PMID- 26445724 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151008 LR - 20201001 IS - 2329-0501 (Print) IS - 2329-0501 (Electronic) IS - 2329-0501 (Linking) VI - 2 DP - 2015 TI - A phase 1 study of a heterologous prime-boost vaccination involving a truncated HER2 sequence in patients with HER2-expressing breast cancer. PG - 15031 LID - 10.1038/mtm.2015.31 [doi] AB - A phase 1 clinical trial was conducted to assess the safety, tolerability, and preliminary efficacy of a heterologous prime-boost strategy involving plasmid DNA (pHM-GM-CSF, expressing truncated human epidermal growth factor receptor 2 (HER2) and granulocyte macrophage colony-stimulation factor (GM-CSF) as a bicistronic message) and an adenoviral vector (Ad-HM, containing the same modified HER2 sequence only), in patients with stage III-IV metastatic breast cancer expressing HER2. Nine eligible subjects were divided into three cohorts based on the dosages (2, 4, and 8 mg/patient/visit) of pHM-GM-CSF used as the primer, which was intramuscularly injected three times at weeks 0, 2, and 4. It was followed by a single injection of Ad-HM (3 x 10(9) virus particles), used as a booster, at week 6. During the 6-month follow-up period, adverse events (AEs), pharmacokinetics and pharmacodynamics, and HER2-specific cellular and humoral immune responses were evaluated. Seven cases of minor grade 1 toxicities in four of nine subjects and no serious drug-related AEs were reported. HER2-specific cell-mediated or humoral immunity was produced in all (100%) or three subjects (33%), respectively. One subject showed a partial response, and seven subjects had stable diseases. However, there were no differences in clinical tumor response and HER2-specific immune responses among the cohorts. These results showed that intramuscular injections of pHM-GM-CSF and Ad-HM were well tolerated and safe. FAU - Kim, Sung-Bae AU - Kim SB AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine , Songpa-Gu, Seoul, Korea. FAU - Ahn, Jin-Hee AU - Ahn JH AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine , Songpa-Gu, Seoul, Korea. FAU - Kim, Jeongeun AU - Kim J AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine , Songpa-Gu, Seoul, Korea. FAU - Jung, Kyung Hae AU - Jung KH AD - Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine , Songpa-Gu, Seoul, Korea. LA - eng PT - Journal Article DEP - 20150930 PL - United States TA - Mol Ther Methods Clin Dev JT - Molecular therapy. Methods & clinical development JID - 101624857 PMC - PMC4588449 EDAT- 2015/10/09 06:00 MHDA- 2015/10/09 06:01 PMCR- 2015/09/30 CRDT- 2015/10/08 06:00 PHST- 2015/05/19 00:00 [received] PHST- 2015/07/08 00:00 [revised] PHST- 2015/07/21 00:00 [accepted] PHST- 2015/10/08 06:00 [entrez] PHST- 2015/10/09 06:00 [pubmed] PHST- 2015/10/09 06:01 [medline] PHST- 2015/09/30 00:00 [pmc-release] AID - S2329-0501(16)30043-2 [pii] AID - 10.1038/mtm.2015.31 [doi] PST - epublish SO - Mol Ther Methods Clin Dev. 2015 Sep 30;2:15031. doi: 10.1038/mtm.2015.31. eCollection 2015.