1. DC vaccination
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18-70 years; 2. Patients with stage II and III MM; 3. Complete remission (CR) or partial response (PR) following intensive therapy, including high dose melphalan and autologous stem cell transplantation; 4. Measurable minimal residual disease by M-component (complete of light chain) or molecular disease by BM Ig heavy chain rearrangement (ASO-PCR); 5. Myeloma cells expressing 2-3 of the 3 TAA used for vaccination, each in >20% of CD138+CD38++ plasma cells; 6. Interval of >6 months after completion of intensive chemotherapy; 7. Life expectancy >6 months; 8. Expected adequacy for follow-up including bone marrow evaluation; 9. Written Informed consent.
Exclusion criteria
Exclusion criteria: 1. Progressive disease (increase in M-component of >25% in the last 3 months); 2. Patients on immunosuppressive drugs; 3. Patients with active infections (viral, bacterial or fungal) that requires specific therapy; 4. Acute therapy must have been completed within 14 days prior to study treatment; 5. Patients with known allergy to shell fish (contains KLH); 6. Patients with pregnancy or lactation; 7. WHO performance status 4; 8. Allogeneic stem cell transplantation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In vivo immune response to the tumor associated antigen epitopes in at least 3 out of 10 patients will be considered as a positive result. No response to any of the antigens will be considered a negative result. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end-points are clinical responses and decrease of minimal residual disease by molecular monitoring (ASO-PCR). | — |
Contacts
Universitair Medisch Centrum Sint Radboud Datacentrum Hematologie Intern adres 476 Geert Grooteplein zuid 10