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The Pharmaceutical Journal
Vol 271 No 7270 p487
11 October 2003

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Federation of European Cancer Societies (www.fecs.be)


Hope for pancreatic cancer vaccine

Early trial results for a pancreatic cancer vaccine used as treatment have raised hope for the development of this therapy.

At last month’s European Cancer Conference in Copenhagen, Dr Robert Maki, Memorial Sloan-Kettering Cancer Center, New York, reported a phase I study of the vaccine in 10 patients with pancreatic cancer.

Surgeons first operated to remove the primary tumour completely. The vaccine was then administered within eight weeks of surgery. No patients had chemotherapy or radiotherapy. The overall survival for the 10 patients was, on average, two-and-a-half years. The typical survival after surgery for pancreatic cancer is 14–15 months. One patient out of the 10 in the trial was still alive and without disease after five years. Two more were alive and disease-free after more than two years.

Dr Maki reported that the trial screened out people who had evidence of tumour spread, “so we may be biased in who we selected”. However, statistics show that mortality is still about 90 per cent within two years, even for those who have complete removal of their cancer.

The vaccine was created from a heat-shock protein taken from the patients’ own tumours. It was too early to tell whether it would be possible to create a vaccine that could be used on all patients, Dr Maki said. A method for purifying the vaccine overcame the problem of pancreatic enzymes attacking the vaccine after administration.

However, Dr Maki warned that a larger study was needed to “get a better picture of the efficacy of this vaccine”.

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