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Vaccine Therapy Plus Sargramostim in Treating Patients With Stage III or Stage IV Cancer



Vaccine Therapy Plus Sargramostim in Treating Patients With Stage III or Stage IV Cancer

For Condition: stage 4 breast cancer,stage 4 ovarian epithelial cancer,stage 3B breast cancer,stage 3A breast cancer,adenocarcinoma of the lung,stage 4 non-small cell lung cancer,stage 3 non-small cell lung cancer,stage 3 ovarian epithelial cancer
Status: Completed
Sponsor(s): University of Washington ,
Synopsis: RATIONALE: Vaccines may make the body build an immune response to tumor cells. Colony-stimulating factors such as sargramostim increase the number of immune cells found in bone marrow or peripheral blood. PURPOSE: Phase I trial to study the effectiveness of vaccine therapy plus sargramostim in treating patients who have stage III or stage IV cancer.
Details: OBJECTIVES: I. Determine the safety of serial intradermal or subcutaneous vaccinations of HER-2 derived p369-377 peptide incorporated into polylactide-co-glycolide (PLG) microspheres with adjuvant sargramostim (GM-CSF) in patients with stage III or IV HER-2 expressing cancers. II. Determine whether cytotoxic T lymphocytes (CTL) specific for the HER-2 protein can be elicited in patients with HLA-A2 by immunization with this regimen. III. Determine which route of immunization, intradermal or subcutaneous, is more effective in generating HER-2 specific CTL in these patients on this regimen. IV. Determine the extent to which escalated dose of PLG peptide affects the immune response in these patients on this regimen. PROTOCOL OUTLINE: Patients undergo leukapheresis prior to study and after final vaccination. Patients are sequentially entered into one of three treatment arms: Arm I: Patients receive an intradermal vaccination of HER-2 derived p369-377 peptide incorporated into polylactide-co-glycolide (PLG) microspheres with adjuvant sargramostim (GM-CSF). Arm II: Patients receive a subcutaneous vaccination of HER-2 derived p369-377 peptide incorporated into PLG microspheres with adjuvant GM-CSF. Arm III: Patients receive a higher dose of subcutaneous vaccination of HER-2 derived p369-377 peptide incorporated into PLG microspheres with adjuvant GM-CSF. Treatment repeats every 4 weeks for up to 6 courses in the absence of unacceptable toxicity. PROJECTED ACCRUAL: A total of 15 patients (5 per treatment arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Stage III adenocarcinoma that overexpresses HER-2 and previously treated by surgical resection, conventional chemotherapy, or radiotherapy OR Stage IV adenocarcinoma that overexpresses HER-2 and in stable or complete remission with no other concurrent chemotherapy - Must have documented HER-2 protein overexpression in the primary or metastatic tumor - HLA-A2 positive --Prior/Concurrent Therapy-- - Biologic therapy: Not specified - Chemotherapy: See Disease Characteristics; At least 4 weeks since prior cytotoxic chemotherapy - Endocrine therapy: At least 4 weeks since prior corticosteroids - Radiotherapy: See Disease Characteristics - Surgery: See Disease Characteristics - Other: No other concurrent investigational phase I studies --Patient Characteristics-- - Age: 18 and over - Performance status: Karnofsky 90-100% - Life expectancy: At least 12 months - Hematopoietic: WBC greater than 3,500/mm3; Platelet count greater than 100,000/mm3 - Hepatic: Bilirubin less than 1.5 mg/dL - Renal: Creatinine less than 1.5 mg/dL OR Creatinine clearance greater than 60 mL/min - Other: Female patients must have completed childbearing; Fertile male patients must use effective contraception
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
Mary(Nora) Disis,  Study Chair,  University of Washington

University of Washington School of Medicine
Seattle,  Washington,  98195
United States
 


Additional Information:
Study ID Numbers:
  CDR0000067339;  UWASH-103,NCI-V99-1574
Study Start Date: March 1999
Record last reviewed: April 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00005023

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3. ZD1839 Plus Combination Chemotherapy in Treating Patients With Non-Small Cell Lung Cancer

4. Combination Chemotherapy in Treating Patients With Advanced Non-Small Cell Lung Cancer

5. ZD1839 Plus Chemotherapy in Treating Patients With Non-Small Cell Lung Cancer

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