Phase 1 study of HPV16-specific immunotherapy with E6E7 fusion protein and ISCOMATRIX™ adjuvant in women with cervical intraepithelial neoplasia

: Persistent infection of cervical epithelium with “high risk” human papillomavirus (HPV) results in cervical intraepithelial neoplasia (CIN) from which squamous cancer of the cervix can arise. A study was undertaken to evaluate the safety and immunogenicity of an HPV16 immunotherapeutic consisting...

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Veröffentlicht in:Vaccine 2004-11, Vol.23 (2), p.172-181
Hauptverfasser: Frazer, Ian H., Quinn, Michael, Nicklin, Jim L., Tan, Jeffrey, Perrin, Lew C., Ng, Peng, O’Connor, Vivienne M., White, Olivia, Wendt, Ngaire, Martin, Juliet, Crowley, Jayne M., Edwards, Stirling J., McKenzie, Andrew W., Mitchell, Susan V., Maher, Darryl W., Pearse, Martin J., Basser, Russell L.
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container_end_page 181
container_issue 2
container_start_page 172
container_title Vaccine
container_volume 23
creator Frazer, Ian H.
Quinn, Michael
Nicklin, Jim L.
Tan, Jeffrey
Perrin, Lew C.
Ng, Peng
O’Connor, Vivienne M.
White, Olivia
Wendt, Ngaire
Martin, Juliet
Crowley, Jayne M.
Edwards, Stirling J.
McKenzie, Andrew W.
Mitchell, Susan V.
Maher, Darryl W.
Pearse, Martin J.
Basser, Russell L.
description : Persistent infection of cervical epithelium with “high risk” human papillomavirus (HPV) results in cervical intraepithelial neoplasia (CIN) from which squamous cancer of the cervix can arise. A study was undertaken to evaluate the safety and immunogenicity of an HPV16 immunotherapeutic consisting of a mixture of HPV16 E6E7 fusion protein and ISCOMATRIX™ adjuvant (HPV16 Immunotherapeutic) for patients with CIN. : Patients with CIN ( n = 31) were recruited to a randomised blinded placebo controlled dose ranging study of immunotherapy. : Immunotherapy was well tolerated. Immunised subjects developed HPV16 E6E7 specific immunity. Antibody, delayed type hypersensitivity, in vitro cytokine release, and CD8 T cell responses to E6 and E7 proteins were each significantly greater in the immunised subjects than in placebo recipients. Loss of HPV16 DNA from the cervix was observed in some vaccine and placebo recipients. : The HPV16 Immunotherapeutic comprising HPV16E6E7 fusion protein and ISCOMATRIX™ adjuvant is safe and induces vaccine antigen specific cell mediated immunity.
doi_str_mv 10.1016/j.vaccine.2004.05.013
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Loss of HPV16 DNA from the cervix was observed in some vaccine and placebo recipients. : The HPV16 Immunotherapeutic comprising HPV16E6E7 fusion protein and ISCOMATRIX™ adjuvant is safe and induces vaccine antigen specific cell mediated immunity.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>DOI: 10.1016/j.vaccine.2004.05.013</identifier><identifier>PMID: 15531034</identifier><identifier>CODEN: VACCDE</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adjuvants, Immunologic ; Adolescent ; Adult ; Applied microbiology ; Biological and medical sciences ; Cancer Vaccines - immunology ; Cancer Vaccines - therapeutic use ; Cellular immunity ; Cervical cancer ; Cervical intraepithelial neoplasia ; Cervical Intraepithelial Neoplasia - immunology ; Cervical Intraepithelial Neoplasia - therapy ; Cervical Intraepithelial Neoplasia - virology ; Cholesterol - therapeutic use ; Delayed type hypersensitivity ; Drug Combinations ; Experimental design ; Female ; Fundamental and applied biological sciences. 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Quinn, Michael ; Nicklin, Jim L. ; Tan, Jeffrey ; Perrin, Lew C. ; Ng, Peng ; O’Connor, Vivienne M. ; White, Olivia ; Wendt, Ngaire ; Martin, Juliet ; Crowley, Jayne M. ; Edwards, Stirling J. ; McKenzie, Andrew W. ; Mitchell, Susan V. ; Maher, Darryl W. ; Pearse, Martin J. ; Basser, Russell L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-98be62b263063e34164721b5b41d95c941de623c9eb53fdd0490fed8912a5283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adjuvants, Immunologic</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Applied microbiology</topic><topic>Biological and medical sciences</topic><topic>Cancer Vaccines - immunology</topic><topic>Cancer Vaccines - therapeutic use</topic><topic>Cellular immunity</topic><topic>Cervical cancer</topic><topic>Cervical intraepithelial neoplasia</topic><topic>Cervical Intraepithelial Neoplasia - immunology</topic><topic>Cervical Intraepithelial Neoplasia - therapy</topic><topic>Cervical Intraepithelial Neoplasia - virology</topic><topic>Cholesterol - therapeutic use</topic><topic>Delayed type hypersensitivity</topic><topic>Drug Combinations</topic><topic>Experimental design</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. 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A study was undertaken to evaluate the safety and immunogenicity of an HPV16 immunotherapeutic consisting of a mixture of HPV16 E6E7 fusion protein and ISCOMATRIX™ adjuvant (HPV16 Immunotherapeutic) for patients with CIN. : Patients with CIN ( n = 31) were recruited to a randomised blinded placebo controlled dose ranging study of immunotherapy. : Immunotherapy was well tolerated. Immunised subjects developed HPV16 E6E7 specific immunity. Antibody, delayed type hypersensitivity, in vitro cytokine release, and CD8 T cell responses to E6 and E7 proteins were each significantly greater in the immunised subjects than in placebo recipients. Loss of HPV16 DNA from the cervix was observed in some vaccine and placebo recipients. : The HPV16 Immunotherapeutic comprising HPV16E6E7 fusion protein and ISCOMATRIX™ adjuvant is safe and induces vaccine antigen specific cell mediated immunity.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>15531034</pmid><doi>10.1016/j.vaccine.2004.05.013</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adjuvants, Immunologic
Adolescent
Adult
Applied microbiology
Biological and medical sciences
Cancer Vaccines - immunology
Cancer Vaccines - therapeutic use
Cellular immunity
Cervical cancer
Cervical intraepithelial neoplasia
Cervical Intraepithelial Neoplasia - immunology
Cervical Intraepithelial Neoplasia - therapy
Cervical Intraepithelial Neoplasia - virology
Cholesterol - therapeutic use
Delayed type hypersensitivity
Drug Combinations
Experimental design
Female
Fundamental and applied biological sciences. Psychology
Histology
Human papillomavirus
Humans
Hypersensitivity
Immunization
Immunogenicity
Immunotherapy
Infections
Laboratories
Lymphocytes
Medical sciences
Microbiology
Middle Aged
Miscellaneous
Oncogene Proteins, Viral - genetics
Papillomaviridae - immunology
Papillomavirus E7 Proteins
Papillomavirus Infections - immunology
Papillomavirus Infections - therapy
Papillomavirus Infections - virology
Patients
Phospholipids - therapeutic use
Proteins
Recombinant Fusion Proteins - immunology
Recombinant Fusion Proteins - therapeutic use
Repressor Proteins - genetics
Saponins - therapeutic use
Tumors
Uterine Cervical Dysplasia - immunology
Uterine Cervical Dysplasia - therapy
Uterine Cervical Dysplasia - virology
Vaccines
Vaccines, antisera, therapeutical immunoglobulins and monoclonal antibodies (general aspects)
Viral load
Virology
title Phase 1 study of HPV16-specific immunotherapy with E6E7 fusion protein and ISCOMATRIX™ adjuvant in women with cervical intraepithelial neoplasia
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