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Westermann, J.* ; Flörcken, A.* ; Willimsky, G.* ; van, Lessen, A.* ; Kopp, J.* ; Takvorian, A.* ; Jöhrens, K.* ; Lukowsky, A.* ; Schönemann, C.* ; Sawitzki, B.* ; Pohla, H. ; Frank, R. ; Dörken, B.* ; Schendel, D.J. ; Blankenstein, T.* ; Pezzutto, A.*

Allogeneic gene-modified tumor cells (RCC-26/IL-7/CD80) as a vaccine in patients with metastatic renal cell cancer: A clinical phase-I study.

Gene Ther. 18, 354-363 (2011)
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Despite novel targeted agents, prognosis of metastatic renal cell cancer (RCC) remains poor, and experimental therapeutic strategies are warranted. Transfection of tumor cells with co-stimulatory molecules and/or cytokines is able to increase immunogenicity. Therefore, in our clinical study, 10 human leukocyte antigen (HLA)-A(*)0201(+) patients with histologically-confirmed progressive metastatic clear cell RCC were immunized repetitively over 22 weeks with 2.5-40 × 10(6) interleukin (IL)-7/CD80 cotransfected allogeneic HLA-A(*)0201(+) tumor cells (RCC26/IL-7/CD80). Endpoints of the study were feasibility, safety, immunological and clinical responses. Vaccination was feasible and safe. In all, 50% of the patients showed stable disease throughout the study; the median time to progression was 18 weeks. However, vaccination with allogeneic RCC26/IL-7/CD80 tumor cells was not able to induce TH1-polarized immune responses. A TH2 cytokine profile with increasing amounts of antigen-specific IL-10 secretion was observed in most of the responding patients. Interferon-γ secretion by patient lymphocytes upon antigen-specific and non-specific stimulation was substantially impaired, both before and during vaccination, as compared with healthy controls. This is possibly due to profound tumor-induced immunosuppression, which may prevent induction of antitumor immune responses by the gene-modified vaccine. Vaccination in minimal residual disease with concurrent depletion of regulatory cells might be one strategy to overcome this limitation.
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Publication type Article: Journal article
Document type Scientific Article
Keywords allogeneic vaccine; renal cell carcinoma; gene transfer; tumor vaccination
Language english
Publication Year 2011
HGF-reported in Year 2011
ISSN (print) / ISBN 0969-7128
e-ISSN 1476-5462
Journal Gene Therapy
Quellenangaben Volume: 18, Issue: 4, Pages: 354-363 Article Number: , Supplement: ,
Publisher Nature Publishing Group
Reviewing status Peer reviewed
POF-Topic(s) 30504 - Mechanisms of Genetic and Environmental Influences on Health and Disease
Research field(s) Immune Response and Infection
PSP Element(s) G-501700-001
G-501700-002
G-520400-001
G-501790-001
G-501790-002
G-501790-003
PubMed ID 21068778
Scopus ID 79953787845
Erfassungsdatum 2011-07-22