Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer Patients

Background. New nontoxic targeted approaches are needed for patients with castrate resistant prostate cancer (CRPC). Our preclinical studies show that activated T cells (ATC) armed with anti-CD3 x anti-Her2 bispecific antibody (Her2Bi) kill prostate cancer cells lines, induce a Th1 cytokine pattern...

Full description

Saved in:
Bibliographic Details
Main Authors: Ulka Vaishampayan, Archana Thakur, Ritesh Rathore, Nicola Kouttab, Lawrence G. Lum
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2015/285193
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832567594667737088
author Ulka Vaishampayan
Archana Thakur
Ritesh Rathore
Nicola Kouttab
Lawrence G. Lum
author_facet Ulka Vaishampayan
Archana Thakur
Ritesh Rathore
Nicola Kouttab
Lawrence G. Lum
author_sort Ulka Vaishampayan
collection DOAJ
description Background. New nontoxic targeted approaches are needed for patients with castrate resistant prostate cancer (CRPC). Our preclinical studies show that activated T cells (ATC) armed with anti-CD3 x anti-Her2 bispecific antibody (Her2Bi) kill prostate cancer cells lines, induce a Th1 cytokine pattern upon engagement of tumor cells, prevent the development of prostate tumors, and retard tumor growth in immunodeficient mice. These studies provided strong rationale for our phase I dose-escalation pilot study to test ATC armed with Her2Bi (aATC) for safety in men with CRPC. Methods. Seven of 8 men with CRPC were evaluable after receiving two infusions per week for 4 weeks. The men received 2.5, 5 or 10 × 109 aATC per infusion with low dose interleukin-2 and granulocyte-macrophage colony stimulating factor. Results. There were no dose limiting toxicities, and there was 1 partial responder and 3 of 7 patients had significant decreases in their PSA levels and pain scores. Immune evaluations of peripheral blood mononuclear cells in 2 patients before and after immunotherapy showed increases in IFN-γ EliSpot responses and Th1 serum cytokines. Conclusions. These results provide a strong rationale for developing phase II trials to determine whether aATC are effective for treating CRPC.
format Article
id doaj-art-802faa0de7d14820af54808ac6cef89a
institution Kabale University
issn 2090-3111
2090-312X
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Prostate Cancer
spelling doaj-art-802faa0de7d14820af54808ac6cef89a2025-02-03T01:01:03ZengWileyProstate Cancer2090-31112090-312X2015-01-01201510.1155/2015/285193285193Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer PatientsUlka Vaishampayan0Archana Thakur1Ritesh Rathore2Nicola Kouttab3Lawrence G. Lum4Department of Oncology, Wayne State University and Karmanos Cancer Institute, Detroit, MI 48201, USADepartment of Oncology, Wayne State University and Karmanos Cancer Institute, Detroit, MI 48201, USARoger Williams Medical Center, Providence, RI 02908, USADepartment of Pathology, Roger Williams Medical Center, Providence, RI 02908, USADepartment of Oncology, Wayne State University and Karmanos Cancer Institute, Detroit, MI 48201, USABackground. New nontoxic targeted approaches are needed for patients with castrate resistant prostate cancer (CRPC). Our preclinical studies show that activated T cells (ATC) armed with anti-CD3 x anti-Her2 bispecific antibody (Her2Bi) kill prostate cancer cells lines, induce a Th1 cytokine pattern upon engagement of tumor cells, prevent the development of prostate tumors, and retard tumor growth in immunodeficient mice. These studies provided strong rationale for our phase I dose-escalation pilot study to test ATC armed with Her2Bi (aATC) for safety in men with CRPC. Methods. Seven of 8 men with CRPC were evaluable after receiving two infusions per week for 4 weeks. The men received 2.5, 5 or 10 × 109 aATC per infusion with low dose interleukin-2 and granulocyte-macrophage colony stimulating factor. Results. There were no dose limiting toxicities, and there was 1 partial responder and 3 of 7 patients had significant decreases in their PSA levels and pain scores. Immune evaluations of peripheral blood mononuclear cells in 2 patients before and after immunotherapy showed increases in IFN-γ EliSpot responses and Th1 serum cytokines. Conclusions. These results provide a strong rationale for developing phase II trials to determine whether aATC are effective for treating CRPC.http://dx.doi.org/10.1155/2015/285193
spellingShingle Ulka Vaishampayan
Archana Thakur
Ritesh Rathore
Nicola Kouttab
Lawrence G. Lum
Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer Patients
Prostate Cancer
title Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer Patients
title_full Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer Patients
title_fullStr Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer Patients
title_full_unstemmed Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer Patients
title_short Phase I Study of Anti-CD3 x Anti-Her2 Bispecific Antibody in Metastatic Castrate Resistant Prostate Cancer Patients
title_sort phase i study of anti cd3 x anti her2 bispecific antibody in metastatic castrate resistant prostate cancer patients
url http://dx.doi.org/10.1155/2015/285193
work_keys_str_mv AT ulkavaishampayan phaseistudyofanticd3xantiher2bispecificantibodyinmetastaticcastrateresistantprostatecancerpatients
AT archanathakur phaseistudyofanticd3xantiher2bispecificantibodyinmetastaticcastrateresistantprostatecancerpatients
AT riteshrathore phaseistudyofanticd3xantiher2bispecificantibodyinmetastaticcastrateresistantprostatecancerpatients
AT nicolakouttab phaseistudyofanticd3xantiher2bispecificantibodyinmetastaticcastrateresistantprostatecancerpatients
AT lawrenceglum phaseistudyofanticd3xantiher2bispecificantibodyinmetastaticcastrateresistantprostatecancerpatients