Published on
Friday, April 25, 2003
Researchers Report Promising Vaccine For Cancer
Treatment
By
CAROL P. CHOY
Contributing Writer
A preliminary clinical study
performed at the Dana-Farber Cancer Institute of Harvard
Medical School (HMS) found that a new antibody therapy
may enhance the effectiveness of cancer vaccines,
according to a statement released earlier this month.
The new treatment is based on the ability of an
antibody, MDX-CTLA4, to block a protein that normally
restrains the immune system from attacking cancer cells.
The combination of the antibody with a particular
cancer vaccine resulted in especially potent immune
attack on tumors, according to results of the study
released earlier this month.
This finding was first proved in mice by James
Allison of the University of California, Berkeley.
The researchers at Dana-Farber worked with nine
cancer patientsseven with metastatic melanoma (skin
cancer) and two with metastatic ovarian cancer, all of
whom had received cancer vaccines prior to the study.
Researchers gave the patients a single-injection of the
antibody.
Phase I of this clinical trial was performed to
establish the safety of the treatment.
After following the patients for several years,
researchers found best results in those who had been
previously treated with a vaccine that uses their own
cells to help produce the molecule GM-CSF
(granulocyte-macrophage-colony-stimulating factor).
In the five patients who had received this vaccine,
the researchers found signs of increased cell death in
the presence of tumor-fighting immune cellssuggesting
the antibody treatment had enhanced the effects of the
vaccine.
These results were absent in the four
antibody-treated patients who had received alternate
vaccines in the past.
The study suggests that this antibody expands the
memory of the immune system, said lead author of the
study F. Stephen Hodi 88, an instructor of medicine at
HMS, arguing the treatment gives the body an additional
resource to fight cancer.
While the antibody did not appear to cause severe
side-effects in patients, some of the melanoma patients
developed mild rashes. But this is a positive sign, says
Allison, explaining that the rashes indicate that the
melanoma is being attacked well, and that tumor cells
are being killed.
The new study offers the first evidence that the
technique has promise in human patients, although much
more study will be needed to demonstrate that this is
the case, HMS co-researcher Glenn Dranoff said in a
press release.
Hodi says follow up studies with the GM-CSF vaccine
are currently being performed on patients with lung
cancer, melanoma, ovarian cancer and leukemia.
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