Solid Tumor Clinical Trial
Official title:
A Phase I Study of Therapeutic Cancer Vaccine IMF-001 in Patients With Malignancies Expressing NY-ESO-1
The purpose of this study is assess the safety of administering repeated doses of IMF-001, a vaccine, to patients with solid tumors that express NY-ESO-1 antigen. If the vaccine is therapeutically useful, a second goal is to establish the maximum therapeutic dose to treat patients with NY-ESO-1 positive cancers.
NY-ESO-1 was isolated by serological analysis of recombinant cDNA expression libraries
(SEREX), using tumor mRNA and autologous serum from an esophageal cancer patient. Reverse
transcription-polymerase chain reaction (RT-PCR) analysis showed that NY-ESO-1 displayed the
typical expression pattern of cancer testis antigens (CT antigens). NY-ESO-1 mRNA was
expressed only in testis of normal tissues tested and in various types of cancer, including
lung cancer, breast cancer, malignant melanoma and bladder cancer. Since testis is an immune
privileged organ where HLA molecules are not expressed, these antigens can be considered
tumor-specific.
IMF-001 is a CHP-NY-ESO-1 complex consisting of recombinant NY-ESO-1 protein and cholesteryl
hydrophobized pullulan (CHP). CHP forms colloidally stable nanoparticles in water and
complexes with substrate such as NY-ESO-1 protein.
It is well known that exogenous antigen proteins can induce specific CD4+ T cells but not
specific CD8+ T cell. Dendritic cells pulsed with IMF-001 induced NY-ESO-1 specific CD8+ T
cells in blood samples of 4 healthy volunteers. These data suggest that immunization of
patients with IMF-001 can evoke not only specific CD4+ T cells responses but also specific
CD8+ T cell response to NY-ESO-1 more effectively than NY-ESO-1 protein alone. Similar
results for both cellular and humoral immunity in response to NY-ESO-1 protein were observed
in previous clinical investigational studies with IMF-001.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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