Breast Carcinoma
Conditions
Brief summary
Monocentric open-label phase I/II trial aiming at evaluating, in adjuvant setting, safety (primary outcome), immunological and clinical efficacy (secondary outcomes) of a non replicating recombinant vaccinia virus expressing cancer/testis antigen (CTA) derived epitopes and CD80 and CD40 ligand (CD40L, CD154) costimulatory molecules in patients with CTA expressing tumors.
Interventions
non replicating recombinant vaccinia virus expressing 7 Cancer Testis Antigen (CTA) epitopes together with CD80 and CD154(40L)
Sponsors
Study design
Eligibility
Inclusion criteria
* Surgically treated M0 patients with solid tumors * Tumor expressing at least one of the vaccine targeted antigens Melanoma-associated antigen (MAGE)-A1, -A2, * A3, -A4, -A6, -A10, -A12 or New York (NY) esophageal squamous cell carcinoma-1 (ESO-1) (NY-ESO-1) (by real-time quantitative PCR (RT-qPCR)) * Patient expressing the targeted Human Leukocyte Antigen (HLA) restriction (A0201 /A0101/ B3501) * 4 weeks interval following surgical resection of tumor and, if applicable, completion of adjuvant therapy. * Karnofsky over 70% * No other concomitant malignancy
Exclusion criteria
* History of anaphylaxis or severe allergic reaction * Severe heart, lung, kidney, liver or psychiatric condition * Concurrent immunosuppressive therapy or impaired immune system
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of adverse Events | 2 years | Safety measured by assessment of number of adverse events that have occured |
| number of serious adverse Events | 2 years | Safety measured by assessment of number of serious adverse Events that have occured |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evolution of Immune reactivity to the CTA | 18 months | Vaccine epitopes specific CD8+ T-cell responses will be evaluated from peripheral blood samples prior, during and after treatment. |
| Disease free survival | 2 years | number of patients with no relapse of disease at timepoint 2 years |
| Overall survival | 2 years | number of patients still living at timepoint 2 years |