A small clinical trial (conducted by the U.S. military) of
an experimental vaccine designed to trigger the immune system to fight breast
cancer suggests that it may reduce the risk of death for most patients.
Breast cancer represents about one quarter of all cancer
cases and that makes it deadlier than other forms of the disease.
“We now have something we think works in the majority of
women with breast cancer who are currently underserved. It’s also very, very
well-tolerated, like a flu shot,” said George Peoples, chief of surgical
oncology at Brooke Army Medical Center in San Antonio and director of the
Cancer Vaccine Development Program at the U.S. Military Cancer Institute and senior
author of the study, the Washington Post reported.
The vaccine (licensed by biotech firm, Apthera) is designed
to treat women with tumors that generate a protein called HER-2. About
one-fourth of breast cancer patients have the gene mutation that leads to excess
HER2 proteins. In these cases, tumors tend to grow faster and are more likely to
recur than tumors that do not carry the protein.
The new vaccine, called NeuVax, was tested in women whose
tumors generated low levels of HER-2 as well as in women with high levels of
the protein. The trial included 163 patients. After a 30 month-period, the
injected vaccine was shown to cut the risk of death for all patients by half,
and in the group of patients with low-expressing HER-2 tumors, no deaths were
reported.
The trial also showed cancer recurred in 10.7 percent of
vaccinated low-expressors, compared with 18.2 percent of the control group.
“This is a potential way to immunize patients to lower the
risk of recurrence,” said Linda Benavides, a resident in general surgery at Brooke Army Medical Center
at Fort Sam Houston in San Antonio,
who was the study’s lead author.
She also added that a planned Phase III trial of NeuVax in
more than 700 patients will test the vaccine solely in women with tumors that
generate low levels of HER2, a group for which immune-targeting therapy is
currently unavailable.
Women with high levels of HER-2 are currently treated with
Herceptin, also known as trastuzumab, an expensive antibody-based drug made by
Genentech Inc.
According to the American Cancer Society, about 182,000
women in the U.S.
will be diagnosed with breast cancer this year.
The study was presented Sunday at a meeting of the American
Association for Cancer Research in San
Diego.