Breast Cancer Clinical Trial
Official title:
Phase II Trial Evaluating the Toxicity and Efficacy of a Multiepitope Dendritic Cell Vaccine Given With Trastuzumab and Vinorelbine Ditartrate for the Treatment of Women With Metastatic Breast Cancer That Express HLA-A0201 and Whose Tumors Overexpress HER-2/NEU
RATIONALE: Vaccines made from a person's white blood cells may help the body build an
effective immune response to kill tumor cells. Monoclonal antibodies, such as trastuzumab,
can block tumor growth in different ways. Some block the ability of tumor cells to grow and
spread. Others find tumor cells and help kill them or carry tumor-killing substances to them.
Drugs used in chemotherapy, such as vinorelbine, work in different ways to stop the growth of
tumor cells, either by killing the cells or by stopping them from dividing. Giving vaccine
therapy together with trastuzumab and vinorelbine may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving vaccine therapy together with
trastuzumab and vinorelbine works in treating patients with locally recurrent or metastatic
breast cancer.
OBJECTIVES:
Primary
- Determine the efficacy of multiepitope autologous dendritic cell vaccine in combination
with trastuzumab (Herceptin®) and vinorelbine ditartrate in patients with locally
recurrent or metastatic breast cancer whose tumors overexpress human epidermal growth
factor receptor 2 (HER2/neu).
Secondary
- Determine if this regimen is effective in generating functional antigen-specific T
cells.
OUTLINE:
- Therapeutic autologous dendritic cell (DC) preparation: Patients undergo mobilization of
DC and apheresis for production of therapeutic DC. DCs are expanded in vitro for 10-20
days and pulsed with E75 and E90 peptides.
- Treatment: Patients receive vinorelbine ditartrate IV over 6-10 minutes, therapeutic
autologous DC intradermally over 2-5 minutes, and trastuzumab (Herceptin®) IV over 30-90
minutes on day 1. Patients receive sargramostim (GM-CSF) subcutaneously on days 2, 4,
and 6, or until neutrophil counts recover. Treatment repeats every 14 days for up to 6
courses (or more at the discretion of the investigator) in the absence of disease
progression or unacceptable toxicity.
After completion of study treatment, patients are followed every 3 months.
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