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Vaccine Therapy in Treating Patients With Non-Small Cell Lung Cancer



Vaccine Therapy in Treating Patients With Non-Small Cell Lung Cancer

For Condition: stage 1 non-small cell lung cancer,stage 2 non-small cell lung cancer,stage 3A non-small cell lung cancer
Status: Suspended
Sponsor(s): Roswell Park Cancer Institute , National Cancer Institute (NCI)
Synopsis: RATIONALE: Vaccines made from a person's tumor cells and white blood cells may make the body build an immune response to kill tumor cells. PURPOSE: Phase I trial to study the effectiveness of vaccine therapy in treating patients who have non-small cell lung cancer.
Details: OBJECTIVES: - Determine the safety and feasibility of immunization with autologous tumor lysate-pulsed dendritic cell vaccine in patients with non-small cell lung cancer. - Determine the immunologic response in patients treated with this vaccine. OUTLINE: Patients undergo surgery to remove all or most of the gross evidence of tumor. Two months after surgery (or 4 months if chemotherapy and/or radiotherapy are required), patients undergo leukapheresis. Peripheral blood mononuclear cells are isolated and cultured with interleukin-4 and sargramostim (GM-CSF) to generate dendritic cells (DC). DC are then pulsed with tumor lysate prepared from previously removed tumor. Patients receive autologous tumor lysate-pulsed DC vaccine subcutaneously twice, 4 weeks apart. Patients are followed every 4 months for 2 years, every 6 months for 1 year, and then annually thereafter. PROJECTED ACCRUAL: A total of 10 patients will be accrued for this study within 2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/75 Years
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Diagnosis of operable stage IB, II, or IIIA non-small cell lung cancer - Tumor diameter of at least 3 cm PATIENT CHARACTERISTICS: Age: - 18 to 75 Performance status: - ECOG 0-2 Life expectancy: - At least 3 months Hematopoietic: - WBC at least 3,000/mm^3 - Platelet count at least 100,000/mm^3 Hepatic: - Bilirubin no greater than 2.0 mg/dL - AST less than 2 times upper limit of normal (ULN) - Lactate dehydrogenase less than 2 times ULN - Hepatitis B and C negative Renal: - Creatinine no greater than 1.4 mg/dL Other: - Positive cell mediated immunity test (i.e., greater than 5 mm induration in 48 hours with purified protein derivative (of tuberculin), candida, and mumps intradermal injection skin test) - HIV negative - No active systemic infection - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - At least 4 weeks since prior biological materials Chemotherapy: - At least 4 weeks since prior cytotoxic or chemotherapeutic agents - Concurrent chemotherapy allowed after surgery and before vaccination Endocrine therapy: - No concurrent steroid therapy Radiotherapy: - At least 4 weeks since prior radiotherapy - Concurrent radiotherapy allowed after surgery and before vaccination Surgery: - See Disease Characteristics
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
TimothyAnderson,  Study Chair,  Roswell Park Cancer Institute

Roswell Park Cancer Institute
Buffalo,  New York,  14263-0001
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068881;  NCI-G01-2007,RPCI-RP-9907
Study Start Date: 
Record last reviewed: April 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00023985

Other Stage 2 Non-Small Cell Lung Cancer Studies:
1. Detection of Early Metastases in Patients With Stage I Non-small Cell Lung Cancer

2. Lymph Node Removal in Treating Patients With Stage I or Stage II Non-small Cell Lung Cancer

3. Video-Assisted Surgery in Treating Patients With Non-small Cell Lung Cancer

4. Proteomic Profiling in Diagnosing Non-Small Cell Lung Cancer in Patients Who are Undergoing Lung Resection for Suspicious Stage I Lung Lesions

5. EF5 in Assessing Tumor Response to Anticancer Therapy in Patients With Stage I, Stage II, or Stage III Non-Small Cell Lung Cancer

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