hormonal castration-resistant prostate cancer, squamous cell carcinoma of the head and neck, and advanced colon cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Compliance with one of the defined diagnostic criteria. 2. Availability of the blocks to evaluate the expression, by immunohistochemical techniques, of R-EGF and biomarkers (such as K-ras, N-ras, B-raf, HPV and p16). 3. Patient giving written informed consent to participation. 4. Age over 18 years. 5. General condition according to ECOG = 2. 6. Life expectancy of at least 6 months. 7. Functioning of organs and bone marrow defined by the following parameters: Hemoglobin (Hb) = 10 g / dl, Total white blood cell count = 3 x 109 / L, 100 Platelet count (CP) = 100 x 109 / L , total bilirubin = 2.5 times the upper normal institutional limit, creatinine within normal limits for each institution.
Exclusion criteria
Exclusion criteria: 1. Patients of childbearing potential who are not using a suitable method of contraception prior to their inclusion in the study (intrauterine devices, hormonal contraceptives, barrier methods or surgical sterilization). 2. Pregnant or breastfeeding. 3. Positive serology known to HIV, hepatitis B or C. 4. Acute allergic states or history of severe allergic reactions. 5. Acute or chronic decompensated lung diseases that may interfere with the follow-up of the underlying disease. 6. Previous history of demyelinating or inflammatory diseases of the central nervous system (CNS) or peripheral (PNS). 7. Uncontrolled intercurrent diseases including, but not limited to: active infections, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, Diabetes Mellitus, and psychiatric diseases involving the incompetence of the subject. 8. Cerebral metastasis. 9. Known hypersensitivity to any component of the formulation. 10. Patients who are receiving another product under investigation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with serious adverse events with causal relationship (EAS with definite / highly probable or probable causality with HER1 vaccine). Time of measurement: 0, 14, 28, 42, 56, 84 112, 140, 168, 196, 224, 252, 280, 308, 336, and 364 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Related to Immunogenicity: 1. Antibody response IgG against DEC-HER1 protein (Antibody titers by ELISA technique). Measurement time: Day 0, 56, 84, 112, 168, 196, 252 and 336. 2. Recognition of the A431 human vulvar tumor line by means of the FACS flow cytometer. Measurement time: Day 0, 56, 84, 112, 168, 196, 252 and 336. 3. Response of T cells producing IFN? by means of an ELISPOT technique. Measurement time: Day 0, 112, and 196. Related to security: 1. Adverse Events-AE (Intensity using the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. The CTCAE establishes the categories: Grade 1 Mild, Grade 2 Moderate, Grade 3, Grade 4 Life-threatening, Grade 5 Death related to EA; Causal relationship will be classified according to 45/2007 CECMED regulation and WHO categories. The categories are: Definitive, Very likely/safe, Probable, Possible, Unrelated and Unknown). Measurement time: Day 0, 14, 28, 42, 56, 84 112, 140, 168, 196, 224, 252, 280, 308, 336, and 364. 2. Results of laboratory tests (Hematologic: Hemoglobin (g/dL), Hematocrit (quantity x109/L), Quantity of total leukocytes (quantity x109/L), Neutrophil (%), Lymphocytes (%), Basophils (%), Eosinophils (%), Monocytes (%). Biochemistry: Creatinine (mmol/L), Alkaline Phosphatase (U/L), TGO (U/L), TGP (U/L), Glycemia (mmol/L), LDH, PSA (mmol/L). Urine: Hematuria (x104), Leucos (x104), Proteinuria (x104)). Measurement time: at baseline and every four weeks during the study. Only PSA will be given to patients with hormone-castration-resistant prostate cancer at months 3, 6, 9, and 12. 3. Vital signs (blood pressure (values in mmHg), heart rate (values in beats per minute), and temperature (values in degrees Celsius). Measurement time: at baseline and, every time in the immunization, days 0, 14, 28, 42, 56, 84, 112, 168, 196, 252 and 336. 4. Batch of HER1 (number of the batch used). Measurement time: in every immunization. Related to effect 1. Objective response (Complete Response, Partial Response | — |
Countries
Cuba
Contacts
Center of Molecular Immunology (CIM)