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Study of Tumor Antigen-Pulsed Autologous Dendritic Cell Vaccination Administrated Subcutaneously or Intranodally



Study of Tumor Antigen-Pulsed Autologous Dendritic Cell Vaccination Administrated Subcutaneously or Intranodally

For Condition: Multiple Myeloma
Status: Recruiting
Sponsor(s): University of Arkansas , Celgene Corporation,Immunex Corporation
Synopsis: The purpose of this study is to determine if vaccination with autologous idiotype- or tumor lysate-pulsed dendritic cells induces the generation of anti-idiotypic and anti-tumor immunologic responses.
Details: This is an experimental treatment that will consist of receiving special white blood cell administrations either underneath the skin or in the lymph nodes. In this protocol, treatment will be given according to the "risk group". If there are certain abnormalities in the chromosomes, the disease is considered to be high risk. High-risk patients will first receive one cycle of chemotherapy with a regimen called DT PACE, after which the white blood cells will be collected. Leukapheresis is a procedure in which blood is removed, white blood cells are saved, and the remaining blood is given back to you. These dendritic cells will then be mixed with your individual myeloma protein and/or cells, and keyhole limpet hemocyanin (KLH) that is necessary for the enhancement of immune response against myeloma antigens. It is hoped that this will cause these cells to interact with and activate T cells, which will then destroy myeloma cells in your body. Half of these white cells will be injected into your lymph nodes (intranodally) and half will be given subcutaneously. High risk patients will receive a chemotherapy regimen called DT PACE.
Eligibility:
Study Type:
  Interventional, Treatment, Non-Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion Criteria: - Patients must have confirmed diagnosis of one of the following: Smoldering or indolent multiple myeloma, Multiple myeloma more than 1 year after autologous transplant and with stable disease, or Multiple myeloma with cytogenetic abnormalities - Patients with secretory IgA or IgG must have purified idiotype protein available and/or tumor cells available, and patients with light chain or non-secretory myeloma must have tumor cells available - Karnofsky performance score greater than or equal to 60 - Expected survival of 3 months or more - 15-75 years of age - Negative serology for HIV, Hepatitis C, and negative for hepatitis B surface antigen Exclusion Criteria: - Patients with CD4 count < 400/ul, and/or with severely damaged immune functions - Chemotherapy or other immunosuppressive treatment with steroids, cytoxan, methotrexate within 8 weeks - Fever or active infection - Renal function: Patients on dialysis - Simultaneous treatment with a second investigational drug or biologic agent
Total Enrollment: 40

Location and Contact Information:

Overall Study Official:
VanFrits,  Principal Investigator,  UAMS

University of Arkansas for Medical Sciences/MIRT *Recruiting*
Little Rock,  Arkansas,  72205
United States
Recruiting Mark  Mosby 501-296-1503


Additional Information:
Study ID Numbers:
  UARK 2000-46; 
Study Start Date: February 2001
Record last reviewed: May 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00083538

Other Multiple Myeloma Studies:
1. Safety and pharmacokinetics of orally administered gallium maltolate in various refractory malignancies.

2. Study of SGN-40 (anti-huCD40 mAb) in Patients with Refractory or Recurrent Multiple Myeloma

3. Efficacy Study of 6474 to treat Multiple Myeloma Cancer

4. Study of Combination PS-341 and Thalidomide in Multiple Myeloma

5. Biological Therapy Following Chemotherapy and Peripheral Stem Cell Transplantation in Treating Patients With Cancer

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