Human kidney cancers (renal cell
carcinomas) are highly immunogenic, which means that patients’ cancers are
susceptible to TVAX Immunotherapy.When
patients are vaccinated with their own attenuated cancer cells and a powerful
immunological adjuvant such as GM-CSF, kidney cancer patients routinely develop
immune responses against their own cancers.
Phase IIa kidney cancer trial
data demonstrated that TVAX Immunotherapy could be a more effective treatment
for advanced metastatic kidney cancers than any currently available kidney
cancer treatment and is considerably less toxic than any of them. TVAX Immunotherapy has already caused several treated
patients’ cancers to regress and generated many long-term survivors among
treated patients. One of those phase IIa
studies using an earlier, less potent, more toxic version of TVAX Immunotherapy
was published in the prestigious Journal of Clinical Oncology1.The results of that study can be summarized
as follows.Thirty-four renal cell
carcinoma patients received a complete course of treatment during the phase IIa
study.The phase IIa study documented a
twenty-six percent response rate (five partial and four complete responses)
and, most importantly, highly significant (p < 0.0001) prolongation
of survival of responders compared to non-responders.The durations of the complete responders were
>48, 45, >35 and 12 months.The
durations of the partial responses were >63, 48, 15, 12 and 4 months. At the time of publication of the study, eight
of the nine (89%) responders were alive >2 years following treatment.
A
second group of investigators has performed a similar, but smaller phase IIa clinical
trial of a less toxic, but more powerful version of TVAX Immunotherapy.In that study, eight out of ten treated
patients had significantly prolonged survival.One of those is described below as case report one.
Additional clinical trials will
have to be performed to determine exactly how effective the current version
could be.However, the outcomes that
already have been produced likely will be improved upon in upcoming
trials.Earlier outcomes were produced
with treatment versions that were less potent than the treatment version that
will be tested in the future.
Patients who have metastatic
kidney cancers that have progressed after being treated with a drug could be
eligible for treatment in a TVAX clinical trial.Patients who have recently diagnosed metastatic
kidney cancers also could be eligible for treatment in a TVAX clinical trial.The
conclusion that was drawn from those studies was that the treatment had a
significant inhibitory effect on the progression of some renal cell carcinoma
patients’ cancers and that those observations merited further study.
1Chang AE, Jiang Gl Sayre DM, Braun TM, Redman BG. Phase II
trial of autologous tumor vaccination, anti-CD3-activated vaccine-primed
lymphocytes, and interleukin-2 in stage IV renal cell cancer. Journal of Clinical Oncology.
21:884-90 (2003)
Case number one:
The patient had a stage IV renal cell carcinoma that had spread throughout his body. The patient had previously had surgery to remove spinal metastases to alleviate symptoms. The
patient's cancer then was treated with radical nephrectomy followed immediatly by TVAX Immunotherapy and high dose
chemotherapy followed by stem cell transplantation and again
progressed. The effect of TVAX
Immunotherapy on the patient's lung cancer is shown in the Case 1 figure,
below. The patient's cancer completely regressed in all tissues and organs.