Research
Immune System Disease
Fighting Ability
Pancreatic Cancer Vaccine Found Safe In Early Study
12-29-2000
Hopkins researchers say early tests of a pancreatic cancer
vaccine show it is safe and successful in reaching immune
system cells. A report on the findings is published in the
Journal of Clinical Oncology, Vol. 19, No. 1, (January)
2001.
The
vaccine, tested on 14 patients, uses lab-grown pancreatic
cancer cells genetically-modified with the immune-boosting
gene GM-CSF.
After
surgery to remove the pancreatic cancers, patients received
varying doses of the vaccine. Twelve of the 14 then underwent
radiation and chemotherapy following the initial vaccination.
Six patients received up to three additional monthly vaccinations.
Researchers
found that several parts of the immune system were activated
in three patients who got the highest doses. These patients
remain disease-free more than 30 months after diagnosis.
The other 11 patients showed no significant immune response.
Side effects included only local skin reactions and redness
and itchiness at the vaccine site for several days.
"This
study was just a first step, but we are encouraged to find
that it is safe and initiates an immune response in certain
doses," says Elizabeth Jaffee, M.D., associate professor
of oncology and lead author of the study.
To
create the vaccine, researchers inserted the GM-CSF gene
into pancreatic cancer cell lines. GM-CSF, the most potent
gene known to activate the immune system, attracts immune
cells to the site of the tumor vaccine where they recognize
antigens found on the cancer cell surface. These antigens
then serve as red flags, causing the immune system to seek
out and destroy cancer cells elsewhere in the patient.
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"Genetically-engineered
vaccines like this could be used to ‘mop up' microscopic cancer
cells left behind following surgery, chemotherapy, and radiation,"
says Jaffee. "We need to find the best combination of these treatments
that will afford patients the best chance for survival."
Researchers
caution that further studies are necessary to evaluate the vaccine's
effectiveness. The second phase of trials at Hopkins could begin in
early summer 2001.
Pancreatic
cancer strikes more than 27,000 people and claims the lives of an
additional 28,000 each year. Less than 5 percent of patients survive
beyond five years.
This
study was funded by the National Cancer Institute (NCI), the Lustgarden
Foundation, and the Meyer and Powell families.
In addition
to Jaffee, other participants in this study include Ralph H. Hruban,
Barbara Biedrzycki, Daniel Laheru, Karen Schepers, Patricia R. Sauter,
Marti Goemann, Joanne Coleman from Hopkins, Louise Grochow from NCI,
Ross C. Donehower, Keith D. Lillemoe, Seamus O'Reilly, Ross A. Abrams,
Drew M. Pardoll, John L. Cameron, and Charles J. Yeo from Hopkins.
Under
a licensing agreement between the Johns Hopkins University and Cell
Genesys, Dr. Jaffee and Dr. Pardoll are entitled to a share of royalty
received by the University on sales of technology used in the study
described in this press release. This arrangement is being managed
by the University in accordance with its conflict of interest policies.
This article has been adapted from a news release
issued by Johns Hopkins Medical Institutions, www.hopkinsmedicine.org.
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