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TerminatedNCT00622401Updated Nov 14, 2017Results posted

Vaccination of Patients With Breast Cancer With Dendritic Cell/Tumor Fusions and IL-12

A Phase 1/2 interventional study of Dendritic Cell/Tumor Fusion Vaccine and Interleukin-12 in Breast Cancer, sponsored by Beth Israel Deaconess Medical Center. Terminated at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-11-14.

Sponsored by Beth Israel Deaconess Medical Center · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
8
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
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Study summary

The purpose of this study is to test the safety of an investigational Dendritic Cell/Tumor Fusion vaccine given with IL-12 for patients with breast cancer.

RATIONALE: Vaccines made from a person's tumor cells and white blood cells may help the body build an effective immune response to kill tumor cells. Interleukin-12 may stimulate the white blood cells to kill tumor cells. Giving vaccine therapy together with interleukin-12 may kill more tumor cells.

PURPOSE: This phase I/II trial is studying the side effects and best dose of interleukin-12 when given together with vaccine therapy and to see how well they work in treating women with stage IV breast cancer.

Read the detailed description

TUMOR COLLECTION: Tumor cells will be collected from the participant to make the study vaccine. Based on the location of the tumor, a decision will be made as to the best approach to obtain these cells.

DENDRITIC CELL COLLECTION: Participants will undergo a procedure known as leukapheresis to obtain their dendritic cells (this procedure may be done before or after the tumor cells have been obtained). This procedure takes about 2-4 hours. If not enough cells are collected, the participant may be asked to return for an additional leukapheresis procedure. If sufficient number of cells are obtained, tumor cells and dendritic cells will then be fused (combined together to make one larger cell) together in the laboratory and divided into the appropriate dose for administration.

TREATMENT: Treatment will consist of an injection of tumor cells fused with dendritic cells under the skin every 3 weeks for a total of 9 weeks. The dose that the participant receives will depend on the total number of fusion cells that are made.

STUDY COHORTS: The first group of three participants will receive the DC/Tumor Fusion study vaccine alone. The next group of 3 participants will receive the DC/Tumor Fusion study vaccine with a low dose of Il-12. If there are no significant side effects the following groups of subjects will be treated with the DC/Tumor Fusion study vaccine and a higher dose of Il-12.

PATIENT MONITORING: Participants will be carefully monitored during the study period and the following tests and procedures will be performed: physical exams (weekly); blood collections (weekly); DC/Tumor Fusion study vaccine Journal (for the participant to record any side effects or other medications they may be taking); tumor cells skin test (before the first vaccine and one month following the last vaccine); skin biopsy at the site of the vaccination administration, accessible tumor site, or if there is a local reaction site.

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Conditions studied

  • Breast Cancer

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Keywords

  • stage IV breast cancer
  • dendritic cell vaccine
  • tumor fusion vaccine
  • IL-12
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 8 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Beth Israel Deaconess Medical Center is the lead sponsor of 560 studies on the registry; 80 are open to participants now.

Of its 75 completed or terminated interventional studies of FDA-regulated products, 61 (81%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Stage IV breast cancer with measurable disease and accessible tumor
  • ECOG Performance Status 0-2 with greater than six week life expectancy
  • 18 years of age or older
  • Laboratory values as outlined in the protocol

Exclusion criteria

Exclusion Criteria:

  • Patients must not have received other immunotherapy treatment in the three months prior to the initial vaccination
  • Patients may not be on herceptin therapy during this protocol and may not have received it for four weeks prior to initial vaccination
  • Patients must not have received weekly chemotherapy or hormonal treatment for two weeks prior to the initial vaccination and must not have received monthly chemotherapy for four weeks prior to the initial vaccination
  • Clinical evidence of CNS disease
  • Clinically significant autoimmune disease
  • Patients who are HIV+
  • Serious intercurrent illness such as infection requiring IV antibiotics, or significant cardiac disease characterized by significant arrhythmia, ischemic coronary disease or congestive heart failure
  • Pregnant of lactating women will be excluded, all premenopausal women must undergo pregnancy testing
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Group 1

    Dendritic Cell/Tumor Fusion Vaccine Only

    Biological: Dendritic Cell/Tumor Fusion Vaccine

  • Experimental
    Group 2

    Dendritic Cell/tumor fusion vaccine and low dose IL-12

    Biological: Dendritic Cell/Tumor Fusion Vaccine · Drug: Interleukin-12

  • Experimental
    Group 3

    Dendritic Cell/tumor fusion vaccine and higher dose IL-12

    Biological: Dendritic Cell/Tumor Fusion Vaccine · Drug: Interleukin-12

Interventions

  • BiologicalDendritic Cell/Tumor Fusion Vaccine

    Vaccine is derived from the participants dendritic cells and tumor cells

    Also known as: DC/tumor cell fusion vaccine

  • DrugInterleukin-12

    Given subcutaneously at dose of 30ng/kg

    Also known as: IL-12, rhIL-12

  • DrugInterleukin-12

    Given subcutaneously at dose of 100ng/kg

    Also known as: IL-12, rhIL-12

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What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events Associated With Vaccination of Breast Cancer Patients With Dendritic Cell (DC)/Tumor Fusion Vaccine

    Using CTCAE version 3, adverse events associated with the intervention were captured throughout the treatment portion of the study. All adverse events were then compiled and the number of patients who experienced these adverse events was recorded.

    Time frame: 3 years

Secondary outcomes

  1. To Determine if Cellular and Humoral Immunity is Induced by Serial Vaccination With DC/Tumor Fusion Cells and rhIL-12.

    This outcome was not measured because no patients were treated with rhIL-12.

    Time frame: 3 years

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Results

Posted Mar 16, 2016
Limitations and caveats
In the conduct of the study, it became apparent that the setting of advanced breast cancer with malignant effusions/ascites for vaccine generation was a difficult setting for evaluation of an immune based therapy.

Participant flow

Participant flow — Overall Study
MilestoneGroup 1: Dendritic Cell/Tumor Fusion Vaccine OnlyGroup 2: Dendritic Cell/Tumor Fusion Vaccine and Low Dose IL-1Group 3: Dendritic Cell/Tumor Fusion Vaccine and Higher Dose I
Started620
Completed300
Not completed320
Withdrew: Disease progression prior to treatment320

Outcome measures

PrimaryNumber of Participants With Adverse Events Associated With Vaccination of Breast Cancer Patients With Dendritic Cell (DC)/Tumor Fusion Vaccine

Using CTCAE version 3, adverse events associated with the intervention were captured throughout the treatment portion of the study. All adverse events were then compiled and the number of patients who experienced these adverse events was recorded.

Time frame:
3 years
Reported as:
Number · participants
Number of Participants With Adverse Events Associated With Vaccination of Breast Cancer Patients With Dendritic Cell (DC)/Tumor Fusion Vaccine
participantsGroup 1
Number of Participants With Adverse Events Associated With Vaccination of Breast Cancer Patients With Dendritic Cell (DC)/Tumor Fusion Vaccine3
SecondaryTo Determine if Cellular and Humoral Immunity is Induced by Serial Vaccination With DC/Tumor Fusion Cells and rhIL-12.

This outcome was not measured because no patients were treated with rhIL-12.

Time frame:
3 years

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group 1—0/3 (0%)3/3 (100%)
Most frequent other events
Most frequent other events
EventGroup 1
Vaccine Site ReactionInvestigations2/3
NauseaGastrointestinal disorders1/3
MyalgiasGeneral disorders1/3
RashGeneral disorders1/3
PainNervous system disorders1/3

Baseline characteristics

Females \>18yo with metastatic breast cancer

Age, Categorical
Age, Categorical(Participants)Group 1: Dendritic Cell/Tumor Fusion Vaccine OnlyGroup 2: Dendritic Cell/Tumor Fusion Vaccine and Low Dose IL-1Group 3: Dendritic Cell/Tumor Fusion Vaccine and Higher Dose ITotal
<=18 years00—0
Between 18 and 65 years42—6
>=65 years20—2
Sex: Female, Male
Sex: Female, Male(Participants)Group 1: Dendritic Cell/Tumor Fusion Vaccine OnlyGroup 2: Dendritic Cell/Tumor Fusion Vaccine and Low Dose IL-1Group 3: Dendritic Cell/Tumor Fusion Vaccine and Higher Dose ITotal
Female62—8
Male00—0
Region of Enrollment
Region of Enrollment(participants)Group 1: Dendritic Cell/Tumor Fusion Vaccine OnlyGroup 2: Dendritic Cell/Tumor Fusion Vaccine and Low Dose IL-1Group 3: Dendritic Cell/Tumor Fusion Vaccine and Higher Dose ITotal
United States62—8
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Study locations

1 site
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 14, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00622401
Lead sponsor
Beth Israel Deaconess Medical Center
Collaborators
Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School (HMS and HSDM), United States Department of Defense, National Cancer Institute (NCI)
Responsible party
David Avigan, MD (Principal Investigator, Dana-Farber Cancer Institute) — Principal investigator
First posted
Feb 25, 2008
Start date
Dec 2009
Primary completion
Oct 2014
Completion
Oct 2014
Results posted
Mar 16, 2016
Last update
Nov 14, 2017

Study contacts

David Avigan, MD
principal investigator · Beth Israel Deaconess Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2017. You cannot join it, but the record below documents what was studied.

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