QuoteReplyTopic: Breast Cancer Vaccine - Now Recruiting Posted: Dec 22 2020 at 7:46am
FDA clears way for Cleveland Clinic’s groundbreaking breast cancer vaccine
But what if breast cancer could be wiped out altogether?
That is the goal of a promising new breast cancer vaccine, 10 years in the making; invented and developed byCleveland Clinicimmunologist Dr. Vincent Tuohy.
“We know enough about the immune system now to try these things. We have the ability, but we’re on snail pace. We need to be on warp speed pace,” Tuohy said.
The clinic partnering with Anixa Biosciences, who has an exclusive worldwide license to the new technology.
This is how it would work. The technology immunizes against a protein that is expressed in the mammary glands of women, during the latter part of gestation and during lactation. That protein, often a precursor to cancer.
Dr. Amit Kumar, President & CEO of Anixa says, “It’s not absolutely clear why, but it starts being made again and we simply have to teach the immune system to destroy the cells making that protein. Because those are cancer cells.”
Pre-clinical trials conducted on animals showed 100% of mice that were not vaccinated and got the placebo, developed breast cancer and died.
The vaccine’s initial focus is triple negative breast cancer, the most lethal … but is expected to eventually prevent other forms of cancer, including ovarian.
“So we envision a 21st century vaccine program here at the Cleveland Clinic that prevents diseases that we confront with age that we think are completely preventable,” Tuohy said. “We think breast cancer, ovarian cancer perhaps prostate cancer are all preventable diseases and that’s why we want to bring our vaccine program up to the 21st century.”
Now, with FDA clearance, human clinical trials for the breast cancer vaccine are expected to begin by Spring 2021.
Thank you so much for posting this important news.
One thing I have noticed in the last 16 years of being a Patient Advocate are the number of Pregnancy Associated Breast Cancer (PABC) cases I have seen. I was told very early on in my work "PABC is very, very rare. You may never see it." That was not my experience in the beginning and I have seen an increase in the number of cases, over the years. To be honest, I have not kept track of the numbers but it definitely has been occurring, more often, anecdotally.
One of the first women I helped from this site was diagnosed while pregnant. I visited her while she was pregnant and she had mastectomies and started chemo while pregnant. Both she and her little girl (now 10) are both healthy. Mom is cancer free and the child did not have cardio issues, that had been anticipated, from receiving the chemo.
PABC is defined as breast cancer that is found while the woman is pregnant or within the first year after given birth. I have helped several dozen women who discovered their masses (which turned out to be malignant) while breast feeding.
How wonderful it would be if the protein, behind this cancer, as suggested by Cleveland Clinic can be stopped from stimulating cancer.
Thanks again, Donna.
warmly,
Steve
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
The FDA has approved a triple-negative breast cancer vaccine for use in human clinical trials.
The
vaccine was developed by researchers at the Cleveland Clinic in Ohio
and works by training the immune system to kill cells that express the
protein alpha-lactalbumin.
The technology used to develop the vaccine could be applicable to cancers beyond breast cancer as well.
" . . . The
vaccine, Tuohy tells Verywell, essentially works by nipping tumor
development in the bud. By imbuing immune cells with the ability to
recognize, attack, and kill cancer cells, it prevents them from ever
reaching a size at which they could inflict lethal damage on the body.
Triple-negative breast cancer cells are distinctive because they express
the protein alpha-lactalbumin, a major component of breast milk, even
when their host is not pregnant or breastfeeding.
“Most triple-negative breast cancers express alpha-lactalbumin," Tuohy
says. "It is a mistake that the tumors make because they have no default
inhibition mechanisms through progesterone and estrogen signaling that
would ordinarily prevent the expression of this protein." He describes
the vaccine mechanism as “simply taking advantage of this mistake.”
What This Means For You
It's not currently known when this vaccine may be available to the
general public. If it proves to be effective and approved for use
several years down the line, you will not be eligible to receive the
vaccine if you are breastfeeding or plan to breastfeed in the future. What Happens Next?
The FDA’s approval clears the way for the Cleveland Clinic to start Phase I clinical trials of the vaccine. Set to be helmed by George Thomas Budd, MD,
staff physician at the Cleveland Clinic’s Taussig Cancer Center, the
trials will also include men, who constitute about 1% of all breast
cancer patients, Tuohy reports.3
Ideally, the trials will help doctors determine whether the vaccine can
be safely administered to human beings by providing insight into dose
size, dose number, and immunity duration. But it is hard to know exactly
when the results might arrive.
“My team takes [it] one day at a time," Tuohy says. "We hope to start
the trials by the end of [the second quarter of] 2021, but we have been
wrong so many times with such anticipated timelines. We hope to finish
Phase I trials within two years after starting them." He adds that he
has "no idea” when the vaccine might become widely available.
The preliminary results of several animal studies conducted by the
clinic have been promising. In one study of female mice, every single
one of those that did not receive the vaccine subsequently developed
breast cancer and died.1
The trials will be funded by the U.S. Department of Defense and conducted in people who do not intend to breastfeed, Tuohy says.3
Because the vaccine conditions the immune system to wipe out all
alpha-lactalbumin-expressing cells, it would have adverse effects on
human milk production. . . .
. . .
The Future of Cancer Vaccine Development
Cancer vaccines can be divided into two camps: those designed to prevent
cancer, like Tuohy’s, and those designed to treat it. The only direct
cancer treatment vaccines currently available are sipuleucel-T/Provenge
(for the treatment of advanced prostate cancer) and talimogene
laherparepvec/T-VEC (for the treatment of advanced melanoma, an
aggressive form of skin cancer).4
Many breast cancer treatment vaccines are in development, including
peptide-based vaccines, whole-cell vaccines, gene-based vaccines, and
dendritic cell-based vaccines, but none have yet advanced past Phase II
clinical trials.5
The candidates hail from organizations all around the country, including
the Mayo Clinic in Jacksonville, Florida, the University of Washington
in Seattle, and the University of Texas M.D. Cancer Center in Houston,
according to Pravin Kaumaya, PhD, professor of translational therapeutics at the Ohio State University Comprehensive Cancer Center. . . ."
FDA clears way for Cleveland Clinic’s groundbreaking breast cancer vaccine
That is the goal of a promising new breast cancer vaccine, 10 years in the making; invented and developed byCleveland Clinicimmunologist Dr. Vincent Tuohy.
“We know enough about the immune system now to try these things. We have the ability, but we’re on snail pace. We need to be on warp speed pace,” Tuohy said.
The clinic partnering with Anixa Biosciences, who has an exclusive worldwide license to the new technology.
This is how it would work. The technology immunizes against a protein that is expressed in the mammary glands of women, during the latter part of gestation and during lactation. That protein, often a precursor to cancer.
Dr. Amit Kumar, President & CEO of Anixa says, “It’s not absolutely clear why, but it starts being made again and we simply have to teach the immune system to destroy the cells making that protein. Because those are cancer cells.”
Pre-clinical trials conducted on animals showed 100% of mice that were not vaccinated and got the placebo, developed breast cancer and died.
The vaccine’s initial focus is triple negative breast cancer, the most lethal … but is expected to eventually prevent other forms of cancer, including ovarian.
“So we envision a 21st century vaccine program here at the Cleveland Clinic that prevents diseases that we confront with age that we think are completely preventable,” Tuohy said. “We think breast cancer, ovarian cancer perhaps prostate cancer are all preventable diseases and that’s why we want to bring our vaccine program up to the 21st century.”
Now, with FDA clearance, human clinical trials for the breast cancer vaccine are expected to begin by Spring 2021.
I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
Adjuvant Therapy With an Alpha-lactalbuminVaccinein Triple-NegativeBreast Cancer
Brief Summary:
The purpose of this study is to determine the safety as well as the most effective dose of the alpha-lactalbuminvaccine(aLA breast cancervaccine) to treat patients with non-metastatic triple negative breast cancer
Condition or disease
Intervention/treatment
Phase
Stage IIA Triple NegativeBreast CancerTriple NegativeBreast Cancer
This aLA breast cancer vaccine is an investigational (experimental) drug that the study team believes will work by stimulating the immune system to fight the participant's cancer, in a way similar to the way the immune system fights off an infection after a vaccination for that infection. α-lactalbumin Vaccine is experimental because it is not approved by the Food and Drug Administration (FDA).
Study Design
Go to < ="tr-dropbtn" style="-sizing: border-; margin: 0px; overflow: ; text-trans: none; appearance: ; cursor: pointer; font-weight: bold; font-size: 14px;">
Study Type:
Interventional (Clinical Trial)
EstimatedEnrollment:
30 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase I Trial of Adjuvant Therapy With an Alpha-lactalbuminVaccinein Patients With Non-Metastatic Triple-NegativeBreast Cancerat High Risk of Recurrence
EstimatedStudy Start Date:
March 2021
EstimatedPrimary Completion Date:
October 2021
EstimatedStudy Completion Date:
December 2021
Inclusion Criteria:
Histologically proven invasive breast cancer.
Primary tumor must be ER-negative (ER in <1% of cells), PR-negative (PR in <1% of cells), and HER2-negative (0-1+ by IHC or FISH ratio<2.0 with signal number <6/cell). 4.1.3 Patients must be high risk, defined as either:
Pathologic stage IIA, IIB, IIIA, IIIB, or IIIC by AJCC 8, or
Residual invasive cancer in breast or regional nodes following preoperative chemotherapy.
1 months since last active therapy (chemotherapy, radiation therapy, or surgery) and <36 months since the initiation of treatment for the current cancer, based on the period of highest risk for patients with Stages I-III triple-negative breast cancer
Treatment prior to enrollment must be consistent with contemporary NCCN guidelines, found at: https://www.nccn.org/
ECOG Performance Status 0-1
Adequate major organ function, defined as:
WBC > 3,000/mcl,
hemoglobin > 10.0 gm/dL,
platelets > 100,000/mcL,
total bilirubin within normal limits,
ALT/AST <3 x upper limits of normal (ULN),
serum creatinine < 1.5 x ULN
Serum prolactin level must be < upper limits of normal (ULN);
Participants must have the ability to understand and the willingness to sign and provide a written informed consent document;
Participants must have archival tissue available for potential correlative studies (e.g., assays for α-lactalbumin expression or tumor infiltrating lymphocytes), but tumors will not be required to exhibit overexpression of α-lactalbumin for enrollment.
Participants agrees not to use alternative therapies from the time of informed consent through 30 days following the last vaccine injection
Locations
United States, Ohio
Cleveland Clinic, Case Comprehensive Cancer Center
Adjuvant Therapy With an Alpha-lactalbumin Vaccine in Triple-Negative Breast Cancer
ClinicalTrials.gov Identifier: NCT04674306
Recruitment Status: Recruiting
First Posted: December 19, 2020
Last Update Posted: October 12, 2021
Brief Summary:
The purpose of this study is to determine the safety as well as the most effective dose of the alpha-lactalbumin vaccine (aLA breast cancer vaccine) to treat patients with non-metastatic triple negative breast cancer
Condition or disease
Intervention/treatment
Phase
Pathologic Stage IIA-IIIC Triple-Negative Breast CancerTNBC - Triple-Negative Breast CancerResidual Disease
This is an open-label, phase I dose-escalation trial in which successive cohorts of participants with high-risk triple-negative breast cancer will be treated with successively higher doses of α-lactalbumin and zymosan
This aLA breast cancer vaccine is an investigational (experimental) drug that the study team believes will work by stimulating the immune system to fight the participant's cancer, in a way similar to the way the immune system fights off an infection after a vaccination for that infection. α-lactalbumin Vaccine is experimental because it is not approved by the Food and Drug Administration (FDA).
A traditional "3+3" Phase I trial design will be employed to determined the Maximum Tolerated Dose (MTD). After identification of the MTD, if at least 1 participant has an immunologic response (correlative measurement), successively lower dose levels will be expanded to a total of 6 participants and immunologic response assessed. Enrollment will stop if a dose level is reached for which no responses are observed. Dose-Limiting toxicities (DLTs) in 2 or more of 6 participants, the next lower dose will be considered the new MTD.
Objectives are to determine MTD, DLT incidence, and Lowest Immunologic Dose (LID).
Toxicity will be assessed every 2 weeks until day 56 and at day 84 or at off-study. Participants will be offered participation in long-term follow-up involving contact or in-person follow-up for late toxicity and survival every 3 months for 2 years, every 6 months for an additional 3 years, and then annually for 10 years.
Study Design
Go to < ="tr-dropbtn" style="-sizing: border-; margin: 0px; overflow: ; text-trans: none; appearance: ; cursor: pointer; font-weight: bold; font-size: 14px;">
Study Type:
Interventional (Clinical Trial)
EstimatedEnrollment:
24 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase I Trial of Adjuvant Therapy With an Alpha-lactalbumin Vaccine in Patients With Non-Metastatic Triple-Negative Breast Cancer at High Risk of Recurrence
Trials begin for first vaccine candidate to prevent triple-negative breast cancer
Human trials are underway for a vaccine against the most aggressive and deadly form of breast cancer.
The phase 1 trial will include early stage triple-negative breast cancer survivors who are at high risk for recurrence.
The vaccine targets a protein called α-lactalbumin and alerts the immune system to halttumorgrowth.
Although it is too early to call this finding a breakthrough, if the trial progresses, it could possibly inspire similar shots for other cancers, as well.
Following clearance from the Food and Drug Administration (FDA) for the testing of the experimental new drug, the Cleveland Clinic and partner Anixa Biosciences, Inc. launched the study in early October to determine the correct dosage for the vaccine.
Initially, thetrialwill include18–24participants, all of whom have received treatment for early stage TNBC in the past 3 years. Although doctors have declared each person tumor-free, they are at high risk for recurrence.
The scientists running the trial will administer the vaccine as three shots with 2 weeks between each dose. They will closely monitor the participants for side effects and immune response.
The trial will include a larger number of participants, who will be in good health, if the dosage proves to be safe and effective.
Cleveland Clinic researchers launch the next step in triple-negative breast cancer vaccine study
Cleveland Clinic researchers have launched the next step in their
novel study of a vaccine aimed at preventing triple-negative breast
cancer, the most aggressive and lethal form of the disease.
Funded by the U.S. Department of Defense, the new phase 1b study will
enroll cancer-free individuals at high risk for developing breast
cancer who have decided to voluntarily undergo prophylactic mastectomy
to lower their risk.
Individuals in that category typically carry genetic mutations that
put them at risk of developing triple-negative breast cancer or have
high familial risk for any breast cancer. The study, conducted at
Cleveland Clinic's main campus, will evaluate safety and monitor immune
response.
The new study will include approximately 6-12 patients and is
anticipated to be complete by the end of 2023. Study participants will
receive three vaccinations given two weeks apart and will be closely
monitored for side effects and immune response.
The phase 1b clinical trial, conducted in partnership with Anixa
Biosciences, Inc., follows the ongoing phase 1a study, which opened in
2021 and is expected to be complete in the 4th quarter of
2023. The phase 1a trial includes patients who completed treatment for
early-stage, triple-negative breast cancer within the past three years
and are currently tumor-free but at high risk for recurrence.
Triple-negative breast cancer is the form of the disease for which we
have the least effective treatments. Long term, we are hoping that this
can be a true preventive vaccine that would be administered to
cancer-free individuals to prevent them from developing this highly
aggressive disease.".
G. Thomas Budd, M.D., of Cleveland Clinic's Taussig Cancer Institute and principal investigator of the study
According to Dr. Budd, there is a great need for improved treatments
for triple-negative breast cancer, which does not have biological
characteristics that typically respond to hormonal or targeted
therapies. Despite representing only about 12% to 15% of all breast
cancers, triple-negative breast cancer accounts for a disproportionately
higher percentage of breast cancer deaths. It is twice as likely to
occur in Black women, and approximately 70 to 80% of the breast tumors
that occur in women with mutations in the BRCA1 gene are triple-negative breast cancer.
The vaccine is based on pre-clinical research led by the late Vincent
Tuohy, Ph.D., who was the Mort and Iris November Distinguished Chair in
Innovative Breast Cancer Research at Cleveland Clinic's Lerner Research
Institute. Dr. Tuohy was an outstanding and passionate scientist and
his decades of groundbreaking research led to the development of this
investigational vaccine.
The vaccine targets a lactation protein, α-lactalbumin, which is no
longer found after lactation in normal, aging tissues but is present in
the majority of triple-negative breast cancers. If breast cancer
develops, the vaccine is designed to prompt the immune system to attack
the tumor and keep it from growing.
The study is based on Dr. Tuohy's research that showed that
activating the immune system against α-lactalbumin was safe and
effective in preventing breast tumors in mice. The research, originally
published in Nature Medicine, was funded in part by philanthropic gifts from more than 20,000 people over the last 12 years.
"It was Dr. Tuohy's hope that this vaccine would demonstrate the
potential of immunization as a new way to control breast cancer, and
that a similar approach could someday be applied to other types of
malignancy," added Dr. Budd.
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