PMID- 20647477 OWN - NLM STAT- MEDLINE DCOM- 20101115 LR - 20211203 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 16 IP - 15 DP - 2010 Aug 1 TI - Immunologic response to xenogeneic gp100 DNA in melanoma patients: comparison of particle-mediated epidermal delivery with intramuscular injection. PG - 4057-65 LID - 10.1158/1078-0432.CCR-10-1093 [doi] AB - PURPOSE: Prior studies show that i.m. injection of xenogeneic orthologues of melanosomal antigens (tyrosinase, gp100) induces CD8(+) T-cell responses to the syngeneic protein. To further define the optimal vaccination strategy, we conducted a pilot clinical trial comparing i.m. injection with particle-mediated epidermal delivery (PMED). EXPERIMENTAL DESIGN: Human leukocyte antigen (HLA)-A*0201(+) disease-free melanoma patients were randomized to the PMED or i.m. arm, receiving eight vaccinations over 4 months. Patients received 4 microg or 2,000 microg per injection, respectively, of mouse gp100 DNA. Peripheral blood mononuclear cells were collected, cultured with gp100 peptides, and analyzed by tetramer and intracellular cytokine staining for responses to HLA-A*0201-restricted gp100 epitopes [gp100(209-217) (ITDQVPFSV) and gp100(280-288) (YLEPGPVTA)]. RESULTS: Twenty-seven patients with stage IIB-IV melanoma were analyzable for immune response. The only common toxicity was grade 1 injection site reaction in nine patients with no intergroup difference, and one dose-limiting toxicity of acute hypersensitivity occurred in a PMED patient with undiagnosed gold allergy. Four of 27 patients produced gp100 tetramer(+)CD8(+) T cells, all carrying the CCR7(lo)CD45RA(lo) effector-memory phenotype. Five of 27 patients generated IFN-gamma(+)CD8(+) T cells, one who was also tetramer-positive. Overall, vaccination induced a response in 30% of patients, which was not significantly associated with study arm or clinical outcome. However, the PMED group showed a trend toward increased IFN-gamma(+)CD8(+) T-cell generation (P = 0.07). CONCLUSION: A comparable efficacy and safety profile was shown between the i.m. and PMED arms, despite a significantly decreased dose of DNA used for PMED injection. CI - (c) 2010 AACR. FAU - Ginsberg, Brian A AU - Ginsberg BA AD - Ludwig Center for Cancer Immunotherapy, Immunology Program, Sloan-Kettering Institute, 1275 York Avenue, New York, NY 10065, USA. FAU - Gallardo, Humilidad F AU - Gallardo HF FAU - Rasalan, Teresa S AU - Rasalan TS FAU - Adamow, Matthew AU - Adamow M FAU - Mu, Zhenyu AU - Mu Z FAU - Tandon, Sapna AU - Tandon S FAU - Bewkes, Barrett B AU - Bewkes BB FAU - Roman, Ruth-Ann AU - Roman RA FAU - Chapman, Paul B AU - Chapman PB FAU - Schwartz, Gary K AU - Schwartz GK FAU - Carvajal, Richard D AU - Carvajal RD FAU - Panageas, Katherine S AU - Panageas KS FAU - Terzulli, Stephanie L AU - Terzulli SL FAU - Houghton, Alan N AU - Houghton AN FAU - Yuan, Jianda D AU - Yuan JD FAU - Wolchok, Jedd D AU - Wolchok JD LA - eng GR - R25 CA020449/CA/NCI NIH HHS/United States GR - P01CA33049/CA/NCI NIH HHS/United States GR - P01 CA033049/CA/NCI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - R01 CA056821/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100720 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antigens, Heterophile) RN - 0 (Cancer Vaccines) RN - 0 (HLA-A Antigens) RN - 0 (HLA-A*02:01 antigen) RN - 0 (HLA-A2 Antigen) RN - 0 (Membrane Glycoproteins) RN - 0 (PMEL protein, human) RN - 0 (Peptide Fragments) RN - 0 (Peptides) RN - 0 (Pmel protein, mouse) RN - 0 (Vaccines, DNA) RN - 0 (gp100 Melanoma Antigen) RN - 0 (gp100(280-288) melanoma antigen peptide) RN - 9007-49-2 (DNA) SB - IM MH - Administration, Intranasal MH - Adult MH - Aged MH - Animals MH - Antigens, Heterophile/administration & dosage/adverse effects MH - *Biolistics MH - CD8-Positive T-Lymphocytes/immunology MH - Cancer Vaccines/*administration & dosage/adverse effects/*immunology MH - DNA/administration & dosage/adverse effects/immunology MH - Female MH - HLA-A Antigens MH - HLA-A2 Antigen MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Melanoma/mortality/pathology/*therapy MH - Membrane Glycoproteins/*administration & dosage/adverse effects/immunology MH - Mice MH - Middle Aged MH - Neoplasm Staging MH - Peptide Fragments MH - Peptides MH - Pilot Projects MH - Vaccines, DNA/administration & dosage/adverse effects/immunology MH - gp100 Melanoma Antigen PMC - PMC4241567 MID - NIHMS215758 EDAT- 2010/07/22 06:00 MHDA- 2010/11/16 06:00 PMCR- 2014/11/24 CRDT- 2010/07/22 06:00 PHST- 2010/07/22 06:00 [entrez] PHST- 2010/07/22 06:00 [pubmed] PHST- 2010/11/16 06:00 [medline] PHST- 2014/11/24 00:00 [pmc-release] AID - 1078-0432.CCR-10-1093 [pii] AID - 10.1158/1078-0432.CCR-10-1093 [doi] PST - ppublish SO - Clin Cancer Res. 2010 Aug 1;16(15):4057-65. doi: 10.1158/1078-0432.CCR-10-1093. Epub 2010 Jul 20.