This phase I trial studies the side effects and best way to give vaccine therapy and basiliximab in treating patients with stage IV breast cancer. Vaccines made from peptides or gene-modified viruses may help the body build an effective immune response to kill tumor cells. Monoclonal antibodies, such as basiliximab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Giving vaccine therapy together with basiliximab may be an effective treatment for breast cancer.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT01660529.
PRIMARY OBJECTIVES:
I. To determine the safety of treating metastatic breast cancer patients with anti-cluster of differentiation (CD)25 monoclonal antibody (mAb) basiliximab followed by vaccination with human telomerase reverse transcriptase (hTERT)/survivin/cytomegalovirus (CMV) multipeptide vaccine emulsified in Montanide ISA 51 and administered with GM-CSF (sargramostim) and Prevnar (pneumococcal 7-valent conjugate vaccine).
SECONDARY OBJECTIVES:
I. To determine the effect of basiliximab on CD4+CD25+ T regulatory cells by comparing T-regulatory (Treg) frequency and function before and after treatment.
II. To assess the induction of peptide-specific cytotoxic T lymphocytes in patients as a result vaccination.
III. To assess tumor response.
OUTLINE:
Patients receive basiliximab intravenously (IV) over 30 minutes in week -1; hTERT/Survivin/CMV multi-peptide vaccine subcutaneously (SC) every 2 weeks for injections 1-4, and then every 4 weeks for injections 5-28; and pneumococcal 7-valent conjugate vaccine intramuscularly (IM) in weeks 1, 3, and 5. Treatment continues in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 6 months for 5 years.
Lead OrganizationUniversity of Pennsylvania/Abramson Cancer Center
Principal InvestigatorKevin Reitnauer Fox