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Dexamethasone did not suppress immune boosting by personalized peptide vaccination for advanced prostate cancer patients

BACKGROUND To evaluate the immunological responses of personalized peptide vaccination combined with low‐dose glucocorticoids for advanced hormone refractory prostate cancer (HRPC) patients (pts). METHODS Eleven pts with advanced HRPC were treated with the vaccination and low‐dose glucocorticoids; 6...

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Published in:The Prostate 2008-12, Vol.68 (16), p.1753-1762
Main Authors: Naito, Masayasu, Itoh, Kyogo, Komatsu, Nobukazu, Yamashita, Yuichi, Shirakusa, Takafumi, Yamada, Akira, Moriya, Fukuko, Ayatuka, Hitoshi, Mohamed, Elnisr Rashed, Matsuoka, Kei, Noguchi, Masanori
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cited_by cdi_FETCH-LOGICAL-c3957-3015b2eecc668561885f5f8d0658735c4b3dd408494984cfff6480ad2e4c1a643
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container_end_page 1762
container_issue 16
container_start_page 1753
container_title The Prostate
container_volume 68
creator Naito, Masayasu
Itoh, Kyogo
Komatsu, Nobukazu
Yamashita, Yuichi
Shirakusa, Takafumi
Yamada, Akira
Moriya, Fukuko
Ayatuka, Hitoshi
Mohamed, Elnisr Rashed
Matsuoka, Kei
Noguchi, Masanori
description BACKGROUND To evaluate the immunological responses of personalized peptide vaccination combined with low‐dose glucocorticoids for advanced hormone refractory prostate cancer (HRPC) patients (pts). METHODS Eleven pts with advanced HRPC were treated with the vaccination and low‐dose glucocorticoids; 6 pts with 10 mg/day of prednisolone (PDL) followed by 1 mg/day of dexamethasone at the time of progression, 1 pt with PDL, and 4 pts with dexamethasone. Peptide‐specific cellular and humoral responses were employed to monitor pre‐ and post‐ (6th) vaccination samples. RESULTS The vaccination combined with glucocorticoids was well tolerated with no severe adverse effects. Increments of IgG responses were observed in 1 of 4 or 8 of 10 pts tested who received PDL or dexamethasone, respectively, increment of cytotoxic T lymphocyte activity was observed in 2 of 4 or 5 of 7 pts tested, respectively. Vaccination with PDL or dexamethasone resulted in a decline of PSA (at least 50%) in 1 of 7 or 6 of 10 pts with significantly longer median TTP in the dexamethasone group, respectively. CONCLUSION Vaccination combined with dexamethasone could be recommended for further clinical trials from both immunological and clinical points of view. Prostate © 2008 Wiley‐Liss, Inc.
doi_str_mv 10.1002/pros.20847
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METHODS Eleven pts with advanced HRPC were treated with the vaccination and low‐dose glucocorticoids; 6 pts with 10 mg/day of prednisolone (PDL) followed by 1 mg/day of dexamethasone at the time of progression, 1 pt with PDL, and 4 pts with dexamethasone. Peptide‐specific cellular and humoral responses were employed to monitor pre‐ and post‐ (6th) vaccination samples. RESULTS The vaccination combined with glucocorticoids was well tolerated with no severe adverse effects. Increments of IgG responses were observed in 1 of 4 or 8 of 10 pts tested who received PDL or dexamethasone, respectively, increment of cytotoxic T lymphocyte activity was observed in 2 of 4 or 5 of 7 pts tested, respectively. Vaccination with PDL or dexamethasone resulted in a decline of PSA (at least 50%) in 1 of 7 or 6 of 10 pts with significantly longer median TTP in the dexamethasone group, respectively. CONCLUSION Vaccination combined with dexamethasone could be recommended for further clinical trials from both immunological and clinical points of view. Prostate © 2008 Wiley‐Liss, Inc.</description><identifier>ISSN: 0270-4137</identifier><identifier>EISSN: 1097-0045</identifier><identifier>DOI: 10.1002/pros.20847</identifier><identifier>PMID: 18767041</identifier><identifier>CODEN: PRSTDS</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Antibody Formation - drug effects ; Antibody Formation - immunology ; Antineoplastic Agents, Hormonal - adverse effects ; Antineoplastic Agents, Hormonal - pharmacology ; Antineoplastic Agents, Hormonal - therapeutic use ; Biological and medical sciences ; Cancer Vaccines - adverse effects ; Cancer Vaccines - pharmacology ; Cancer Vaccines - therapeutic use ; Combined Modality Therapy ; Dexamethasone - adverse effects ; Dexamethasone - pharmacology ; Dexamethasone - therapeutic use ; Dose-Response Relationship, Drug ; glucocorticoids ; Gynecology. Andrology. Obstetrics ; Humans ; immunotherapy ; Male ; Male genital diseases ; Medical sciences ; Nephrology. Urinary tract diseases ; peptide vaccine ; Prednisolone - adverse effects ; Prednisolone - pharmacology ; Prednisolone - therapeutic use ; prostate cancer ; Prostatic Neoplasms - immunology ; Prostatic Neoplasms - therapy ; Retrospective Studies ; Treatment Outcome ; Tumors ; Tumors of the urinary system ; Urinary tract. Prostate gland</subject><ispartof>The Prostate, 2008-12, Vol.68 (16), p.1753-1762</ispartof><rights>Copyright © 2008 Wiley‐Liss, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3957-3015b2eecc668561885f5f8d0658735c4b3dd408494984cfff6480ad2e4c1a643</citedby><cites>FETCH-LOGICAL-c3957-3015b2eecc668561885f5f8d0658735c4b3dd408494984cfff6480ad2e4c1a643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20846317$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18767041$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naito, Masayasu</creatorcontrib><creatorcontrib>Itoh, Kyogo</creatorcontrib><creatorcontrib>Komatsu, Nobukazu</creatorcontrib><creatorcontrib>Yamashita, Yuichi</creatorcontrib><creatorcontrib>Shirakusa, Takafumi</creatorcontrib><creatorcontrib>Yamada, Akira</creatorcontrib><creatorcontrib>Moriya, Fukuko</creatorcontrib><creatorcontrib>Ayatuka, Hitoshi</creatorcontrib><creatorcontrib>Mohamed, Elnisr Rashed</creatorcontrib><creatorcontrib>Matsuoka, Kei</creatorcontrib><creatorcontrib>Noguchi, Masanori</creatorcontrib><title>Dexamethasone did not suppress immune boosting by personalized peptide vaccination for advanced prostate cancer patients</title><title>The Prostate</title><addtitle>Prostate</addtitle><description>BACKGROUND To evaluate the immunological responses of personalized peptide vaccination combined with low‐dose glucocorticoids for advanced hormone refractory prostate cancer (HRPC) patients (pts). METHODS Eleven pts with advanced HRPC were treated with the vaccination and low‐dose glucocorticoids; 6 pts with 10 mg/day of prednisolone (PDL) followed by 1 mg/day of dexamethasone at the time of progression, 1 pt with PDL, and 4 pts with dexamethasone. Peptide‐specific cellular and humoral responses were employed to monitor pre‐ and post‐ (6th) vaccination samples. RESULTS The vaccination combined with glucocorticoids was well tolerated with no severe adverse effects. Increments of IgG responses were observed in 1 of 4 or 8 of 10 pts tested who received PDL or dexamethasone, respectively, increment of cytotoxic T lymphocyte activity was observed in 2 of 4 or 5 of 7 pts tested, respectively. Vaccination with PDL or dexamethasone resulted in a decline of PSA (at least 50%) in 1 of 7 or 6 of 10 pts with significantly longer median TTP in the dexamethasone group, respectively. CONCLUSION Vaccination combined with dexamethasone could be recommended for further clinical trials from both immunological and clinical points of view. Prostate © 2008 Wiley‐Liss, Inc.</description><subject>Aged</subject><subject>Antibody Formation - drug effects</subject><subject>Antibody Formation - immunology</subject><subject>Antineoplastic Agents, Hormonal - adverse effects</subject><subject>Antineoplastic Agents, Hormonal - pharmacology</subject><subject>Antineoplastic Agents, Hormonal - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cancer Vaccines - adverse effects</subject><subject>Cancer Vaccines - pharmacology</subject><subject>Cancer Vaccines - therapeutic use</subject><subject>Combined Modality Therapy</subject><subject>Dexamethasone - adverse effects</subject><subject>Dexamethasone - pharmacology</subject><subject>Dexamethasone - therapeutic use</subject><subject>Dose-Response Relationship, Drug</subject><subject>glucocorticoids</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>immunotherapy</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>peptide vaccine</subject><subject>Prednisolone - adverse effects</subject><subject>Prednisolone - pharmacology</subject><subject>Prednisolone - therapeutic use</subject><subject>prostate cancer</subject><subject>Prostatic Neoplasms - immunology</subject><subject>Prostatic Neoplasms - therapy</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. 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Andrology. Obstetrics</topic><topic>Humans</topic><topic>immunotherapy</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>peptide vaccine</topic><topic>Prednisolone - adverse effects</topic><topic>Prednisolone - pharmacology</topic><topic>Prednisolone - therapeutic use</topic><topic>prostate cancer</topic><topic>Prostatic Neoplasms - immunology</topic><topic>Prostatic Neoplasms - therapy</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. 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METHODS Eleven pts with advanced HRPC were treated with the vaccination and low‐dose glucocorticoids; 6 pts with 10 mg/day of prednisolone (PDL) followed by 1 mg/day of dexamethasone at the time of progression, 1 pt with PDL, and 4 pts with dexamethasone. Peptide‐specific cellular and humoral responses were employed to monitor pre‐ and post‐ (6th) vaccination samples. RESULTS The vaccination combined with glucocorticoids was well tolerated with no severe adverse effects. Increments of IgG responses were observed in 1 of 4 or 8 of 10 pts tested who received PDL or dexamethasone, respectively, increment of cytotoxic T lymphocyte activity was observed in 2 of 4 or 5 of 7 pts tested, respectively. Vaccination with PDL or dexamethasone resulted in a decline of PSA (at least 50%) in 1 of 7 or 6 of 10 pts with significantly longer median TTP in the dexamethasone group, respectively. CONCLUSION Vaccination combined with dexamethasone could be recommended for further clinical trials from both immunological and clinical points of view. Prostate © 2008 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18767041</pmid><doi>10.1002/pros.20847</doi><tpages>10</tpages></addata></record>
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subjects Aged
Antibody Formation - drug effects
Antibody Formation - immunology
Antineoplastic Agents, Hormonal - adverse effects
Antineoplastic Agents, Hormonal - pharmacology
Antineoplastic Agents, Hormonal - therapeutic use
Biological and medical sciences
Cancer Vaccines - adverse effects
Cancer Vaccines - pharmacology
Cancer Vaccines - therapeutic use
Combined Modality Therapy
Dexamethasone - adverse effects
Dexamethasone - pharmacology
Dexamethasone - therapeutic use
Dose-Response Relationship, Drug
glucocorticoids
Gynecology. Andrology. Obstetrics
Humans
immunotherapy
Male
Male genital diseases
Medical sciences
Nephrology. Urinary tract diseases
peptide vaccine
Prednisolone - adverse effects
Prednisolone - pharmacology
Prednisolone - therapeutic use
prostate cancer
Prostatic Neoplasms - immunology
Prostatic Neoplasms - therapy
Retrospective Studies
Treatment Outcome
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title Dexamethasone did not suppress immune boosting by personalized peptide vaccination for advanced prostate cancer patients
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