Cited by 45Immunotherapy and Immune ResponsesCancer Immunotherapy and BiomarkersT-cell and B-cell Immunology

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p53MVA Therapy in Patients with Refractory Gastrointestinal Malignancies Elevates p53-Specific CD8+ T-cell Responses

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Abstract

Purpose: To conduct a phase I trial of a modified vaccinia Ankara (MVA) vaccine delivering wild-type human p53 (p53MVA) in patients with refractory gastrointestinal cancers. Experimental Design: Three patients were vaccinated with 1.0 × 108 plaque-forming unit (pfu) p53MVA followed by nine patients at 5.6 × 108 pfu. Toxicity was classified using the NCI Common Toxicity Criteria and clinical responses were assessed by CT scan. Peripheral blood samples were collected pre- and post-immunization for immunophenotyping, monitoring of p53MVA-induced immune response, and examination of PD1 checkpoint inhibition in vitro. Results: p53MVA immunization was well tolerated at both doses, with no adverse events above grade 2. CD4+ and CD8+ T cells showing enhanced recognition of a p53 overlapping peptide library were detectable after the first immunization, particularly in the CD8+ T-cell compartment (P = 0.03). However, in most patients, this did not expand further with the second and third immunization. The frequency of PD1+ T cells detectable in patients' peripheral blood mononuclear cells (PBMC) was significantly higher than in healthy controls. Furthermore, the frequency of PD1+ CD8+ T cells showed an inverse correlation with the peak CD8+ p53 response (P = 0.02) and antibody blockade of PD1 in vitro increased the p53 immune responses detected after the second or third immunizations. Induction of strong T-cell and antibody responses to the MVA backbone were also apparent. Conclusion: p53MVA was well tolerated and induced robust CD8+ T-cell responses. Combination of p53MVA with immune checkpoint inhibition could help sustain immune responses and lead to enhanced clinical benefit. Clin Cancer Res; 20(17); 4459–70. ©2014 AACR.

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Authors
Hardwick, N. R., Carroll, M., Kaltcheva, T., Qian, D., Lim, D., Leong, L., Chu, P., Kim, J., Chao, J., Fakih, M., Yen, Y., Espenschied, J., Ellenhorn, J. D. I., Diamond, D. J., & Chung, V.
Affiliations
  • City Of Hope National Medical Center (US)
  • Cedars-Sinai Medical Center (US)
Corresponding author
Diamond, Don J.
Venue
Clinical Cancer Research
Published
2014-09-01
Volume
20
Issue
17
Pages
4459-4470
ISSN
  • 1078-0432 (ISSN-L)
  • 1557-3265
OpenAlex
W2045927502
Cited by
45
References
50
Citations by year
2026: 5 · 2025: 3 · 2024: 5 · 2023: 8 · 2022: 4 · 2021: 4 · 2020: 2 · 2018: 4 · 2017: 6 · 2016: 1 · 2015: 2 · 2014: 1
FWCI
1.52
Type
journal article
Language
en
Open access
Locations
  • Clinical Cancer Research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5r29ca070819-04)
  • National Cancer Institute (R29 CA 70819, CA033572, R21CA114889, P30CA033572)
  • National Center for Research Resources (M01RR000043)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
Keywords
modified vaccinia Ankara, CD8+ T cell responses, PD-1 checkpoint, immune checkpoint blockade, vaccine immunogenicity, vaccine toxicity
MeSH terms
Aged, Female, Gastrointestinal Neoplasms, Humans, Male, Middle Aged, Mutation, CD4-Positive T-Lymphocytes, Tumor Suppressor Protein p53, CD8-Positive T-Lymphocytes, Cancer Vaccines

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