 1, 2 and 3 prior to chemotherapy. Then, they will start their SoC neoadjuvant chemotherapy on week 4. Doxorubicin and cyclophosphamide (AC) will be administered concurrently every two weeks for four cycles with pegfilgrastim (or equivalent growth factor) on day 2 of each AC cycle, followed by paclitaxel weekly x 12 weeks.

Sponsors

University of Arkansas
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Females of all races with biopsy-proven clinical stage I, II, or III TNBC (ER-negative, PR-negative and HER2-negative) who will undergo SoC neoadjuvant treatment * Age 18 years and older * ECOG Performance Status 0 or 1 * White blood cell (WBC) count ≥ 3,000/mm3 within 3 weeks prior to registration * Platelet count ≥ 100,000/mm3 within 3 weeks prior to registration * Bilirubin ≤ 2 x institutional upper limit (IUL) of normal obtained within 3 weeks prior to registration * Serum glutamic-oxaloacetic transaminase (SGOT) or aspartate aminotransferase test (AST) ≤ 2 x IUL of normal obtained within 3 weeks prior to registration * Serum glutamic-pyruvic transaminase (SGPT) or alanine aminotransferase test (ALT) ≤ 2 x IUL of normal obtained within 3 weeks prior to registration * Serum creatinine ≤ 1.8 mg/dl obtained within 3 weeks prior to registration * Must sign an informed consent document approved by the UAMS IRB

Exclusion criteria

* ER-positive, PR-positive, HER2-positive, inflammatory, metastatic, stage IV or recurrent breast cancer. * Active infection requiring treatment with antibiotics. * Existing diagnosis or history of organic brain syndrome that might preclude participation in the full protocol. * Existing diagnosis or history of significant impairment of basal cognitive function that might preclude participation in the full protocol. * Other current malignancies. Subjects with prior history at any time of any in situ cancer, including lobular carcinoma of the breast in situ, cervical cancer in situ, atypical melanocytic hyperplasia or Clark I melanoma in situ or basal or squamous skin cancer are eligible, provided they are disease-free at the time of registration. Subjects with other malignancies are eligible if they have been continuously disease free for ≥ 5 years prior to the time of registration. * Active autoimmune disorders or conditions of immunosuppression; Existing diagnosis or history of autoimmune disorders or conditions of immunosuppression that have been in remission for less than 6 months. * Treatment with corticosteroids, including oral steroids (i.e. prednisone, dexamethasone \[except when used as an antiemetic in SoC therapy\]), continuous use of topical steroid creams or ointments or any steroid-containing inhalers. Subjects who discontinue the use of these classes of medication for at least 6 weeks prior to registration are eligible if, in the judgment of the treating physician, the subject is not likely to require these classes of drugs during the treatment period. Replacement doses of steroids for subjects with adrenal insufficiency are allowed. * Pregnancy or breastfeeding (due to the unknown effects of peptide/mimotope vaccines on a fetus or infant). Women of childbearing potential must have a negative urine pregnancy test within 72 hours prior to starting week 1 and must be counseled to use an accepted and effective method of contraception (including abstinence) while on treatment and for a period of 18 months after completing or discontinuing treatment. Accepted methods of contraception include oral contraceptives, barrier methods, IUDs, and abstinence. * Any other significant medical or psychiatric conditions, which, in the opinion of the enrolling investigator, may interfere with consent or compliance of the treatment regimen. * Enrollment in any other clinical trial using investigational drug products or devices prior to first post-surgery study lab (Week 46 visit). Concurrent enrollment in observational studies is allowed.

Design outcomes

Primary

MeasureTime frameDescription
Safety and Tolerability Adverse EventsFrom the start of treatment to the time of definitive surgery (4-8 weeks after chemo); from Week 0 to Week 20-23A Safety/Tolerability Event is defined as the occurrence of one of the following: * A Serious Adverse Event, OR * A non-Serious Adverse Event of Grade = 3, 4, or 5, OR * A non-Serious Adverse Event of Grade = 2 whose Relationship to P10s-PADRE Vaccine was classified as Definite, Probable, or Possible
Pathologic Complete Response (pCR)During and/or Immediately After SurgeryA tumor-response call of either ypT0N0 or ypTisN0 determined through surgical staging after neoadjuvant therapy. The staging system used to determine the tumor-response call is the AJCC Staging System described in a 2014 FDA Guidance for Industry. • A tumor-response call of pyT0N0 is also equated with pCR in the published literature.
Pathological Tumor SizeSurgeryTumor size at surgery/pathology report
Pathological Node Status: Number of Positive Lymph NodesSurgeryNumber of positive lymph nodes found out of dissected lymph nodes
Pathological Node Status: Number of Dissected Lymph NodesSurgeryNumber of dissected lymph nodes at surgery for study participants
Tumor ResponseSurgeryParticipants had their tumors surgically removed and pathologically staged using the AJCC Staging criteria. The main method of pathologic staging for breast cancer is the TNM system which stands for (Tumor size, lymph Node status and Metastases). yp prior to TN means the tissue was staged after neoadjuvant therapy. The larger the number after T means the larger the size, and the larger the number after N means the number of affected nearby lymph nodes. Therefore, tumor gradings with T3Nx are worse than those with T0Nx. The two categories pyT0N0 and ypT0N0 are both considered to be synonymous with pCR in the published literature.

Secondary

MeasureTime frameDescription
Frequencies of T Cells - CD3+/CD8+Weeks 1, 7, 10, 15, 18, 23, and 46Using flow cytometry, the frequencies of CD3+/CD8+ T cells were determined for samples collected from multiple timepoints from Week 1 to Week 46. Values were averaged for the percent of CD8 T cells.
Frequencies of Cells - CD69+/CD3+Weeks 1, 7, 10, 15, 18, 23, 46, and 70Using flow cytometry, the frequencies of CD69+/CD3+ cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of CD69 T cells.
Frequencies of Circulating Regulatory T Cells (Tregs)Weeks 1, 7, 10, 15, 18, 23, 46, and 70Peripheral blood mononuclear cells (PBMCs) were isolated from samples collected from multiple timepoints from Week 1 to Week 46. Using flow cytometry, the frequencies of Tregs (CD4, CD25 and CD127) were analyzed for separately, and then summed. The units are reported in CD4+CD25+CD127 low/- percentage because CD127 is a recently discovered antigen associated with Tregs that is weakly expressed on Tregs, while the self-activated memory T cell CD127 is strongly expressed; therefore, CD4+CD25+CD127 low/- is used to represent Tregs now.
Activation Profiles of NK Cells: CD16Weeks 1, 7, 10, 15, 18, 23, 46, and 70The expression levels of activation markers on NK cells profile, specifically CD16, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).
Frequencies of NK Cells - NKG2DWeeks 1, 7, 10, 15, 18, 23, 46, and 70Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of NKG2D+NK cells.
Activation Profiles of NK Cells: NKp46Weeks 1, 7, 10, 15, 18, 23, 46, and 70The expression levels of activation markers on NK cells profile, specifically NKp46, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).
Activation Profiles of NK Cells: NKG2DWeeks 1, 7, 10, 15, 18, 23, 46, and 70The expression levels of activation markers on NK cells profile, specifically NKG2D, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).
Activation Profiles of T Cells - CD69 on CD3+Weeks 1, 7, 10, 15, 18, 23, 46, 70The expression levels of activation markers CD69 on T cells were determined by flow cytometry for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).
Activation Profiles of NK Cells: CD69Weeks 1, 7, 10, 15, 18, 23, 46, and 70The expression levels of activation markers on NK cells profile, specifically CD69, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).
Fold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeeks 7, 10, 15, 18, 23, 46, and 70The anti-P10s binding level was measured via ELISA method after incubation with a subject's serum samples. The endpoint titer was determined for each serum sample, and then fold change in endpoint titer in post-treatment weeks compared to pre-treatment week (Week 1) were calculated.
Frequencies of NK Cells - CD16Week 1, 7, 10, 15, 18, 23, 46, 70Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of CD16+NK cells.
Frequencies of NK Cells - CD69Weeks 1, 7, 10, 15, 18, 23, 46, and 70Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of CD69+NK cells.
Frequencies of NK Cells - NKp46Weeks 1, 7, 10, 15, 18, 23, 46, and 70Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of NKp46+NK cells.
Frequencies of T Cells - CD3+/CD4+Weeks 1, 7, 10, 15, 18, 23, and 46Using flow cytometry, the frequencies of CD3+/CD4+ T cells were determined for samples collected from multiple timepoints from Week 1 to Week 46. Values were averaged for the percent of CD4 T cells.

Countries

United States

Participant flow

Participants by arm

ArmCount
Chemotherapy Only
Subjects randomized to the control arm will receive SoC neoadjuvant chemotherapy starting on week 1. Doxorubicin and cyclophosphamide (AC) will be administered concurrently every two weeks for four cycles with pegfilgrastim (or equivalent growth factor) on day 2 of each AC cycle, followed by paclitaxel weekly x 12 weeks. Doxorubicin + Cyclophosphamide + Paclitaxel: Eligible subjects will be enrolled and receive standard neoadjuvant chemotherapy alone
5
Chemo+Vaccine
Subjects randomized to the chemo+vaccine arm will be immunized with P10s-PADRE in MONTANIDE™ ISA 51 VG a total of three times. The vaccine will be administered on weeks 1, 2 and 3 prior to chemotherapy. Then, they will start their SoC neoadjuvant chemotherapy on week 4. Doxorubicin and cyclophosphamide (AC) will be administered concurrently every two weeks for four cycles with pegfilgrastim (or equivalent growth factor) on day 2 of each AC cycle, followed by paclitaxel weekly x 12 weeks. P10s-PADRE with MONTANIDE™ ISA 51 VG + Doxorubicin + Cyclophosphamide + Paclitaxel: Eligible subjects will be enrolled and immunized by SC administration of P10s-PADRE vaccine on each of 3 separate occasions over a three-week period in combination with standard neoadjuvant chemotherapy.
11
Total16

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath01
Overall StudyLost to Follow-up01
Overall StudyPhysician Decision01
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicChemotherapy OnlyChemo+VaccineTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
1 Participants3 Participants4 Participants
Age, Categorical
Between 18 and 65 years
4 Participants8 Participants12 Participants
Age, Continuous56.4 years
STANDARD_DEVIATION 9.91
56.55 years
STANDARD_DEVIATION 11.26
56.5 years
STANDARD_DEVIATION 10.53
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
5 Participants11 Participants16 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants5 Participants6 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
4 Participants6 Participants10 Participants
Region of Enrollment
United States
5 Participants11 Participants16 Participants
Sex: Female, Male
Female
5 Participants11 Participants16 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 51 / 11
other
Total, other adverse events
5 / 511 / 11
serious
Total, serious adverse events
1 / 54 / 11

Outcome results

Primary

Pathological Node Status: Number of Dissected Lymph Nodes

Number of dissected lymph nodes at surgery for study participants

Time frame: Surgery

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities.

ArmMeasureValue (MEAN)Dispersion
Chemotherapy OnlyPathological Node Status: Number of Dissected Lymph Nodes10.2 lymph nodeStandard Deviation 14.06
Chemo+VaccinePathological Node Status: Number of Dissected Lymph Nodes6.91 lymph nodeStandard Deviation 5.74
Primary

Pathological Node Status: Number of Positive Lymph Nodes

Number of positive lymph nodes found out of dissected lymph nodes

Time frame: Surgery

Population: For 3 participants, there were no data.

ArmMeasureValue (MEAN)Dispersion
Chemotherapy OnlyPathological Node Status: Number of Positive Lymph Nodes6.6 lymph nodeStandard Deviation 14.76
Chemo+VaccinePathological Node Status: Number of Positive Lymph Nodes1.5 lymph nodeStandard Deviation 3.46
Primary

Pathological Tumor Size

Tumor size at surgery/pathology report

Time frame: Surgery

Population: For 2 participants, there was no data.

ArmMeasureValue (MEAN)Dispersion
Chemotherapy OnlyPathological Tumor Size3.52 centimetersStandard Deviation 5.65
Chemo+VaccinePathological Tumor Size0.98 centimetersStandard Deviation 0.85
Primary

Pathologic Complete Response (pCR)

A tumor-response call of either ypT0N0 or ypTisN0 determined through surgical staging after neoadjuvant therapy. The staging system used to determine the tumor-response call is the AJCC Staging System described in a 2014 FDA Guidance for Industry. • A tumor-response call of pyT0N0 is also equated with pCR in the published literature.

Time frame: During and/or Immediately After Surgery

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Chemotherapy OnlyPathologic Complete Response (pCR)Pathologic Complete Response (pCR)1 Participants
Chemotherapy OnlyPathologic Complete Response (pCR)No Pathologic Complete Response (pCR)4 Participants
Chemo+VaccinePathologic Complete Response (pCR)Pathologic Complete Response (pCR)2 Participants
Chemo+VaccinePathologic Complete Response (pCR)No Pathologic Complete Response (pCR)9 Participants
Primary

Safety and Tolerability Adverse Events

A Safety/Tolerability Event is defined as the occurrence of one of the following: * A Serious Adverse Event, OR * A non-Serious Adverse Event of Grade = 3, 4, or 5, OR * A non-Serious Adverse Event of Grade = 2 whose Relationship to P10s-PADRE Vaccine was classified as Definite, Probable, or Possible

Time frame: From the start of treatment to the time of definitive surgery (4-8 weeks after chemo); from Week 0 to Week 20-23

ArmMeasureValue (NUMBER)
Chemotherapy OnlySafety and Tolerability Adverse Events8 Total events
Chemo+VaccineSafety and Tolerability Adverse Events81 Total events
Primary

Tumor Response

Participants had their tumors surgically removed and pathologically staged using the AJCC Staging criteria. The main method of pathologic staging for breast cancer is the TNM system which stands for (Tumor size, lymph Node status and Metastases). yp prior to TN means the tissue was staged after neoadjuvant therapy. The larger the number after T means the larger the size, and the larger the number after N means the number of affected nearby lymph nodes. Therefore, tumor gradings with T3Nx are worse than those with T0Nx. The two categories pyT0N0 and ypT0N0 are both considered to be synonymous with pCR in the published literature.

Time frame: Surgery

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Chemotherapy OnlyTumor ResponsemypT1aN0 Participants
Chemotherapy OnlyTumor ResponsemypT1ap0 Participants
Chemotherapy OnlyTumor ResponsemypT1b0 Participants
Chemotherapy OnlyTumor ResponsepyT0N00 Participants
Chemotherapy OnlyTumor ResponseypT0N01 Participants
Chemotherapy OnlyTumor ResponseypT0N3a0 Participants
Chemotherapy OnlyTumor ResponseypT0pN10 Participants
Chemotherapy OnlyTumor ResponseypT1aN01 Participants
Chemotherapy OnlyTumor ResponseypT1cN01 Participants
Chemotherapy OnlyTumor ResponseypT1cN10 Participants
Chemotherapy OnlyTumor ResponseypT1cNX0 Participants
Chemotherapy OnlyTumor ResponseypT1pN00 Participants
Chemotherapy OnlyTumor ResponseypT2N01 Participants
Chemotherapy OnlyTumor ResponseypT3Na1 Participants
Chemo+VaccineTumor ResponseypT1cNX1 Participants
Chemo+VaccineTumor ResponsemypT1aN1 Participants
Chemo+VaccineTumor ResponseypT1aN00 Participants
Chemo+VaccineTumor ResponsemypT1ap1 Participants
Chemo+VaccineTumor ResponseypT2N01 Participants
Chemo+VaccineTumor ResponsemypT1b1 Participants
Chemo+VaccineTumor ResponseypT1cN00 Participants
Chemo+VaccineTumor ResponsepyT0N01 Participants
Chemo+VaccineTumor ResponseypT1pN01 Participants
Chemo+VaccineTumor ResponseypT0N01 Participants
Chemo+VaccineTumor ResponseypT1cN11 Participants
Chemo+VaccineTumor ResponseypT0N3a1 Participants
Chemo+VaccineTumor ResponseypT3Na0 Participants
Chemo+VaccineTumor ResponseypT0pN11 Participants
Secondary

Activation Profiles of NK Cells: CD16

The expression levels of activation markers on NK cells profile, specifically CD16, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm Week 46 one participant either did not show up or were off study, and Week 70 three participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyActivation Profiles of NK Cells: CD16Week 4668235 Median Fluorescence IntensityStandard Deviation 6689.29
Chemotherapy OnlyActivation Profiles of NK Cells: CD16Week 768472 Median Fluorescence IntensityStandard Deviation 27775.62
Chemotherapy OnlyActivation Profiles of NK Cells: CD16Week 172297.8 Median Fluorescence IntensityStandard Deviation 21876.9
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 1050260 Median Fluorescence IntensityStandard Deviation 20398.6
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 1556000.1 Median Fluorescence IntensityStandard Deviation 19176
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 1862015.1 Median Fluorescence IntensityStandard Deviation 16473.61
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 2366342.55 Median Fluorescence IntensityStandard Deviation 19245.26
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 4657106 Median Fluorescence IntensityStandard Deviation 26203.7
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 7071401.13 Median Fluorescence IntensityStandard Deviation 20553.46
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 169622.91 Median Fluorescence IntensityStandard Deviation 12067.19
Chemo+VaccineActivation Profiles of NK Cells: CD16Week 772147.91 Median Fluorescence IntensityStandard Deviation 13278.21
Secondary

Activation Profiles of NK Cells: CD69

The expression levels of activation markers on NK cells profile, specifically CD69, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemo+Vaccine arm Week 46 one participant either did not show up or were off study, and Week 70 three participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyActivation Profiles of NK Cells: CD69Week 46343 Median Fluorescence IntensityStandard Deviation 11.5
Chemotherapy OnlyActivation Profiles of NK Cells: CD69Week 7396.8 Median Fluorescence IntensityStandard Deviation 62
Chemotherapy OnlyActivation Profiles of NK Cells: CD69Week 1374.2 Median Fluorescence IntensityStandard Deviation 19.05
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 10423.64 Median Fluorescence IntensityStandard Deviation 71.43
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 15418.73 Median Fluorescence IntensityStandard Deviation 54.77
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 18419.82 Median Fluorescence IntensityStandard Deviation 64.15
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 23439.64 Median Fluorescence IntensityStandard Deviation 62.75
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 46413.4 Median Fluorescence IntensityStandard Deviation 53.91
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 70389.63 Median Fluorescence IntensityStandard Deviation 79.45
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 1384.1 Median Fluorescence IntensityStandard Deviation 52.52
Chemo+VaccineActivation Profiles of NK Cells: CD69Week 7445.55 Median Fluorescence IntensityStandard Deviation 67.32
Secondary

Activation Profiles of NK Cells: NKG2D

The expression levels of activation markers on NK cells profile, specifically NKG2D, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm Week 46 one participant either did not show up or were off study, and Week 70 three participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyActivation Profiles of NK Cells: NKG2DWeek 46589 Median Fluorescence IntensityStandard Deviation 159.6
Chemotherapy OnlyActivation Profiles of NK Cells: NKG2DWeek 7776.2 Median Fluorescence IntensityStandard Deviation 206.53
Chemotherapy OnlyActivation Profiles of NK Cells: NKG2DWeek 1900.2 Median Fluorescence IntensityStandard Deviation 212.32
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 101059.18 Median Fluorescence IntensityStandard Deviation 328.94
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 151034.55 Median Fluorescence IntensityStandard Deviation 365.92
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 18941.27 Median Fluorescence IntensityStandard Deviation 346.34
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 23973.55 Median Fluorescence IntensityStandard Deviation 283.06
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 46738.6 Median Fluorescence IntensityStandard Deviation 142.82
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 70795.38 Median Fluorescence IntensityStandard Deviation 191.53
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 11050.6 Median Fluorescence IntensityStandard Deviation 344.35
Chemo+VaccineActivation Profiles of NK Cells: NKG2DWeek 7992.91 Median Fluorescence IntensityStandard Deviation 388.52
Secondary

Activation Profiles of NK Cells: NKp46

The expression levels of activation markers on NK cells profile, specifically NKp46, were determined for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemo+Vaccine arm Week 46 one participant either did not show up or were off study, and Week 70 three participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyActivation Profiles of NK Cells: NKp46Week 46940.67 Median Fluorescence IntensityStandard Deviation 221.44
Chemotherapy OnlyActivation Profiles of NK Cells: NKp46Week 71424.2 Median Fluorescence IntensityStandard Deviation 592.34
Chemotherapy OnlyActivation Profiles of NK Cells: NKp46Week 1997.8 Median Fluorescence IntensityStandard Deviation 97.72
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 102435.9 Median Fluorescence IntensityStandard Deviation 1237.85
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 152600.82 Median Fluorescence IntensityStandard Deviation 1161.2
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 182352.18 Median Fluorescence IntensityStandard Deviation 932.15
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 231694.18 Median Fluorescence IntensityStandard Deviation 754.75
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 461785.4 Median Fluorescence IntensityStandard Deviation 664.66
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 701584.88 Median Fluorescence IntensityStandard Deviation 452.15
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 11206.5 Median Fluorescence IntensityStandard Deviation 451.05
Chemo+VaccineActivation Profiles of NK Cells: NKp46Week 71329.64 Median Fluorescence IntensityStandard Deviation 578.46
Secondary

Activation Profiles of T Cells - CD69 on CD3+

The expression levels of activation markers CD69 on T cells were determined by flow cytometry for samples collected from multiple timepoints from Week 1 to Week 70. Data is reported in the units Median Fluorescence Intensity (MFI).

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm Week 46 one participant either did not show up or were off study, and Week 70 three participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyActivation Profiles of T Cells - CD69 on CD3+Week 46382.33 Median Fluorescence Intensity (MFI)Standard Deviation 68.12
Chemotherapy OnlyActivation Profiles of T Cells - CD69 on CD3+Week 7403.2 Median Fluorescence Intensity (MFI)Standard Deviation 62.35
Chemotherapy OnlyActivation Profiles of T Cells - CD69 on CD3+Week 1368.8 Median Fluorescence Intensity (MFI)Standard Deviation 31
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 10436 Median Fluorescence Intensity (MFI)Standard Deviation 86.79
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 15412.27 Median Fluorescence Intensity (MFI)Standard Deviation 154.74
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 18401.09 Median Fluorescence Intensity (MFI)Standard Deviation 102.43
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 23396.73 Median Fluorescence Intensity (MFI)Standard Deviation 54.14
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 46388.8 Median Fluorescence Intensity (MFI)Standard Deviation 92.09
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 70333.38 Median Fluorescence Intensity (MFI)Standard Deviation 34.1
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 1394.55 Median Fluorescence Intensity (MFI)Standard Deviation 64.34
Chemo+VaccineActivation Profiles of T Cells - CD69 on CD3+Week 7411.27 Median Fluorescence Intensity (MFI)Standard Deviation 63.6
Secondary

Fold Increase in P10s-MAP-Reactive Immunoglobulin Titers

The anti-P10s binding level was measured via ELISA method after incubation with a subject's serum samples. The endpoint titer was determined for each serum sample, and then fold change in endpoint titer in post-treatment weeks compared to pre-treatment week (Week 1) were calculated.

Time frame: Weeks 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 461 fold change in serum titerStandard Deviation 0
Chemotherapy OnlyFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 71 fold change in serum titerStandard Deviation 0
Chemo+VaccineFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 103 fold change in serum titerStandard Deviation 4.8
Chemo+VaccineFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 151.73 fold change in serum titerStandard Deviation 2.1
Chemo+VaccineFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 181.36 fold change in serum titerStandard Deviation 0.92
Chemo+VaccineFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 231.55 fold change in serum titerStandard Deviation 1.21
Chemo+VaccineFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 465.4 fold change in serum titerStandard Deviation 9.45
Chemo+VaccineFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 706.25 fold change in serum titerStandard Deviation 10.69
Chemo+VaccineFold Increase in P10s-MAP-Reactive Immunoglobulin TitersWeek 72.27 fold change in serum titerStandard Deviation 2.83
Secondary

Frequencies of Cells - CD69+/CD3+

Using flow cytometry, the frequencies of CD69+/CD3+ cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of CD69 T cells.

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm, Weeks 46 and 70, participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of Cells - CD69+/CD3+Week 462.55 percentage of T cellStandard Deviation 0.92
Chemotherapy OnlyFrequencies of Cells - CD69+/CD3+Week 72.52 percentage of T cellStandard Deviation 1.54
Chemotherapy OnlyFrequencies of Cells - CD69+/CD3+Week 13.17 percentage of T cellStandard Deviation 2.21
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 104.61 percentage of T cellStandard Deviation 2.87
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 1514.38 percentage of T cellStandard Deviation 27.03
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 188.17 percentage of T cellStandard Deviation 6.23
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 2310.25 percentage of T cellStandard Deviation 7.74
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 469 percentage of T cellStandard Deviation 14.51
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 704.02 percentage of T cellStandard Deviation 2
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 14.57 percentage of T cellStandard Deviation 2.55
Chemo+VaccineFrequencies of Cells - CD69+/CD3+Week 79.86 percentage of T cellStandard Deviation 8.33
Secondary

Frequencies of Circulating Regulatory T Cells (Tregs)

Peripheral blood mononuclear cells (PBMCs) were isolated from samples collected from multiple timepoints from Week 1 to Week 46. Using flow cytometry, the frequencies of Tregs (CD4, CD25 and CD127) were analyzed for separately, and then summed. The units are reported in CD4+CD25+CD127 low/- percentage because CD127 is a recently discovered antigen associated with Tregs that is weakly expressed on Tregs, while the self-activated memory T cell CD127 is strongly expressed; therefore, CD4+CD25+CD127 low/- is used to represent Tregs now.

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm, Weeks 1, 7, 10, 15, 46 and 70, participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of Circulating Regulatory T Cells (Tregs)Week 710.8 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 4.59
Chemotherapy OnlyFrequencies of Circulating Regulatory T Cells (Tregs)Week 468.48 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 1.7
Chemotherapy OnlyFrequencies of Circulating Regulatory T Cells (Tregs)Week 19.68 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 3.83
Chemo+VaccineFrequencies of Circulating Regulatory T Cells (Tregs)Week 709.37 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 2.25
Chemo+VaccineFrequencies of Circulating Regulatory T Cells (Tregs)Week 108.26 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 2.58
Chemo+VaccineFrequencies of Circulating Regulatory T Cells (Tregs)Week 158.82 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 3.97
Chemo+VaccineFrequencies of Circulating Regulatory T Cells (Tregs)Week 235.75 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 2.08
Chemo+VaccineFrequencies of Circulating Regulatory T Cells (Tregs)Week 4612.88 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 6.25
Chemo+VaccineFrequencies of Circulating Regulatory T Cells (Tregs)Week 19.04 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 3.37
Chemo+VaccineFrequencies of Circulating Regulatory T Cells (Tregs)Week 75.27 percentage of Tcell CD4+CD25+CD127low/-Standard Deviation 1.98
Secondary

Frequencies of NK Cells - CD16

Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of CD16+NK cells.

Time frame: Week 1, 7, 10, 15, 18, 23, 46, 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of NK Cells - CD16Week 4694.2 percentage of NK CellsStandard Deviation 2.63
Chemotherapy OnlyFrequencies of NK Cells - CD16Week 766.72 percentage of NK CellsStandard Deviation 32.41
Chemotherapy OnlyFrequencies of NK Cells - CD16Week 176.89 percentage of NK CellsStandard Deviation 39.81
Chemo+VaccineFrequencies of NK Cells - CD16Week 1069.96 percentage of NK CellsStandard Deviation 15.09
Chemo+VaccineFrequencies of NK Cells - CD16Week 1583.38 percentage of NK CellsStandard Deviation 7.82
Chemo+VaccineFrequencies of NK Cells - CD16Week 1887.79 percentage of NK CellsStandard Deviation 6.7
Chemo+VaccineFrequencies of NK Cells - CD16Week 2380.9 percentage of NK CellsStandard Deviation 5
Chemo+VaccineFrequencies of NK Cells - CD16Week 4682.91 percentage of NK CellsStandard Deviation 9.51
Chemo+VaccineFrequencies of NK Cells - CD16Week 7096.64 percentage of NK CellsStandard Deviation 6.92
Chemo+VaccineFrequencies of NK Cells - CD16Week 190.57 percentage of NK CellsStandard Deviation 4.87
Chemo+VaccineFrequencies of NK Cells - CD16Week 787.36 percentage of NK CellsStandard Deviation 5.84
Secondary

Frequencies of NK Cells - CD69

Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of CD69+NK cells.

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm, Week 46 and Week 70, participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of NK Cells - CD69Week 462.93 percentage of NK cellsStandard Deviation 1.21
Chemotherapy OnlyFrequencies of NK Cells - CD69Week 73.64 percentage of NK cellsStandard Deviation 1.71
Chemotherapy OnlyFrequencies of NK Cells - CD69Week 15.19 percentage of NK cellsStandard Deviation 2.06
Chemo+VaccineFrequencies of NK Cells - CD69week 105.98 percentage of NK cellsStandard Deviation 2.49
Chemo+VaccineFrequencies of NK Cells - CD69Week 1515.73 percentage of NK cellsStandard Deviation 27.88
Chemo+VaccineFrequencies of NK Cells - CD69Week 189.52 percentage of NK cellsStandard Deviation 7.28
Chemo+VaccineFrequencies of NK Cells - CD69Week 2311.21 percentage of NK cellsStandard Deviation 8.7
Chemo+VaccineFrequencies of NK Cells - CD69Week 466.14 percentage of NK cellsStandard Deviation 3.35
Chemo+VaccineFrequencies of NK Cells - CD69Week 703.98 percentage of NK cellsStandard Deviation 1.97
Chemo+VaccineFrequencies of NK Cells - CD69Week 17.89 percentage of NK cellsStandard Deviation 5.98
Chemo+VaccineFrequencies of NK Cells - CD69Week 713.54 percentage of NK cellsStandard Deviation 5.28
Secondary

Frequencies of NK Cells - NKG2D

Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of NKG2D+NK cells.

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm, Weeks 1, 46 and 70, participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of NK Cells - NKG2DWeek 4686.93 percentage of NK cellsStandard Deviation 8.56
Chemotherapy OnlyFrequencies of NK Cells - NKG2DWeek 781.76 percentage of NK cellsStandard Deviation 6.54
Chemotherapy OnlyFrequencies of NK Cells - NKG2DWeek 190.88 percentage of NK cellsStandard Deviation 6.67
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 1078.34 percentage of NK cellsStandard Deviation 15.83
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 1591.66 percentage of NK cellsStandard Deviation 6.93
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 1891.04 percentage of NK cellsStandard Deviation 4.94
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 2391.91 percentage of NK cellsStandard Deviation 6.48
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 4689.33 percentage of NK cellsStandard Deviation 5.97
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 7091.46 percentage of NK cellsStandard Deviation 5.32
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 193.74 percentage of NK cellsStandard Deviation 4.13
Chemo+VaccineFrequencies of NK Cells - NKG2DWeek 789.26 percentage of NK cellsStandard Deviation 6.24
Secondary

Frequencies of NK Cells - NKp46

Using flow cytometry, the frequencies of NK cells were determined for samples collected from multiple timepoints from Week 1 to Week 70. Values were averaged for the percent of NKp46+NK cells.

Time frame: Weeks 1, 7, 10, 15, 18, 23, 46, and 70

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm, Weeks 1, 10, 25, 46 and 70, participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of NK Cells - NKp46Week 4677.13 percentage of NK cellsStandard Deviation 32.39
Chemotherapy OnlyFrequencies of NK Cells - NKp46Week 773.64 percentage of NK cellsStandard Deviation 25.66
Chemotherapy OnlyFrequencies of NK Cells - NKp46Week 187.98 percentage of NK cellsStandard Deviation 13.41
Chemo+VaccineFrequencies of NK Cells - NKp46Week 1070.35 percentage of NK cellsStandard Deviation 27.32
Chemo+VaccineFrequencies of NK Cells - NKp46Week 1587.77 percentage of NK cellsStandard Deviation 11.01
Chemo+VaccineFrequencies of NK Cells - NKp46Week 1890.15 percentage of NK cellsStandard Deviation 11.37
Chemo+VaccineFrequencies of NK Cells - NKp46Week 2382.19 percentage of NK cellsStandard Deviation 28
Chemo+VaccineFrequencies of NK Cells - NKp46Week 4686.84 percentage of NK cellsStandard Deviation 10.25
Chemo+VaccineFrequencies of NK Cells - NKp46Week 7090.31 percentage of NK cellsStandard Deviation 4.95
Chemo+VaccineFrequencies of NK Cells - NKp46Week 177.98 percentage of NK cellsStandard Deviation 29.16
Chemo+VaccineFrequencies of NK Cells - NKp46Week 783.36 percentage of NK cellsStandard Deviation 16.84
Secondary

Frequencies of T Cells - CD3+/CD4+

Using flow cytometry, the frequencies of CD3+/CD4+ T cells were determined for samples collected from multiple timepoints from Week 1 to Week 46. Values were averaged for the percent of CD4 T cells.

Time frame: Weeks 1, 7, 10, 15, 18, 23, and 46

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm, Weeks 1,7, and 23, participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of T Cells - CD3+/CD4+Week 745.92 percentage of T cellStandard Deviation 18.34
Chemotherapy OnlyFrequencies of T Cells - CD3+/CD4+Week 4639.83 percentage of T cellStandard Deviation 5.1
Chemotherapy OnlyFrequencies of T Cells - CD3+/CD4+Week 158.9 percentage of T cellStandard Deviation 16.38
Chemo+VaccineFrequencies of T Cells - CD3+/CD4+Week 1046.59 percentage of T cellStandard Deviation 12.37
Chemo+VaccineFrequencies of T Cells - CD3+/CD4+Week 1547.38 percentage of T cellStandard Deviation 11.6
Chemo+VaccineFrequencies of T Cells - CD3+/CD4+Week 1848.57 percentage of T cellStandard Deviation 10.19
Chemo+VaccineFrequencies of T Cells - CD3+/CD4+Week 2343.97 percentage of T cellStandard Deviation 14.07
Chemo+VaccineFrequencies of T Cells - CD3+/CD4+Week 4643.66 percentage of T cellStandard Deviation 13.72
Chemo+VaccineFrequencies of T Cells - CD3+/CD4+Week 154.64 percentage of T cellStandard Deviation 11.64
Chemo+VaccineFrequencies of T Cells - CD3+/CD4+Week 759.89 percentage of T cellStandard Deviation 10.91
Secondary

Frequencies of T Cells - CD3+/CD8+

Using flow cytometry, the frequencies of CD3+/CD8+ T cells were determined for samples collected from multiple timepoints from Week 1 to Week 46. Values were averaged for the percent of CD8 T cells.

Time frame: Weeks 1, 7, 10, 15, 18, 23, and 46

Population: Chemotherapy Only and Chemo+Vaccine arms have different schedules of activities. For participants in Chemotherapy Only arm, Week 46, two participants either did not show up or were off study. For participants in Chemo+Vaccine arm, Weeks 1, 7, 15, and 18, participants either did not show up or were off study.

ArmMeasureGroupValue (MEAN)Dispersion
Chemotherapy OnlyFrequencies of T Cells - CD3+/CD8+Week 746.46 percentage of T cellStandard Deviation 15.78
Chemotherapy OnlyFrequencies of T Cells - CD3+/CD8+Week 4653.03 percentage of T cellStandard Deviation 3.85
Chemotherapy OnlyFrequencies of T Cells - CD3+/CD8+Week 133.68 percentage of T cellStandard Deviation 12.88
Chemo+VaccineFrequencies of T Cells - CD3+/CD8+Week 1039.90 percentage of T cellStandard Deviation 13.77
Chemo+VaccineFrequencies of T Cells - CD3+/CD8+Week 1544.95 percentage of T cellStandard Deviation 9.22
Chemo+VaccineFrequencies of T Cells - CD3+/CD8+Week 1842.6 percentage of T cellStandard Deviation 9.24
Chemo+VaccineFrequencies of T Cells - CD3+/CD8+Week 2346.84 percentage of T cellStandard Deviation 15.6
Chemo+VaccineFrequencies of T Cells - CD3+/CD8+Week 4645.99 percentage of T cellStandard Deviation 10.33
Chemo+VaccineFrequencies of T Cells - CD3+/CD8+Week 135.62 percentage of T cellStandard Deviation 11.78
Chemo+VaccineFrequencies of T Cells - CD3+/CD8+Week 734.95 percentage of T cellStandard Deviation 13.5

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026