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Clinical Trials

Phase I Trial of a Recombinant Vaccinia Virus Encoding Carcinoembryonic Antigen in Metastatic Adenocarcinoma: Comparison of Intradermal versus Subcutaneous Administration

Robert M. Conry, Muhamad B. Khazaeli, Mansoor N. Saleh, Karen O. Allen, Daunte L. Barlow, Susan E. Moore, Dayle Craig, Ramin B. Arani, Jeffrey Schlom and Albert F. LoBuglio
Robert M. Conry
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Muhamad B. Khazaeli
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Mansoor N. Saleh
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Karen O. Allen
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Daunte L. Barlow
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Susan E. Moore
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Dayle Craig
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Ramin B. Arani
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Jeffrey Schlom
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Albert F. LoBuglio
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DOI:  Published September 1999
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Tables

  • Table 1

    Patient characteristics

    Serum CEA (ng/ml)
    Patient no.Age (yr)/sexDosage (pfu)Performance statusaPrimary siteMetastatic diseasePrestudyWeek 8Responseb
    155 /M1071ColonLiver29109P
    266/M1071RectalLiver, lung154288P
    359/M1070RectalLiver, lung725P
    463/M1071ColonLymph nodes52P
    565/M1071CholangiocarcinomaPeripancreatic21P
    670/F1070ColonLymph nodes188166S
    773/M1071RectalLiver4191P
    864/F1071ColonLymph nodes180227P
    944/M1072CholangiocarcinomaLiver, lymph nodes7790P
    1077/M1072ColonLiver33586820P
    1177/F1082ColonLiver, abdomen wall4545P
    1249/F1081ColonLiver, lung103168P
    1375/M1080ColonLiver, adrenal17762933P
    1462/M1081RectalLiver, peritoneal554919P
    1542/M1081ThyroidMediastinum, bone667969S
    1666/F1081RectalLiver, lung, nodes3944S
    1753/F1080BreastPeritoneum3342P
    1871/M1081ColonLiver18139P
    1962/M1081GastroesophagealLymph nodes11S
    2067/M1081ColonLiver, lung306392P
    • a Performance status based on the Eastern Cooperative Oncology Group scale (0–4).

    • b Response based on off-study evaluation on day 57. P, progressive disease; S, stable disease.

  • Table 2

    Local inflammation at the inoculation site

    Maximum diameter of erythema and/or induration (cm)a
    A. Patients receiving 107 pfu of rV-CEA per dose
    Group 1 (intradermal injection)Group 2 (Biojector)
    Patient no.24569137810
    Postprime3a2P1P32P564P2P1P
    Postboost2112213221
    B. Patients receiving 108 pfu of rV-CEA per dose
    Group 3 (intradermal injection)Group 4 (Biojector)
    Patient no.11131718201214151619
    Postprime4P3P4P4P3P57P6P6P3P
    Postboost2251002011
    • a Values are the maximum diameter (cm) of erythema and/or induration at the inoculation site 3–7 days following the dose. P, pustule formation.

  • Table 3

    Lymphoproliferative responses to vaccinia virus

    SIa
    A. Patients inoculated by intradermal needle injection
    Patient no.245691113171820
    Preimmunization44113221525
    Week 4b23312102189117114
    Week 875313372948847827668123
    B. Patients inoculated by Biojector
    Patient no.1378101214151619
    Preimmunization43111921420111
    Week 458267023716405112845079
    Week 88331271411581141427
    C. Patients inoculated by scarification
    Patient no.ABCDE
    Preimmunization11452
    Week 41593854148178
    Week 121371014951
    • a Values are SIs in response to UV-inactivated vaccinia virus.

    • b Weeks after primary immunization.

  • Table 4

    Mononuclear cell release of IL-2 in response to vaccinia virus

    IL-2 (mIU/ml)a
    A. Patients inoculated by intradermal needle injection
    Patient no.245691113171820
    Preimmunization350190031100
    Week 4b4000118013514022
    Week 8>30004>30022154413010
    B. Patients inoculated by Biojector
    Patient no.1378101214151619
    Preimmunization6310000134300
    Week 432364115314834139280
    Week 8>300394728513000010
    • a Values are mIU/ml IL-2 in cell culture supernatant.

    • b Weeks after immunization.

  • Table 5

    Antibody response to vaccinia virus

    Limiting dilution titer
    A. Patients inoculated by intradermal needle injection
    Patient no.245691113171820
    Preimmunization10,000−a1,000−−−1,000−−3,000
    Week 4b10,00030,00010,0003,00010,00010,00010,00010,00010,00010,000
    Week 810,00010,00030,0003,0003,00030,00010,0003,00010,00030,000
    B. Patients inoculated by Biojector
    Patient no.1378101214151619
    Preimmunization−−−−−3,00010,000−−1,000
    Week 410,00010,00030,00010,000100,00030,00030,00010,00030,00010,000
    Week 810,0003,00030,0003,000100,000100,00030,0003,00030,00010,000
    • a −, a negative result, referring to a limiting dilution titer of less than 1:300.

    • b Weeks after immunization.

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September 1999
Volume 5, Issue 9
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Phase I Trial of a Recombinant Vaccinia Virus Encoding Carcinoembryonic Antigen in Metastatic Adenocarcinoma: Comparison of Intradermal versus Subcutaneous Administration
Robert M. Conry, Muhamad B. Khazaeli, Mansoor N. Saleh, Karen O. Allen, Daunte L. Barlow, Susan E. Moore, Dayle Craig, Ramin B. Arani, Jeffrey Schlom and Albert F. LoBuglio
Clin Cancer Res September 1 1999 (5) (9) 2330-2337;

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Phase I Trial of a Recombinant Vaccinia Virus Encoding Carcinoembryonic Antigen in Metastatic Adenocarcinoma: Comparison of Intradermal versus Subcutaneous Administration
Robert M. Conry, Muhamad B. Khazaeli, Mansoor N. Saleh, Karen O. Allen, Daunte L. Barlow, Susan E. Moore, Dayle Craig, Ramin B. Arani, Jeffrey Schlom and Albert F. LoBuglio
Clin Cancer Res September 1 1999 (5) (9) 2330-2337;
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