Description:
The primary goals of this trial will be to determine the safety and immune activity of HER-2
pulsed DC1 vaccine in patients with high risk HER-2pos breast cancer with residual disease
post neoadjuvant therapy. Investigators will also explore the possibility of determining
whether circulating tumor cells can be used as surrogate to assess response to vaccination.
Title
- Brief Title: HER-2 Pulsed DC Vaccine to Prevent Recurrence of Invasive Breast Cancer Post Neoadjuvant Chemotherapy
- Official Title: Pilot Phase I HER-2 Pulsed DC Vaccine to Prevent Recurrence for Patients With HER-2 Driven High Risk Invasive Breast Cancer Post Neoadjuvant Chemotherapy
Clinical Trial IDs
- ORG STUDY ID:
MCC-18776
- SECONDARY ID:
UPCC26113
- NCT ID:
NCT02061423
- NCT ALIAS:
NCT02110199
Conditions
Interventions
Drug | Synonyms | Arms |
---|
HER-2 pulsed Dendritic Cell Vaccine | | HER-2 Pulsed Dendritic Cell Vaccine |
Purpose
The primary goals of this trial will be to determine the safety and immune activity of HER-2
pulsed DC1 vaccine in patients with high risk HER-2pos breast cancer with residual disease
post neoadjuvant therapy. Investigators will also explore the possibility of determining
whether circulating tumor cells can be used as surrogate to assess response to vaccination.
Detailed Description
Dendritic cell cancer vaccines combined with chemotherapy may increase complete responses
giving breast cancer specific immune cells greater opportunity to function while the immune
repertoire is being shifted by chemotherapy to anti-breast cancer response and offer the
chance to test secondary prevention of breast cancer in high risk settings. There is a need
to determine whether this ICAIT DC1 can activate CD4 and CD8 T cells prior to or in
combination with chemotherapy with or without added trastuzumab.
This study began at the Abramson Cancer Center of the University of Pennsylvania and will be
continued at H. Lee Moffitt Cancer Center and Research Institute.
Trial Arms
Name | Type | Description | Interventions |
---|
HER-2 Pulsed Dendritic Cell Vaccine | Experimental | 6 weekly HER-2 pulsed dendritic cell vaccines followed by 3 booster vaccines once every 3 months. | - HER-2 pulsed Dendritic Cell Vaccine
|
Eligibility Criteria
Inclusion Criteria:
- Women ≥ 18 years.
- HER-2 expressing stage I - III breast cancer with residual disease in the breast or
axillary nodes post-neoadjuvant chemotherapy.
- Women of childbearing age with a negative pregnancy serum test documented prior to
enrollment.
- Eastern Cooperative Oncology Group (ECOG) Performance Status Score of 0 or 1.
- Women of childbearing potential must agree to use a medically acceptable form of birth
control during their participation in the study.
- Have voluntarily signed a written Informed Consent in accordance with institutional
policies after its contents have been fully explained to them.
Exclusion Criteria:
- Pregnant or lactating.
- Positive for HIV or hepatitis C at baseline by self report.
- Potential participants with coagulopathies, including thrombocytopenia with platelet
count <75,000, INR > 1.5 and partial thromboplastin time > 50 sec.
- Potential participants with MUGA < 50% EF.
- Pre-existing medical illnesses or medications which might interfere with the study as
determined by Principal Investigator (PI).
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Participation Compliance |
Time Frame: | Up to 18 months |
Safety Issue: | |
Description: | Feasibility: Defined as a patient's ability and willingness to complete the treatment regimen (6 weekly vaccinations). Data collection will include rate of successful completion and occurrence rate for each reason stated for non-completion. |
Secondary Outcome Measures
Measure: | Immunogenicity |
Time Frame: | Up to 5 years follow-up |
Safety Issue: | |
Description: | Immunogenicity will be evaluated by descriptive statistics, plots of pre- and post-treatment values and fold changes. Immune response rate and 95% exact confidence interval will be calculated. |
Measure: | Anti-HER2 Immunity |
Time Frame: | Up to 5 years follow-up |
Safety Issue: | |
Description: | Anti-HER2 response will be quantitated as EOS/baseline fold change in dilution studies. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | H. Lee Moffitt Cancer Center and Research Institute |
Trial Keywords
- Invasive Breast Cancer
- Breast Cancer
- Immunotherapy
- Vaccine
- Dendritic Cell
- Neoadjuvant
Last Updated
May 24, 2021