Immunotherapy with a HER2-Targeting Listeria Induces HER2-Specific Immunity and Demonstrates Potential Therapeutic Effects in a Phase I Trial in Canine Osteosarcoma
Nicola J. Mason, Josephine S. Gnanandarajah, Julie B. Engiles, Falon Gray, Danielle Laughlin, Anita Gaurnier-Hausser, Anu Wallecha, Margie Huebner and Yvonne Paterson
Life Sciences & Biomedicine Oncology Science & Technology
Purpose: Recombinant Listeria vaccines induce tumor-specific T-cell responses that eliminate established tumors and prevent metastatic disease in murine cancer models. We used dogs with HER2/neu(+) appendicular osteosarcoma, a well-recognized spontaneous model for pediatric osteosarcoma, to determine whether a highly attenuated, recombinant Listeria monocytogenes expressing a chimeric human HER2/neu fusion protein (ADXS31-164) could safely induce HER2/neu-specific immunity and prevent metastatic disease.
Experimental Design: Eighteen dogs that underwent limb amputation or salvage surgery and adjuvant chemotherapy were enrolled in a phase I dose escalation clinical trial and received either 2 x 10(8), 5 x 10(8), 1 x 10(9), or 3.3 x 10(9) CFU of ADXS31-164 intravenously every 3 weeks for 3 administrations.
Results: Only low-grade, transient toxicities were observed. ADXS31-164 broke peripheral tolerance and induced antigen-specific IFN gamma responses against the intracellular domain of HER2/neu in 15 of 18 dogs within 6 months of treatment. Furthermore, ADXS31-164 reduced the incidence of metastatic disease and significantly increased duration of survival time and 1-, 2-, and 3-year survival rates when compared with a historical control group with HER2/neu(+) appendicular osteosarcoma treated with amputation and chemotherapy alone.
Conclusions: These findings demonstrate that ADXS31-164 administered in the setting of minimal residual disease can induce HER2/neu-specific immunity and may reduce the incidence of metastatic disease and prolong overall survival in a clinically relevant, spontaneous, large animal model of cancer. These findings, therefore, have important translational relevance for children with osteosarcoma and adults with other HER2/neu(+) cancers. (C) 2016 AACR.
Immunotherapy with a HER2-Targeting Listeria Induces HER2-Specific Immunity and Demonstrates Potential Therapeutic Effects in a Phase I Trial in Canine Osteosarcoma
Creators
Nicola J. Mason - University of Pennsylvania
Josephine S. Gnanandarajah - University of Pennsylvania
Julie B. Engiles - University of Pennsylvania
Falon Gray - University of Pennsylvania
Danielle Laughlin - University of Pennsylvania
Anita Gaurnier-Hausser - Drexel University
Anu Wallecha - Advaxis
Margie Huebner - ClinData Services Inc., Fort Collins, Colorado.
Yvonne Paterson - University of Pennsylvania
Publication Details
Clinical cancer research, v 22(17), pp 4380-4390
Publisher
Amer Assoc Cancer Research
Number of pages
11
Grant note
Advaxis Inc.
Companion Animal Research Fund of the University of Pennsylvania
Mari Lowe Center for Comparative Oncology, University of Pennsylvania
Resource Type
Journal article
Language
English
Academic Unit
Intensive Medical Sciences (IMS)
Web of Science ID
WOS:000383038200013
Scopus ID
2-s2.0-84988663778
Other Identifier
991019302291804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool: