Skip to main content
Top
Published in: BMC Immunology 1/2018

Open Access 01-12-2018 | Research article

Therapeutic cancer vaccine: phase I clinical tolerance study of Hu-rhEGF-rP64k/Mont in patients with newly diagnosed advanced non-small cell lung cancer

Authors: Puyuan Xing, Hongyu Wang, Sheng Yang, Xiaohong Han, Yan Sun, Yuankai Shi

Published in: BMC Immunology | Issue 1/2018

Login to get access

Abstract

Background

Hu-rhEGF-rP64k/Mont is a biotechnology product for the treatment of advanced non-small cell lung cancer (NSCLC). The vaccine induces a neutralizing antibody-mediated immune response, against the normal circulating self-protein antigen epidermal growth factor (EGF), which prevents its binding to and activation of the EGF receptor, inhibiting the transduction of the signals that drive cancer cell proliferation, survival and spread. This phase I study aimed to evaluate the safety and the immunological response of Hu-rhEGF-rP64k vaccine in NSCLC patients.

Results

The Hu-rhEGF-rP64k/Mont vaccine showed to be safe and well tolerated, with dizziness, injection-site reactions and tremors being the most commonly reported adverse event. No severe adverse events or death were related to the vaccination. Immune monitoring demonstrated the generation of anti-EGF antibody titers and as a consequence the patients exhibited a decrease in the EGF concentration. In 80% of the vaccinated patients stable disease was achieved.

Conclusion

Hu-rhEGF-rP64k/Mont elicited a valuable immune response, with good safety profile assuring further clinical development of the vaccine in this population to further confirm the potential benefits on survival.

Trial registration

Chinese Clinical Trial Registry, ChiCTR-OID-17014048, date 2017/12/20 (retrospectively registered); Chinese Food and Drug Administration, CFDA 2009 L02105, date 2009/04/03; China Drug Trial, CTR20131039.
Literature
1.
go back to reference Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136:E359–E86.CrossRefPubMed Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136:E359–E86.CrossRefPubMed
2.
go back to reference Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975-2013, Bethesda: National Cancer Institute. https://seer.cancer.gov/csr/1975_2013/, based on November 2015 SEER data submission, posted to the SEER web site, April 2016. Howlader N, Noone AM, Krapcho M, Miller D, Bishop K, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds). SEER Cancer Statistics Review, 1975-2013, Bethesda: National Cancer Institute. https://​seer.​cancer.​gov/​csr/​1975_​2013/​, based on November 2015 SEER data submission, posted to the SEER web site, April 2016.
4.
go back to reference Reck M, Popat S, Reinmuth N, De Ruysscher D, Kerr KM, Peters S, Group. EGW. Metastatic non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2014;25:27–39.CrossRef Reck M, Popat S, Reinmuth N, De Ruysscher D, Kerr KM, Peters S, Group. EGW. Metastatic non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2014;25:27–39.CrossRef
5.
go back to reference DeSantis CE, Lin C, Mariotto AB, Siegel RL, Stein KD, Kramer JL, Alteri R, Robbins AS, Jemal A. Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin. 2014;64:252–71.CrossRefPubMed DeSantis CE, Lin C, Mariotto AB, Siegel RL, Stein KD, Kramer JL, Alteri R, Robbins AS, Jemal A. Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin. 2014;64:252–71.CrossRefPubMed
6.
go back to reference Gisela Gonzalez AL. Cancer vaccines for hormone/growth factor immune deprivation: a feasible approach for cancer treatment. Curr Cancer Drug Targets. 2007:191–201. Gisela Gonzalez AL. Cancer vaccines for hormone/growth factor immune deprivation: a feasible approach for cancer treatment. Curr Cancer Drug Targets. 2007:191–201.
7.
go back to reference Gonzalez G, Crombet T, Neninger E, Viada C, Lage A. Therapeutic vaccionation with epidermal growth factor (EGF) in advanced lung cancer. Hum Vaccin. 2007;3:8–13.CrossRefPubMed Gonzalez G, Crombet T, Neninger E, Viada C, Lage A. Therapeutic vaccionation with epidermal growth factor (EGF) in advanced lung cancer. Hum Vaccin. 2007;3:8–13.CrossRefPubMed
8.
go back to reference Neninger Vinageras E, de la Torre A, Osorio Rodríguez M, Catalá Ferrer M, Bravo I, Mendoza del Pino M, Abreu Abreu D, Acosta Brooks S, Rives R, del Castillo Carrillo C, González Dueñas M, Viada C, García Verdecia B, Crombet Ramos T, González Marinello G. Phase II randomized controlled trial of an epidermal growth factor vaccine in advanced non-small-cell lung cancer. J Clin Oncol. 2008;26:1452–8.CrossRefPubMed Neninger Vinageras E, de la Torre A, Osorio Rodríguez M, Catalá Ferrer M, Bravo I, Mendoza del Pino M, Abreu Abreu D, Acosta Brooks S, Rives R, del Castillo Carrillo C, González Dueñas M, Viada C, García Verdecia B, Crombet Ramos T, González Marinello G. Phase II randomized controlled trial of an epidermal growth factor vaccine in advanced non-small-cell lung cancer. J Clin Oncol. 2008;26:1452–8.CrossRefPubMed
9.
go back to reference Garcia B, Neninger E, de la Torre A, Leonard I, Martínez R, Viada C, González G, Mazorra Z, Lage A, Crombet T. Effective inhibition of the epidermal growth factor/epidermal growth factor receptor binding by anti-epidermal growth factor antibodies is related to better survival in advanced NSCLC patients treated with the epidermal growth factor cancer vaccine. Clin Cancer Res. 2008;14:840–6.CrossRefPubMed Garcia B, Neninger E, de la Torre A, Leonard I, Martínez R, Viada C, González G, Mazorra Z, Lage A, Crombet T. Effective inhibition of the epidermal growth factor/epidermal growth factor receptor binding by anti-epidermal growth factor antibodies is related to better survival in advanced NSCLC patients treated with the epidermal growth factor cancer vaccine. Clin Cancer Res. 2008;14:840–6.CrossRefPubMed
10.
go back to reference Ramos TC, Vinageras E, Ferrer MC, Verdecia BG, Rupalé IL, Pérez LM, Marinello GG, Rodríguez RP, Dávila AL. Treatment of NSCLC patients with an EGF-based cancer vaccine: report of a phase I trial. Cancer Biol Ther. 2006;5:145–9.CrossRefPubMed Ramos TC, Vinageras E, Ferrer MC, Verdecia BG, Rupalé IL, Pérez LM, Marinello GG, Rodríguez RP, Dávila AL. Treatment of NSCLC patients with an EGF-based cancer vaccine: report of a phase I trial. Cancer Biol Ther. 2006;5:145–9.CrossRefPubMed
11.
go back to reference Rodriguez PC, Popa X, Martínez O, Mendoza S, Santiesteban E, Crespo T, Amador RM, Fleytas R, Acosta SC, Otero Y, Romero GN, de la Torre A, Cala M, Arzuaga L, Vello L, Reyes D. A phase III clinical trial of the epidermal growth factor vaccine CIMAvax-EGF as switch maintenance therapy in advanced non–small cell lung cancer patients. Clin Cancer Res. 2016;22:3782–90.CrossRefPubMed Rodriguez PC, Popa X, Martínez O, Mendoza S, Santiesteban E, Crespo T, Amador RM, Fleytas R, Acosta SC, Otero Y, Romero GN, de la Torre A, Cala M, Arzuaga L, Vello L, Reyes D. A phase III clinical trial of the epidermal growth factor vaccine CIMAvax-EGF as switch maintenance therapy in advanced non–small cell lung cancer patients. Clin Cancer Res. 2016;22:3782–90.CrossRefPubMed
13.
go back to reference Rodriguez PC, Rodríguez G, González G, Lage A. Clinical development and perspectives of CIMAvax EGF, Cuban vaccine for non-small celllung cancer therapy. MEDICC Rev. 2010;12:17–23.PubMed Rodriguez PC, Rodríguez G, González G, Lage A. Clinical development and perspectives of CIMAvax EGF, Cuban vaccine for non-small celllung cancer therapy. MEDICC Rev. 2010;12:17–23.PubMed
14.
go back to reference Rodriguez PC, Neninger E, García B, Popa X, Lorenzo-Luaces P, Viada C, González G, Lage A, Montero E, Crombet T. Safety, immunogenicity and preliminary efficacy of multiple-site vaccination with an epidermal growth factor (EGF) based cancer vaccine in NSCLC patients. J Immune Based Ther Vaccines. 2011;9:7.CrossRefPubMedPubMedCentral Rodriguez PC, Neninger E, García B, Popa X, Lorenzo-Luaces P, Viada C, González G, Lage A, Montero E, Crombet T. Safety, immunogenicity and preliminary efficacy of multiple-site vaccination with an epidermal growth factor (EGF) based cancer vaccine in NSCLC patients. J Immune Based Ther Vaccines. 2011;9:7.CrossRefPubMedPubMedCentral
16.
go back to reference Eisenhauera EA. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer. 2009;45:228–47.CrossRef Eisenhauera EA. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer. 2009;45:228–47.CrossRef
17.
go back to reference Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, et al. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. J Clin Epidemiol. 2010;63:e1–37.CrossRefPubMed Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, et al. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. J Clin Epidemiol. 2010;63:e1–37.CrossRefPubMed
18.
go back to reference Socinski MA, Pennell NA. Best practices in treatment selection for patients. Cancer Control. 2016;23:2–14.CrossRefPubMed Socinski MA, Pennell NA. Best practices in treatment selection for patients. Cancer Control. 2016;23:2–14.CrossRefPubMed
19.
go back to reference Langer CJ. Emerging immunotherapies in the treatment of non-small cell lung cancer (NSCLC): the role of immune checkpoint inhibitors. Am J Clin Oncol. 2015;38:422–30.CrossRefPubMed Langer CJ. Emerging immunotherapies in the treatment of non-small cell lung cancer (NSCLC): the role of immune checkpoint inhibitors. Am J Clin Oncol. 2015;38:422–30.CrossRefPubMed
20.
21.
go back to reference Salomon DS, Brandt R, Ciardiello F, Normanno N. Epidermal growth factor-related peptides and their receptors in human malignancies. Crit Rev Oncol Hematol. 1995;19:183–232.CrossRefPubMed Salomon DS, Brandt R, Ciardiello F, Normanno N. Epidermal growth factor-related peptides and their receptors in human malignancies. Crit Rev Oncol Hematol. 1995;19:183–232.CrossRefPubMed
22.
go back to reference Gonzalez G, Crombet T, Torres F, Catala M, Alfonso L, Osorio M, Neninger E, Garcia B, Mulet A, Perez R, Lage A. Epidermal growth factor-based cancer vaccine for non-small-cel llung cancer therapy. Ann Oncol. 2003;14:461–6.CrossRefPubMed Gonzalez G, Crombet T, Torres F, Catala M, Alfonso L, Osorio M, Neninger E, Garcia B, Mulet A, Perez R, Lage A. Epidermal growth factor-based cancer vaccine for non-small-cel llung cancer therapy. Ann Oncol. 2003;14:461–6.CrossRefPubMed
23.
go back to reference Gonzalez G, Crombet T, Catala M, Mirabal V, Hernandez JC, Gonzalez Y, Marinello P, Guilen G, Lage A. A novel cancer vaccine composed of human recombinant epidermal growth factor linked to a carrier protein: report of a pilot clinical trial. Ann Oncol. 1998;9:431–5.CrossRefPubMed Gonzalez G, Crombet T, Catala M, Mirabal V, Hernandez JC, Gonzalez Y, Marinello P, Guilen G, Lage A. A novel cancer vaccine composed of human recombinant epidermal growth factor linked to a carrier protein: report of a pilot clinical trial. Ann Oncol. 1998;9:431–5.CrossRefPubMed
24.
go back to reference Gonzalez G, Sánchez B, Suarez E, Beausouleil I, Perez O, Lastre M, Lage A. Induction of immune recognition of self epidermal growth factor (EGF): effect on EGF biodistribution and tumor growth. Vaccine Res. 1996;5:233–44. Gonzalez G, Sánchez B, Suarez E, Beausouleil I, Perez O, Lastre M, Lage A. Induction of immune recognition of self epidermal growth factor (EGF): effect on EGF biodistribution and tumor growth. Vaccine Res. 1996;5:233–44.
25.
go back to reference Casaco A, Díaz Y, Ledón N, Merino N, Valdés O, Garcia G, Garcia B, González G, Pérez R. Effect of an EGF-cancer vaccine on wound healing and inflammation models. J Surg Res. 2004;122:130–34. Casaco A, Díaz Y, Ledón N, Merino N, Valdés O, Garcia G, Garcia B, González G, Pérez R. Effect of an EGF-cancer vaccine on wound healing and inflammation models. J Surg Res. 2004;122:130–34.
26.
go back to reference Rodriguez PC, Gonzalez I, Gonzalez A, Avellanet J, Lopez A, Perez R, Lage A, Montero E. Priming and boosting determinants on the antibody response to an epidermal growth factor-based cancer vaccine. Vaccine. 2008;26:4647–54.CrossRefPubMed Rodriguez PC, Gonzalez I, Gonzalez A, Avellanet J, Lopez A, Perez R, Lage A, Montero E. Priming and boosting determinants on the antibody response to an epidermal growth factor-based cancer vaccine. Vaccine. 2008;26:4647–54.CrossRefPubMed
27.
go back to reference Manceboa A, Casaco A, González B, Ledón N, Sorlozabal J, León A, Gómez D, González Y, Bada AM, González C, Arteaga ME, Ramirez H, Fuentes D. Repeated dose intramuscular injection of the CIMAvax-EGF vaccine in Sprague Dawley rats induces local and systemic toxicity. Vaccine. 2012;30:3329–38.CrossRef Manceboa A, Casaco A, González B, Ledón N, Sorlozabal J, León A, Gómez D, González Y, Bada AM, González C, Arteaga ME, Ramirez H, Fuentes D. Repeated dose intramuscular injection of the CIMAvax-EGF vaccine in Sprague Dawley rats induces local and systemic toxicity. Vaccine. 2012;30:3329–38.CrossRef
Metadata
Title
Therapeutic cancer vaccine: phase I clinical tolerance study of Hu-rhEGF-rP64k/Mont in patients with newly diagnosed advanced non-small cell lung cancer
Authors
Puyuan Xing
Hongyu Wang
Sheng Yang
Xiaohong Han
Yan Sun
Yuankai Shi
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Immunology / Issue 1/2018
Electronic ISSN: 1471-2172
DOI
https://doi.org/10.1186/s12865-018-0249-9

Other articles of this Issue 1/2018

BMC Immunology 1/2018 Go to the issue