Phase I clinical trial of idiotypic DNA vaccine administered as a complex with polyethylenimine to patients with B-cell lymphoma.
Journal: 2017/July - Human Vaccines and Immunotherapeutics
ISSN: 2164-554X
Abstract:
We report on the design of a phase I, non-randomized, open-label study of idiotypic DNA vaccination in patients with B-cell non-Hodgkin's lymphoma (ISRCTN31090206). The study uses DNA fusion gene vaccination encoding patient-specific single chain variable fragment, or idiotype, linked to an immunostimulatory sequence. Two types of immunostimulatory sequence are being explored: potato virus X coat protein and human chemokine MIP3α. Linear polyethylenimine with low molecular weight (8 kDa) is used as a synthetic vehicle for vaccine delivery. Humoral and T-cellular immune responses to vaccination will be measured by ELISA and ELISPOT, respectively. The primary study endpoints are safety, tolerability and immunogenicity of DNA-PEI vaccination.
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Hum Vaccin Immunother 13(6): 1398-1403

Phase I clinical trial of idiotypic DNA vaccine administered as a complex with polyethylenimine to patients with B-cell lymphoma

Belarusian Research Center for Pediatric Oncology, Hematology and Immunology, Minsk, Belarus
N.N. Alexandrov National Cancer Centre of Belarus, Minsk, Belarus
Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton, UK
CONTACT A. N. Meleshko, PhD yb.tut@okhselem, Head of Genetic Biotechnology Laboratory, Belarusian Research Center for Pediatric Oncology, Hematology and Immunology, 223053, Minsk region v. Borovlyani, Frunzenskaya st., 43, Belarus
Received 2016 Dec 5; Revised 2017 Jan 6; Accepted 2017 Jan 17.

ABSTRACT

We report on the design of a phase I, non-randomized, open-label study of idiotypic DNA vaccination in patients with B-cell non-Hodgkin's lymphoma (ISRCTN31090206). The study uses DNA fusion gene vaccination encoding patient-specific single chain variable fragment, or idiotype, linked to an immunostimulatory sequence. Two types of immunostimulatory sequence are being explored: potato virus X coat protein and human chemokine MIP3α. Linear polyethylenimine with low molecular weight (8 kDa) is used as a synthetic vehicle for vaccine delivery. Humoral and T-cellular immune responses to vaccination will be measured by ELISA and ELISPOT, respectively. The primary study endpoints are safety, tolerability and immunogenicity of DNA-PEI vaccination.

KEYWORDS: cancer vaccine, DNA vaccine, idiotype, lymphoma, polyethylenimine
ABSTRACT

References

  • 1. Okeanov AE, Moiseyev PI, Levin LF, et al. Статистика онкологических заболеваний в Республике Беларусь (2005–2014) [Statistics of oncological diseases in the Republic of Belarus (2005–2014)]. Minsk, Belarus: N.N. Alexandrov National Cancer Centre of Belarus; 2015. Russian. [PubMed][Google Scholar]
  • 2. Armitage JO. Non-Hodgkin lymphomas (2nd ed). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. [PubMed]
  • 3. Kwak LW, Campbell MJ, Czerwinski DK, Hart S, Miller RA, Levy R Induction of immune responses in patients with B-cell lymphoma against the surface-immunoglobulin idiotype expressed by their tumors. N Engl J Med. 1992;327(17):1209-1215; PMID: 1406793; https://doi.org/10.1056/NEJM199210223271705 [] [[PubMed][Google Scholar]
  • 4. Bendandi M, Gocke CD, Kobrin CB, Benko FA, Sternas LA, Pennington R, Watson TM, Reynolds CW, Gause BL, Duffey PL, et al. Complete molecular remissions induced by patient-specific vaccination plus granulocyte-monocyte colony-stimulating factor against lymphoma. Nat Med. 1999;5(10):1171-1177; PMID: 10502821; https://doi.org/10.1038/13928 [] [[PubMed][Google Scholar]
  • 5. Timmerman JM, Vose JM, Czerwinski DK, Weng WK, Ingolia D, Mayo M, Denney DW, Levy R Tumor-specific recombinant idiotype immunisation after chemotherapy as initial treatment for follicular non-Hodgkin lymphoma. Leuk Lymphoma. 2009;50(1):37-46; PMID: 19125383; https://doi.org/10.1080/10428190802563355 ] [[Google Scholar]
  • 6. Inogès S, Rodrìguez-Calvillo M, Zabalegui N, Lòpez-Dìaz de Cerio A, Villanueva H, Soria E, Suárez L, Rodríguez-Caballero A, Pastor F, García-Muñóz R et al. Clinical benefit associated with idiotypic vaccination in patients with follicular lymphoma. J Natl Cancer Inst. 2006;98(18):1292-1301 [[PubMed][Google Scholar]
  • 7. Redfern CH, Guthrie TH, Bessudo A, Densmore JJ, Holman PR, Janakiraman N, Leonard JP, Levy RL, Just RG, Smith MR, et al. Phase II trial of idiotype vaccination in previously treated patients with indolent non-Hodgkin's lymphoma resulting in durable clinical responses. J Clin Oncol. 2006;24(19):3107-3112 [[PubMed][Google Scholar]
  • 8. Schuster SJ, Neelapu SS, Gause BL, Janik JE, Muggia FM, Gockerman JP, Winter JN, Flowers CR, Nikcevich DA, Sotomayor EM, et al. Vaccination with patient-specific tumor-derived antigen in first remission improves disease-free survival in follicular lymphoma. J Clin Oncol. 2011;29(20):2787-2794 [Google Scholar]
  • 9. Kretzschmar T, Aoustin L, Zingel O, Marangi M, Vonach B, Towbin H, Geiser M High-level expression in insect cells and purification of secreted monomeric single-chain Fv antibodies. J Immunol Methods. 1996;195(1–2):93-101; PMID: 8814324; https://doi.org/10.1016/0022-1759(96)00093-2 [] [[PubMed][Google Scholar]
  • 10. McCormick AA, Reinl SJ, Cameron TI, Vojdani F, Fronefield M, Levy R, Tusé D Individualized human scFv vaccines produced in plants: humoral anti-idiotype responses in vaccinated mice confirm relevance to the tumor Ig. J Immunol Methods. 2003; 278(1-2):95-104; PMID: 12957399; https://doi.org/10.1016/S0022-1759(03)00208-4 [] [[PubMed][Google Scholar]
  • 11. Tusé D, Ku N, Bendandi M, Becerra C, Collins R Jr, Langford N, Sancho SI, López-Díaz de Cerio A, Pastor F, Kandzia R et al. Clinical safety and immunogenicity of tumor-targeted, plant-made Id-KLH conjugate vaccines for follicular lymphoma. Biomed Res Int. 2015; 2015:648143; PMID: 26425548; https://doi.org/10.1155/2015/648143 ] [[Google Scholar]
  • 12. Coban C, Koyama S, Takeshita F, Akira S, Ishii KJ Molecular and cellular mechanisms of DNA vaccines. Hum Vaccin. 2008; 4(6):453-457 [[PubMed][Google Scholar]
  • 13. Rice J, Ottensmeier CH, Stevenson FK DNA vaccines: precision tools for activating effective immunity against cancer. Nat Rev Cancer. 2008;8(2):108-120; PMID: 18219306; https://doi.org/10.1038/nrc2326 [] [[PubMed][Google Scholar]
  • 14. Stevenson FK, Rice J, Ottensmeier CH, Thirdborough SM, Zhu D DNA fusion gene vaccines against cancer: from the laboratory to the clinic. Immunol Rev. 2004;199:156-180; PMID: 15233733; https://doi.org/10.1111/j.0105-2896.2004.00145.x [] [[PubMed][Google Scholar]
  • 15. Stevenson FK, Mander A, Chudley L, Ottensmeier CH DNA fusion vaccines enter the clinic. Cancer Immunol Immunother. 2011;60(8):1147-1151; PMID: 21644035; https://doi.org/10.1007/s00262-011-1042-2 [] [[PubMed][Google Scholar]
  • 16. Senovilla L, Vacchelli E, Garcia P, Eggermont A, Fridman WH, Galon J, Zitvogel L, Kroemer G, Galluzzi L Trial watch: DNA vaccines for cancer therapy. Oncoimmunology. 2013;2(4):e23803; PMID: 23734328; https://doi.org/10.4161/onci.23803 ] [[Google Scholar]
  • 17. Patel KG, Ng PP, Levy S, Levy R, Swartz JR Escherichia coli-based production of a tumor idiotype antibody fragment-tetanus toxin fragment C fusion protein vaccine for B cell lymphoma. Protein Expr Purif. 2011; 75(1):15-20; https://doi.org/10.1016/j.pep.2010.09.005 [] [[PubMed][Google Scholar]
  • 18. Guo JH, Fan MW, Sun JH, Jia R Fusion of antigen to chemokine CCL20 or CXCL13 strategy to enhance DNA vaccine potency. Int Immunopharmacol. 2009;9(7-8):925-930; https://doi.org/10.1016/j.intimp.2009.03.019 [] [[PubMed][Google Scholar]
  • 19. Savelyeva N, Munday R, Spellerberg MB, Lomonossoff GP, Stevenson FK Plant viral genes in DNA idiotypic vaccines activate linked CD4+ T-cell mediated immunity against B-cell malignancies. Nat Biotechnol. 2001;19(8):760-764; PMID: 11479570; https://doi.org/10.1038/90816 [] [[PubMed][Google Scholar]
  • 20. Chen CG, Lu Y-T, Lin M, Savelyeva N, Stevenson FK, Zhu D Amplification of immune responses against a DNA-delivered idiotypic lymphoma antigen by fusion to the B subunit of E. coli heat labile toxin. Vaccine. 2009; 27(32):4289-4296 [[PubMed][Google Scholar]
  • 21. Timmerman JM, Singh G, Hermanson G, Hobart P, Czerwinski DK, Taidi B, Rajapaksa R, Caspar CB, Van Beckhoven A, Levy R Immunogenicity of a plasmid DNA vaccine encoding chimeric idiotype in patients with B-cell lymphoma. Cancer Res. 2002;62(20):5845-5852. PMID: 12384547 PMID: 12384547 PMID: 12384547 [[PubMed][Google Scholar]
  • 22. Oh Y-K, Suh D, Kim JM, Choi HG, Shin K, Ko JJ Polyethylenimine-mediated cellular uptake, nucleus trafficking and expression of cytokine plasmid DNA. Gene Ther. 2002;9(23):1627-1632; PMID: 12424615; https://doi.org/10.1038/sj.gt.3301735 [] [[PubMed][Google Scholar]
  • 23. Ma Y-F, Yang Y-W Delivery of DNA-based cancer vaccine with polyethylenimine. Eur J Pharm Sci. 2010;40(2):75-83; https://doi.org/10.1016/j.ejps.2010.02.009 [] [[PubMed][Google Scholar]
  • 24. Garzon MR, Berraondo P, Crettaz J, Ochoa L, Vera M, Lasarte JJ, Vales A, Van Rooijen N, Ruiz J, Prieto J, et al. Induction of gp120-specific protective immune responses by genetic vaccination with linear polyethylenimine-plasmid complex. Vaccine. 2005;23(11):1384-1392 [[PubMed][Google Scholar]
  • 25. Oh YK, Kim JP, Yoon H, Kim JM, Yang JS, Kim CK Prolonged organ retention and safety of plasmid DNA administered in polyethylenimine complexes. Gene Ther. 2001;8:1587-1592; PMID: 11704820; https://doi.org/10.1038/sj.gt.3301516 [] [[PubMed][Google Scholar]
  • 26. Grant E V., Thomas M, Fortune J, Klibanov AM, Letvin NL Enhancement of plasmid DNA immunogenicity with linear polyethylenimine. Eur J Immunol. 2012;42(11):2937-2948; PMID: 22886924; https://doi.org/10.1002/eji.201242410 [] [[PubMed][Google Scholar]
  • 27. Houot R, Levy R Vaccines for lymphomas: idiotype vaccines and beyond. Blood Rev. 2009;23(3):137-142; https://doi.org/10.1016/j.blre.2008.09.001 [] [[PubMed][Google Scholar]
  • 28. Meleshko AN, Vashkevich KP, Fomina EG, Scheslenok EP, Schkolina TV, Sergeev GV Cloning of variable fragments of tumor immunoglobulin, assembling and expressing of human SCFV protein in E. coli for anti-idiotype vaccination. Exp Oncol. 2013;35(1):8-14 [[PubMed][Google Scholar]
  • 29. Jacobus AP, Gross J Optimal cloning of PCR fragments by homologous recombination in Escherichia coli. PLoS One. 2015;10(3):1-17; https://doi.org/10.1371/journal.pone.0119221 ] [[Google Scholar]
  • 30. Saltzman WM, Shen H, Brandsma JL. DNA Vaccines: Methods and Protocols SECOND EDI (Hackworth J, ed.). Totowa, New Jersey: Humana Press Inc; 2006 [PubMed]
  • 31. Meleshko AN, Savva NN, Fedasenka UU, Romancova AS, Krasko OV, Eckert C, von Stackelberg A, Aleinikova OV Prognostic value of MRD-dynamics in childhood acute lymphoblastic leukemia treated according to the MB-2002/2008 protocols. Leuk Res. 2011;35(10):1312-1320; https://doi.org/10.1016/j.leukres.2011.04.013 [] [[PubMed][Google Scholar]
  • 32. van der Velden VHJ, Cazzaniga G, Schrauder A, Hancock J, Bader P, Panzer-Grumayer ER, Flohr T, Sutton R, Cave H, Madsen HO, et al. Analysis of minimal residual disease by Ig/TCR gene rearrangements: guidelines for interpretation of real-time quantitative PCR data. Leukemia. 2007;21(4):604-611; PMID: 17287850 [[PubMed][Google Scholar]
  • 33. Fioretti D, Iurescia S, Fazio VM, Rinaldi M DNA vaccines: developing new strategies against cancer. J Biomed Biotechnol. 2010;2010:174378; PMID: 20368780; https://doi.org/10.1155/2010/174378 ] [[Google Scholar]
  • 34. Best SR, Peng S, Juang CM, Hung CF, Hannaman D, Saunders JR, Wu TC, Pai SI Administration of HPV DNA vaccine via electroporation elicits the strongest CD8+ T cell immune responses compared to intramuscular injection and intradermal gene gun delivery. Vaccine. 2009;27(40):5450-5459 [Google Scholar]
  • 35. Low L, Mander A, McCann K, Dearnaley D, Tjelle T, Mathiesen I, Stevenson F, Ottensmeier CH DNA vaccination with electroporation induces increased antibody responses in patients with prostate cancer. Hum Gene Ther. 2009;20(11):1269-1278; PMID: 19619001; https://doi.org/10.1089/hum.2009.067 [] [[PubMed][Google Scholar]
  • 36. van den Berg JH, Nuijen B, Schumacher TN, Haanen JB, Storm G, Beijnen JH, Hennink WE.. Synthetic vehicles for DNA vaccination. J Drug Target. 2010;18(1):1-14; PMID: 19814658; https://doi.org/10.3109/10611860903278023 [] [[PubMed]
  • 37. Bolhassani A, Safaiyan S, Rafati S Improvement of different vaccine delivery systems for cancer therapy. Mol Cancer. 2011;10(1):3; PMID: 21211062; https://doi.org/10.1186/1476-4598-10-3 ] [[Google Scholar]
  • 38. Di Gioia S, Conese M Polyethylenimine-mediated gene delivery to the lung and therapeutic applications. Drug Des Devel Ther. 2009;2(2):163-188; PMID: 19920904 [Google Scholar]
  • 39. Thomas SK, Kwak LW Lymphoma vaccine therapy: next steps after a positive, controlled phase III clinical trial. Semin Oncol. 2012;39(3):253-262; https://doi.org/10.1053/j.seminoncol.2012.02.014 [] [[PubMed][Google Scholar]
  • 40. Savelyeva N, Allen A, Chotprakaikiat W, Harden E, Jobsri J, Godeseth R, Wang Y, Stevenson F, Ottensmeier C Linked CD4 T Cell Help: Broadening Immune Attack Against Cancer by Vaccination. Curr Top Microbiol Immunol. 2016;351(January):139-157 [[PubMed][Google Scholar]
  • 41. Jobsri J, Allen A, Rajagopal D, Shipton M, Kanyuka K, Lomonossoff GP, Ottensmeier C, Diebold SS, Stevenson FK1, Savelyeva N1. Plant virus particles carrying tumour antigen activate TLR7 and Induce high levels of protective antibody. PLoS One. 2015;10(2):e0118096; PMID: 25692288; https://doi.org/10.1371/journal.pone.0118096 ] [
  • 42. Chudley L, McCann KJ, Coleman A, Cazaly AM, Bidmon N, Britten CM, van der Burg SH, Gouttefangeas C, Jandus C, Laske K, et al. Harmonisation of short-term in vitro culture for the expansion of antigen-specific CD8+ T cells with detection by ELISPOT and HLA-multimer staining. Cancer Immunol Immunother. 2014;63(11):1199-1211; https://doi.org/10.1007/s00262-014-1593-0 ] [[Google Scholar]
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