Adoptive Cellular Therapy Targeting Recurrent Pediatric Brain Cancers During Hematopoietic Recovery from High-Dose Chemotherapy

Abstract

A phase I/II clinical trial evaluating the feasibility, safety, and clinical efficacy of adoptive cellular therapy combined with dendritic cell (DC) vaccination targeting recurrent medulloblastoma and PNETs was opened for enrollment at Duke University Medical Center during the previous funding period (Year 1). DC generation and T cell expansion from archived post-induction chemotherapy specimens from five patients with medulloblastoma was attempted and mature RNA-pulsed DCs were successfully generated from 3 of 5 specimens and successful T cell expansion was achieved from these samples. Limitations in the yield of DCs and T cells from these specimens prompted a modification to the protocol to collect a leukapheresis sample prior to induction chemotherapy. A web-based clinical database for patient and laboratory data storage (Oracle Clinical) has been created by the Duke Comprehensive Cancer Center Bioinformatics team and is undergoing final beta testing and personnel training for release. Advertising efforts have increased awareness and recent referrals to the study protocol. Two subjects have been enrolled on the protocol, one removed due to final pathology other than medulloblastoma/PNET, and the other scheduled for surgical resection next week. Two additional subjects are currently undergoing screening for enrollment.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2011
Accession Number
ADA551893

Entities

People

  • Duane A Mitchell

Organizations

  • Duke University

Tags

DTIC Thesaurus Topics

  • Blood
  • Cancer
  • Cells
  • Chemotherapy
  • Clinical Trials
  • Data Storage Systems
  • Demographic Cohorts
  • Drug Therapy
  • Health
  • Health Care
  • Health Services
  • Institutional Review Board
  • Lymphocytes
  • Medical Personnel
  • Oncology
  • Therapy
  • Vaccination

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Immunology
  • Oncology and Biomarker-Based Cancer Detection.

Technology Areas

  • Biotechnology
  • Biotechnology - Cancer Biotech