Survivin-targeted immunotherapy drives robust polyfunctional T cell generation and differentiation in advanced ovarian cancer patients

被引:82
作者
Berinstein, Neil L. [1 ]
Karkada, Mohan [2 ]
Oza, Amit M. [3 ]
Odunsi, Kunle [4 ]
Villella, Jeannine A. [5 ]
Nemunaitis, John J. [6 ]
Morse, Michael A. [7 ]
Pejovic, Tanja [8 ]
Bentley, James [9 ]
Buyse, Marc [10 ]
Nigam, Rita [2 ]
Weir, Genevieve M. [2 ]
MacDonald, Lisa D. [2 ]
Quinton, Tara [2 ]
Rajagopalan, Rajkannan [2 ]
Sharp, Kendall [2 ]
Penwell, Andrea [2 ]
Sammatur, Leeladhar [2 ]
Burzykowski, Tomasz [10 ]
Stanford, Marianne M. [2 ]
Mansour, Marc [2 ]
机构
[1] Sunnybrook Hlth Sci Ctr, Toronto, ON M4N 3M5, Canada
[2] Immunovaccine Inc, Halifax, NS, Canada
[3] Univ Hlth Network, Princess Margaret Canc Ctr, Toronto, ON, Canada
[4] Roswell Pk Canc Inst, Buffalo, NY 14263 USA
[5] Winthrop Univ Hosp, Mineola, NY 11501 USA
[6] Mary Crowley Canc Res Ctr, Dallas, TX USA
[7] Duke Univ, Med Ctr, Durham, NC USA
[8] Oregon Hlth & Sci Univ, Portland, OR 97201 USA
[9] QEII Hlth Sci Ctr, Halifax, NS, Canada
[10] IDDI, Louvain La Neuve, Belgium
关键词
cancer; DepoVax; immunotherapy; survivin; T cells; VACCINE; EFFECTOR; MEMORY; CYCLOPHOSPHAMIDE; PEPTIDE; DYSFUNCTION; RESPONSES; ADJUVANT; SITES; TRIAL;
D O I
10.1080/2162402X.2015.1026529
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
DepoVax (TM) is an innovative and strongly immunogenic vaccine platform. Survivin is highly expressed in many tumor types and has reported prognostic value. To generate tumor-specific immune response, a novel cancer vaccine was formulated in DepoVax platform (DPX-Survivac) using survivin HLA class I peptides. Safety and immune potency of DPX-Survivac was tested in combination with immune-modulator metronomic cyclophosphamide in ovarian cancer patients. All the patients receiving the therapy produced antigen-specific immune responses; higher dose vaccine and cyclophosphamide treatment generating significantly higher magnitude responses. Strong T cell responses were associated with differentiation of naive T cells into central/effector memory (CM/EM) and late differentiated (LD) polyfunctional antigen-specific CD4(+) and CD8(+) T cells. This approach enabled rapid de novo activation/expansion of vaccine antigen-specific CD8(+) T cells and provided a strong rationale for further testing to determine clinical benefits associated with this immune activation. These data represent vaccine-induced T cell activation in a clinical setting to a self-tumor antigen previously described only in animal models.
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页数:10
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