Intranodal immunization with a vaccinia virus encoding multiple antigenic epitopes and costimulatory molecules in metastatic melanoma.

Abstract

Recombinant vaccinia virus (rVV) encoding tumor-associated antigens (TAAs) and adhesion or costimulatory molecules may represent important immunogenic reagents for cancer immunotherapy. Recently, intranodal (IN) antigen administration was suggested to be more immunogenic than intradermal (ID) vaccination. However, IN rVV administration has not been attempted so far. We used a rVV encoding gp100(280-288), Melan-A/MART-1(27-35) and tyrosinase(1-9) HLA-A0201 restricted epitopes and CD80 and CD86 costimulatory molecules in stage III and IV melanoma patients in a phase 1/2 trial. Of 15 patients initiating treatment, including two cycles of IN immunization, each comprising one rVV administration and three recall injections of the corresponding peptides, accompanied by subcutaneous granulocyte macrophage-colony stimulating factor supplementation, five withdrew due to progressing disease. Of 10 remaining patients seven showed evidence of induction of cytotoxic T lymphocytes (CTLs) directed against at least one epitope under investigation, as detectable by limiting dilution analysis (LDA) of specific precursors and multimer staining. Adverse reactions were mild (National Cancer Institute (NCI) grade 1-2) and mainly represented by fever, skin rashes, and pruritus. These data indicate that IN administration of rVV encoding melanoma-associated epitopes and costimulatory molecules is safe and immunogenic.

• Authors: Michel Adamina, Rachel Rosenthal, Walter P Weber, Daniel M Frey, Carsten T Viehl, Martin Bolli, Rolf W Huegli, Augustinus L Jacob, Michael Heberer, Daniel Oertli, Walter Marti, Giulio C Spagnoli, Paul Zajac
• Journal: Molecular therapy : the journal of the American Society of Gene Therapy (Mol Ther) Vol. 18 Issue 3 Pg. 651-9 (Mar 2010) ISSN: 1525-0024 [Electronic] United States
• PMID: 19935776 (Publication Type: Clinical Trial, Clinical Trial, Phase I, Clinical Trial, Phase II, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Antigens, Neoplasm
• Cancer Vaccines
• Epitopes
• Granulocyte-Macrophage Colony-Stimulating Factor

Topics

• Adult
• Aged
• Aged, 80 and over
• Antigens, Neoplasm (metabolism)
• Cancer Vaccines (therapeutic use)
• Disease Progression
• Epitopes (chemistry)
• Female
• Granulocyte-Macrophage Colony-Stimulating Factor (metabolism)
• Humans
• Immunization (methods)
• Lymph Nodes (pathology)
• Male
• Melanoma (pathology, therapy)
• Middle Aged
• Neoplasm Metastasis
• T-Lymphocytes, Cytotoxic (metabolism)
• Vaccinia virus (metabolism)