Exploiting antitumor immunity to overcome relapse and improve remission duration View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-07

AUTHORS

Lei L. Chen, Xinjian Chen, Haesun Choi, Hongxun Sang, Leo C. Chen, Hongbo Zhang, Launce Gouw, Robert H. Andtbacka, Benjamin K. Chan, Christopher K. Rodesch, Arnie Jimenez, Pedro Cano, Kimberly A. Jones, Caroline O. Oyedeji, Tom Martins, Harry R. Hill, Jonathan Schumacher, Carlynn Willmore, Courtney L. Scaife, John H. Ward, Kathryn Morton, R. Lor Randall, Alexander J. Lazar, Shreyaskumar Patel, Jonathan C. Trent, Marsha L. Frazier, Patrick Lin, Peter Jensen, Robert S. Benjamin

ABSTRACT

Cancer survivors often relapse due to evolving drug-resistant clones and repopulating tumor stem cells. Our preclinical study demonstrated that terminal cancer patient's lymphocytes can be converted from tolerant bystanders in vivo into effective cytotoxic T-lymphocytes in vitro killing patient's own tumor cells containing drug-resistant clones and tumor stem cells. We designed a clinical trial combining peginterferon α-2b with imatinib for treatment of stage III/IV gastrointestinal stromal tumor (GIST) with the rational that peginterferon α-2b serves as danger signals to promote antitumor immunity while imatinib's effective tumor killing undermines tumor-induced tolerance and supply tumor-specific antigens in vivo without leukopenia, thus allowing for proper dendritic cell and cytotoxic T-lymphocyte differentiation toward Th1 response. Interim analysis of eight patients demonstrated significant induction of IFN-γ-producing-CD8(+), -CD4(+), -NK cell, and IFN-γ-producing-tumor-infiltrating-lymphocytes, signifying significant Th1 response and NK cell activation. After a median follow-up of 3.6 years, complete response (CR) + partial response (PR) = 100%, overall survival = 100%, one patient died of unrelated illness while in remission, six of seven evaluable patients are either in continuing PR/CR (5 patients) or have progression-free survival (PFS, 1 patient) exceeding the upper limit of the 95% confidence level of the genotype-specific-PFS of the phase III imatinib-monotherapy (CALGB150105/SWOGS0033), demonstrating highly promising clinical outcomes. The current trial is closed in preparation for a larger future trial. We conclude that combination of targeted therapy and immunotherapy is safe and induced significant Th1 response and NK cell activation and demonstrated highly promising clinical efficacy in GIST, thus warranting development in other tumor types. More... »

PAGES

1113-1124

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00262-011-1185-1

DOI

http://dx.doi.org/10.1007/s00262-011-1185-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1028837833

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22198309


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