A Phase 2, Single-Arm, Open-Label Clinical Trial on Adjuvant Peptide-Based Vaccination in Dogs with Aggressive Hemangiosarcoma Undergoing Surgery and Chemotherapy

To test the antitumor effect and safety of peptide-based anticancer vaccination in dogs with hemangiosarcoma undergoing the standard of care (SOC; surgery and doxorubicin), canine hemangiosarcoma cells were infected with Salmonella typhi Ty21a to release immunogenic endoplasmic reticulum stress-rela...

Full description

Saved in:

Bibliographic Details
Published in:	Cancers Vol. 15; no. 17; p. 4209
Main Authors:	Marconato, Laura, Tiraboschi, Luca, Aralla, Marina, Sabattini, Silvia, Melacarne, Alessia, Agnoli, Chiara, Balboni, Andrea, Salvi, Marta, Foglia, Armando, Punzi, Sofia, Romagnoli, Noemi, Rescigno, Maria
Format:	Journal Article
Language:	English
Published:	Basel MDPI AG 22-08-2023 MDPI
Subjects:	Angiosarcoma Antibodies Antitumor activity Bacteria Blood Bone cancer Cancer Cancer therapies Cancer vaccines Cells Chemotherapy Clinical trials Comparative analysis Connexin 43 Dogs Doxorubicin Endoplasmic reticulum Health aspects Immune response Immune response (humoral) Immunogenicity Immunotherapy Infections Lymphocytes T Medical prognosis Metastasis Peptides Salmonella Secretome Surgery Toxicity Tumors Vaccination Vaccines United States > US
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To test the antitumor effect and safety of peptide-based anticancer vaccination in dogs with hemangiosarcoma undergoing the standard of care (SOC; surgery and doxorubicin), canine hemangiosarcoma cells were infected with Salmonella typhi Ty21a to release immunogenic endoplasmic reticulum stress-related peptides into the extracellular milieu via CX43 hemichannels opening. The infected tumor cell secretome constituted the vaccine. Following the SOC, dogs with biologically aggressive hemangiosarcoma were vaccinated a total of five times, once every 3 weeks, and were followed up with serial imaging. A retrospective population of dogs undergoing the SOC alone served as controls. The primary endpoints were the time to progression (TTP) and overall survival (OS), and the secondary endpoints were toxicity and immune responses. A total of 28 dogs were vaccinated along with the SOC, and 32 received only the SOC. A tumor-specific humoral response along with a vaccine-specific T-cell response was observed. Toxicity did not occur. The TTP and OS were significantly longer in vaccinated versus unvaccinated dogs (TTP: 195 vs. 160 days, respectively; p = 0.001; OS: 276 vs. 175 days, respectively; p = 0.002). One-year survival rates were 35.7% and 6.3% for vaccinated and unvaccinated dogs, respectively. In dogs with hemangiosarcoma undergoing the SOC, the addition of a peptide-based vaccine increased the TTP and OS, while maintaining a safe profile. Moreover, vaccinated dogs developed a tumor-specific response, supporting the feasibility of future phase three studies.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 These authors contributed equally to this work.
ISSN:	2072-6694 2072-6694
DOI:	10.3390/cancers15174209