Liver Cancer Clinical Trial
Official title:
A Phase I/II Trial Testing Immunization With Dendritic Cells Pulsed With Four AFP Peptides in Patients With Hepatocellular Carcinoma
RATIONALE: Vaccines made from a person's white blood cells mixed with tumor proteins may make
the body build an immune response to kill tumor cells.
PURPOSE: Phase I/II trial to study the effectiveness of vaccine therapy in treating patients
who have liver cancer.
OBJECTIVES:
- Determine the maximum tolerated dose of alpha-fetoprotein peptide-pulsed autologous
dendritic cells in HLA-A*0201-positive patients with hepatocellular carcinoma.
- Determine the safety and toxicity of this regimen in these patients.
- Determine the immunological effects of this regimen in these patients.
- Determine the progression-free survival and clinical responses in patients treated with
this regimen.
OUTLINE: This is a dose-escalation study.
Patients receive alpha-fetoprotein peptide-pulsed autologous dendritic cells intradermally on
day 1. Treatment repeats every 2 weeks for a total of 3 doses in the absence of unacceptable
toxicity.
Cohorts of 3-12 patients receive escalating doses of vaccine until the maximum tolerated dose
(MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 or 2 of 12
patients experience dose-limiting toxicity.
Patients are followed at weeks 1, 4, and 12 and then every 6 months thereafter.
PROJECTED ACCRUAL: A total of 12-18 patients will be accrued for this study.
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