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Title:
Vaccination of prostatectomized prostate cancer patients in biochemical relapse, with autologous dendritic cells pulsed with recombinant human PSA | Cancer Immunology, Immunotherapy
Description:
This study was conducted in prostate cancer patients in biochemical relapse after radical prostatectomy, to assess the feasibility, safety, and immunogenicity of therapeutic vaccination with autologous dendritic cells (DCs) pulsed with human recombinant prostate-specific antigen (PSA) (Dendritophage-rPSA). Twenty-four patients with histologically proven prostate carcinoma and an isolated postoperative rise of serum PSA (>1 ng/ml to 10 ng/ml) after radical prostatectomy were included. The patients received nine administrations of PSA-loaded DCs by combined intravenous, subcutaneous, and intradermal routes over 21 weeks. Postbaseline blood tests were performed at months 1, 3, 6, 9, and 12 (PSA levels), at months 6 and 12 (circulating prostate cancer cells), at month 6 (anti-PSA IgG and IgM antibodies), and at up to eight time points before, during, and after immunization (PSA-specific T cells). Circulating prostate cancer cells detected in six patients at baseline were undetectable at 6 months and remained undetectable at 12 months. Eleven patients had a postbaseline transient PSA decrease on one to three occasions, predominantly occurring at month 1 (7 patients) or month 3 (2 patients). Maximum PSA decrease ranged from 6% to 39%. PSA decrease on at least one occasion was more frequent in patients with low Gleason score (p=0.016) at prostatectomy and with positive skin tests at study baseline (p=0.04). PSA-specific T cells were detected ex vivo by ELISpot for IFN-纬 in 7 patients before vaccination and in 11 patients after vaccination. Of the latter 11 patients, 5 had detectable T cells both before and during the vaccination period, 4 only during the vaccination period, while 2 patients could for technical reasons not be assessed prevaccination. No induction of anti-PSA IgG or IgM antibodies was detected. There were no serious adverse events or otherwise severe toxicities observed during the trial. Immunization with Dendritophage-rPSA was feasible and safe in this cohort of patients. An immune response specific for PSA could be detected in some patients. A notable effect was the disappearance of circulating prostate cells in all patients who were RT-PCR positive before vaccination.
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google, scholar, cas, pubmed, cancer, cells, article, prostate, patients, dendritic, psa, immunol, prostatectomy, antigen, vaccination, human, radical, cell, prostatespecific, clin, med, beno卯t, circulating, clinical, privacy, cookies, content, barrou, month, men, partin, walsh, tumor, paris, france, analysis, information, publish, search, immunology, immunotherapy, autologous, pulsed, salcedo, blood, months, detected, specific, access, principles,
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granulocyte/macrophage colony-stimulating factor tumor necrosis factor聽alpha month download article/chapter monocyte-derived dendritic cells dendritic cell-based immunotherapy prostate-specific membrane antigen olivier cussenot hormone-refractory prostate cancer circulating prostate cells assessing t-cell responses bcr-abl-positive leukemia human prostatic carcinoma circulating tumor cells h么pital la piti茅-salp茅tri猫re autologous dendritic cells dendritic-cell-peptide immunization prostate-specific antigen mature dendritic cells dendritic cells suitable related subjects article cancer immunology localized prostate cancer dendritic cell subsets author information authors full article pdf privacy choices/manage cookies outcome based staging immature myeloid cells recombinant human psa dendritic cell immunobiology dendritic cells prostate cancer patients b-cell lymphoma blood-derived cd8+ positive skin tests rt-pcr positive clinically localized adenocarcinoma author correspondence postbaseline blood tests immune response specific european economic area isolated postoperative rise low gleason score severe toxicities observed check access generate large quantities viral peptide antigens rare earth cryptates johns hopkins experience experimental adjuvant therapy
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headline:Vaccination of prostatectomized prostate cancer patients in biochemical relapse, with autologous dendritic cells pulsed with recombinant human PSA
description:This study was conducted in prostate cancer patients in biochemical relapse after radical prostatectomy, to assess the feasibility, safety, and immunogenicity of therapeutic vaccination with autologous dendritic cells (DCs) pulsed with human recombinant prostate-specific antigen (PSA) (Dendritophage-rPSA). Twenty-four patients with histologically proven prostate carcinoma and an isolated postoperative rise of serum PSA (>1聽ng/ml to 10聽ng/ml) after radical prostatectomy were included. The patients received nine administrations of PSA-loaded DCs by combined intravenous, subcutaneous, and intradermal routes over 21聽weeks. Postbaseline blood tests were performed at months聽1, 3, 6, 9, and 12 (PSA levels), at months聽6 and 12 (circulating prostate cancer cells), at month聽6 (anti-PSA IgG and IgM antibodies), and at up to eight time points before, during, and after immunization (PSA-specific T cells). Circulating prostate cancer cells detected in six patients at baseline were undetectable at 6聽months and remained undetectable at 12聽months. Eleven patients had a postbaseline transient PSA decrease on one to three occasions, predominantly occurring at month聽1 (7 patients) or month聽3 (2 patients). Maximum PSA decrease ranged from 6% to 39%. PSA decrease on at least one occasion was more frequent in patients with low Gleason score (p=0.016) at prostatectomy and with positive skin tests at study baseline (p=0.04). PSA-specific T cells were detected ex vivo by ELISpot for IFN-纬 in 7 patients before vaccination and in 11聽patients after vaccination. Of the latter 11聽patients, 5 had detectable T cells both before and during the vaccination period, 4 only during the vaccination period, while 2聽patients could for technical reasons not be assessed prevaccination. No induction of anti-PSA IgG or IgM antibodies was detected. There were no serious adverse events or otherwise severe toxicities observed during the trial. Immunization with Dendritophage-rPSA was feasible and safe in this cohort of patients. An immune response specific for PSA could be detected in some patients. A notable effect was the disappearance of circulating prostate cells in all patients who were RT-PCR positive before vaccination.
datePublished:2004-02-04T00:00:00Z
dateModified:2004-02-04T00:00:00Z
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Dendritic cells
Prostate-specific antigen
Circulating cancer cells
Oncology
Immunology
Cancer Research
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headline:Vaccination of prostatectomized prostate cancer patients in biochemical relapse, with autologous dendritic cells pulsed with recombinant human PSA
description:This study was conducted in prostate cancer patients in biochemical relapse after radical prostatectomy, to assess the feasibility, safety, and immunogenicity of therapeutic vaccination with autologous dendritic cells (DCs) pulsed with human recombinant prostate-specific antigen (PSA) (Dendritophage-rPSA). Twenty-four patients with histologically proven prostate carcinoma and an isolated postoperative rise of serum PSA (>1聽ng/ml to 10聽ng/ml) after radical prostatectomy were included. The patients received nine administrations of PSA-loaded DCs by combined intravenous, subcutaneous, and intradermal routes over 21聽weeks. Postbaseline blood tests were performed at months聽1, 3, 6, 9, and 12 (PSA levels), at months聽6 and 12 (circulating prostate cancer cells), at month聽6 (anti-PSA IgG and IgM antibodies), and at up to eight time points before, during, and after immunization (PSA-specific T cells). Circulating prostate cancer cells detected in six patients at baseline were undetectable at 6聽months and remained undetectable at 12聽months. Eleven patients had a postbaseline transient PSA decrease on one to three occasions, predominantly occurring at month聽1 (7 patients) or month聽3 (2 patients). Maximum PSA decrease ranged from 6% to 39%. PSA decrease on at least one occasion was more frequent in patients with low Gleason score (p=0.016) at prostatectomy and with positive skin tests at study baseline (p=0.04). PSA-specific T cells were detected ex vivo by ELISpot for IFN-纬 in 7 patients before vaccination and in 11聽patients after vaccination. Of the latter 11聽patients, 5 had detectable T cells both before and during the vaccination period, 4 only during the vaccination period, while 2聽patients could for technical reasons not be assessed prevaccination. No induction of anti-PSA IgG or IgM antibodies was detected. There were no serious adverse events or otherwise severe toxicities observed during the trial. Immunization with Dendritophage-rPSA was feasible and safe in this cohort of patients. An immune response specific for PSA could be detected in some patients. A notable effect was the disappearance of circulating prostate cells in all patients who were RT-PCR positive before vaccination.
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Dendritic cells
Prostate-specific antigen
Circulating cancer cells
Oncology
Immunology
Cancer Research
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