Addition of Algenpantucel-L Immunotherapy to Standard Adjuvant Therapy for Pancreatic Cancer: A Phase 2 Study

Jeffrey M. Hardacre, Mary Mulcahy, William Small, Mark Talamonti, Jennifer Obel, Smitha Krishnamurthi, Caio S. Rocha-Lima, Howard Safran, Heinz Joseph Lenz, E. Gabriela Chiorean

Research output: Contribution to journalArticlepeer-review

115 Scopus citations

Abstract

Background: Despite continued investigation, limited progress has been made in the adjuvant treatment of resected pancreatic cancer. Novel or targeted therapies are needed. Methods: Multi-institutional, open-label, dose-finding, phase 2 trial evaluating the use of algenpantucel-L (NewLink Genetics Corporation, Ames, IA) immunotherapy in addition to chemotherapy and chemoradiotherapy in the adjuvant setting for resected pancreatic cancer (ClinicalTrials. gov identifier, NCT00569387). The primary outcome was 12-month disease-free survival. Secondary outcomes included overall survival and toxicity. Results: Seventy patients were treated with gemcitabine and 5-fluorouracil-based chemoradiotherapy as well as algenpantucel-L (mean 12 doses, range 1-14). After a median follow-up of 21 months, the 12-month disease-free survival was 62 %, and the 12-month overall survival was 86 %. The most common adverse events were injection site pain and induration. Conclusions: The addition of algenpantucel-L to standard adjuvant therapy for resected pancreatic cancer may improve survival. A multi-institutional, phase 3 study is ongoing (ClinicalTrials. gov identifier, NCT01072981).

Original languageEnglish (US)
Pages (from-to)94-101
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume17
Issue number1
DOIs
StatePublished - Jan 2013

Keywords

  • Adjuvant therapy
  • Immunotherapy
  • Pancreatic cancer

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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