Collaborative
efforts allow investigational vaccine for melanoma to have its first
clinical trial in dogs with the disease
An investigational vaccine for melanoma
has shown promise in a clinical trial conducted with 9 dogs that
had advanced disease, according to an article in the April issue
of Clinical Cancer Research. The DNA-based vaccine was developed
and underwent preclinical testing at Memorial Sloane-Kettering Cancer
Center and had its first clinical trial at the nearby Animal Medical
Center.
Median survival for the 9 dogs more than tripled with the vaccine
treatment: It increased from the expected 90 days to an average
of 389 days. A clinical trial has begun at the cancer center for
people at high risk for recurrence of their melanoma.
"Most medicines that we use to treat
animals are the same as those given to humans," explained Philip
J. Bergman DVM, MS, PhD, lead author of the study. "This vaccine
was first tested in the laboratory [at Memorial Sloane-Kettering]
and then given to dogs with melanoma after receiving approval from
the United States Department of Agriculture and the Animal Medical
Center’s own Institutional Review Board. We felt it was useful to
see if immunotherapy might help these very sick dogs with advanced
melanoma since the response rates for standard chemotherapy were
extremely poor with no evidence of improved survival."
In the current study, 9 dogs with advanced
melanoma were given 4 bi-weekly injections of human tyrosinase DNA
vaccine that was constructed at the cancer center’s Gene Transfer
and Somatic Cell Engineering Facility. The dogs were injected with
the vaccine using the Biojector-2000, a needle-less delivery device.
They showed no significant side effects or toxicity, only a mild
inflammatory reaction observed at the injection site.
After completion of the vaccine regimen,
2 dogs showed no evidence of disease; 4 of the dogs survived more
than 400 days, with the longest survivor still alive after 615 days.
"Like humans, dogs develop melanoma spontaneously through an
interaction of their genes with the environment," said Jedd
D. Wolchok, MD, PhD, of the Clinical Immunology Service at Memorial
Sloan-Kettering and senior author of the study. "By conducting
trials in humans and large animals that live in the same surroundings
as humans and spontaneously develop cancers, there can be a synergy
that we hope will result in improved cancer treatment for all."
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