Breast Cancer Clinical Trial
Official title:
A Phase I Study of a HER-2/Neu Peptide Based Vaccine With GM-CSF as an Adjuvant in Patients With Advanced Stage HER-2/Neu Expressing Cancers
RATIONALE: Vaccines made from the HER2/neu antigen may make the body build an immune response
and kill tumor cells. Colony-stimulating factors such as GM-CSF increase the number of immune
cells found in bone marrow or peripheral blood.
PURPOSE: Phase I trial to study the effectiveness of HER-2/neu vaccine plus GM-CSF in
treating patients who have stage III or stage IV breast cancer, stage III or stage IV ovarian
cancer, or stage III or stage IV non-small cell lung cancer.
OBJECTIVES: I. Determine the safety of serial intradermal vaccinations of HER-2/neu derived
peptides with sargramostim (GM-CSF) as an adjuvant in patients with stage III or IV HER-2/neu
expressing breast, ovarian, or nonsmall cell lung cancer. II. Determine whether immunity can
be elicited with peptides derived from the intracellular domain of the HER-2/neu protein.
III. Determine whether immunity can be elicited with peptides derived from the extracellular
domain of the HER-2/neu protein. IV. Determine whether cytotoxic T cells specific for the
HER-2/neu protein can be elicited in patients with HLA-A2 by immunization with peptides
derived from the HER-2/neu protein.
OUTLINE: Patients receive one of three HER-2/neu peptide vaccine formulations that also
contain sargramostim (GM-CSF) as the vaccine adjuvant. Each vaccine is studied in 20
patients. A maximum of 3 patients receive a vaccine each month for 6 months to monitor the
potential toxicity associated with sequential immunizations. Patients receive a follow-up
evaluation 1 month after the last vaccination. Those patients who have an immune response
related to the vaccine will continue to have immunologic evaluations performed every 2 months
while immune responses can still be detected.
PROJECTED ACCRUAL: 60 patients will be accrued.
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