Immune response from STRIDE, a randomized, phase 2, open label study of sipuleucel-T (sip-T) with concurrent vs sequential enzalutamide (enz) administration in metastatic castration-resistant prostate cancer (mCRPC).

Authors

David Quinn

David I. Quinn

University of Southern California/Norris Comprehensive Cancer Center, Los Angeles, CA

David I. Quinn , Charles G. Drake , Robert Dreicer , Emmanuel S. Antonarakis , Neal D. Shore , John M. Corman , Raoul S. Concepcion , Christopher Michael Pieczonka , Nancy N. Chang , Todd DeVries , Nadeem A. Sheikh , Daniel Peter Petrylak

Organizations

University of Southern California/Norris Comprehensive Cancer Center, Los Angeles, CA, Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Oncology, Baltimore, MD, University of Virginia School of Medicine, Charlottesville, VA, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University, Baltimore, MD, Carolina Urologic Research Center, Myrtle Beach, SC, Virginia Mason Cancer Institute, Seattle, WA, Urology Associates P.C., Nashville, TN, Assoc Med Prof of NY, Syracuse, NY, Dendreon, Seattle, WA, Dendreon Corporation, Seattle, WA, Yale Comprehensive Cancer Center, New Haven, CT

Research Funding

Pharmaceutical/Biotech Company

Background: In mCRPC, data are limited regarding optimal combinatorial or sequential use of available treatments. P12-2 (STRIDE; NCT01981122) is an ongoing, randomized, open-label, phase 2 study evaluating concurrent vs sequential administration of the androgen receptor inhibitor, enz, with the autologous cellular immunotherapy, sip-T. Methods: Fifty-twopatients (pts) with asymptomatic or minimally symptomatic mCRPC were randomized 1:1 to receive 3 sip-T infusions with enz starting 2 wks before (n = 25, concurrent arm A) or 10 wks after (n = 27, sequential arm B) sip-T initiation. The primary endpoint is peripheral T cell proliferation response to PA2024, the sip-T immunizing antigen. Secondary endpoints include interferon (IFN)-γ ELISPOT and humoral immune responses to PA2024 and prostatic acid phosphatase (PAP), product release parameters (total nucleated cell count, CD54+ cell counts, and antigen presenting cell activation [as measured by CD54 upregulation]), cytokine production, and adverse events (AEs). Results through wk 26 are described. Results: PA2024-specific T cell proliferative response was significantly elevated at all post-baseline time points (p < 0.001) and was sustained through wk 26, including a > 10-fold increase at wk 20 in both arms. This PA2024-specific response was observed in nearly all pts, 95.8% in arm A vs 92.6% in arm B. Both arms showed a significant and sustained increase in humoral responses to PA2024 and PAP as well as IFN-γ ELISPOT response to PA2024. Sip-T product parameters were similar between arms. Cytokines indicative of immune activation (such as IFN-γ, interleukin-2, and tumor necrosis factor-α) were also elevated in both arms. AEs were observed in 88% (arm A) and 100% (arm B) of pts. The incidence of grade ≥ 3 AEs was similar between arms. Conclusions: Most mCRPC pts receivingenz concurrently with or subsequent to sip-T demonstrated significant and sustained peripheral T cell and humoral immune responses through wk 26. These interim data suggest that both schedules were safe, and enz did not impair sip-T production or subsequent immune responses. Clinical trial information: NCT01981122

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Abstract Details

Meeting

2015 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Genitourinary (Prostate) Cancer

Track

Genitourinary Cancer

Sub Track

Prostate Cancer

Clinical Trial Registration Number

NCT01981122

Citation

J Clin Oncol 33, 2015 (suppl; abstr 5040)

DOI

10.1200/jco.2015.33.15_suppl.5040

Abstract #

5040

Poster Bd #

32

Abstract Disclosures