A Study With Peptide Vaccination in Treating Patients With Esophageal Cancer
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate overall survival and immunological monitoring for peptide vaccination therapy using novel cancer testis antigens for locally advanced, recurrent, or metastatic esophageal squamous cell carcinoma (ESCC).
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Detailed Description
The phase I vaccination study using peptides derived from TTK, LY6K, and IMP-3 for locally advanced, recurrent or metastatic esophageal squamous cell carcinoma (ESCC) who had failed for the standard therapy indicated that the vaccine treatment were well tolerated and feasible, and that antigen-specific T cell responses were strongly induced by the vaccination with some objective clinical responses. Thus, we are currently initiating the randomized phase II clinical vaccination study for the same cohort with ESCC to evaluate the survival benefit of the cancer vaccination.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: vaccination
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Biological: peptide
Each of three peptides (1mg) mixed with IFA (1ml) were injected every week at five round.
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Outcome Measures
Primary Outcome Measures
- Overall survival after the 1st vaccination [2 years]
Secondary Outcome Measures
- Antigen specific control response induced by vaccination [1 year]
- DTH response induced by vaccination [1 year]
- Time to progression after the 1st vaccination [1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
DISEASE CHARACTERISTICS
- Locally advanced, recurrent or metastatic esophageal squamous cell carcinoma who had failed for the standard therapy
PATIENTS CHARACTERISTICS
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ECOG performance status 0-2
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Age≧ 20≦ 80years
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WBC≥ 2,000/mm³ Platelet count ≥ 75,000/mm³ Total bilirubin ≤ 2.0 x the institutional normal upper limits AST, ALT, ALP ≤ 2.5 x the institutional normal upper limits Creatinine ≤ 1.5 x the institutional normal upper limits
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No therapy 4 weeks prior to the initiation of the trial
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Able and willing to give valid written informed consent
Exclusion Criteria:
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Pregnancy (women of childbearing potential: Refusal or inability to use effective means of contraception)
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Breastfeeding
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Serious bleeding disorder
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Serious infections requiring antibiotics
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Concomitant treatment with steroids or immunosuppressing agent
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Decision of unsuitableness by principal investigator or physician-in-charge
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | First Department of Surgery, University of Yamanashi | Chuo | Yamanashi | Japan | 409-3898 |
Sponsors and Collaborators
- University of Yamanashi
- Human Genome Center, Institute of Medical Science, University of Tokyo
Investigators
- Principal Investigator: Koji Kono, MD.PhD, University of Yamanashi, First Deparment of Surgery
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- YMU-02