01787: Clinical Advancement of a Cancer Vaccine in Dogs
Our previous work has shown that white blood cells known as B cells found in the peripheral blood can be activated and grown outside of the body using special “feeder cells” that express an important molecule known as CD40L. The stimulated B cells (known as CD40-B cells) can be loaded with genetic material (RNA) that has been extracted from the patient’s tumor. When re-injected back into the patient, the CD40-B cells are able to present the tumor material to the body’s immune system and stimulate an anti-tumor immune response. We have shown in a phase I clinical trial that this approach has produced promising results with respect to prolonging overall survival in dogs with lymphoma. Since then we have been working to further improve this vaccine in 2 important ways: firstly we aim to generate a more robust system that induces greater B cell proliferation and produces B cells that have improved capacity to stimulate the patient’s T cells against the cancerous cells; and secondly to generate a more user-friendly system of B cell activation and expansion that would only require basic laboratory equipment to make these vaccines for canine patients. This is an important step towards potential commercialization of the product enabling its use for many more dogs.
Our work has focused on optimizing the feeder cells that are used to stimulate B cells from the patient’s blood. Our proposed clinical trial involves repeat vaccination of dogs with lymphoma (rather than just 3 initial vaccines as per our first, phase I trial). Thus generation of a robust system that allows for optimal B cell activation and expansion aims to supply more B cells that can be cryopreserved for repeat vaccinations.
Current methods of generating the CD40-B vaccine from lymphoma patients are labor-intensive and require specialized laboratory equipment that is not available in most facilities. Therefore, we have now made second-generation feeder cells that stably express the canine form of CD40L (we previously used the human CD40L molecule in our feeder cells). We found that our second-generation canine CD40L expressing feeder cells are much simpler to maintain in the laboratory than the previously used transfected cells expressing human CD40L. We also performed several experiments to evaluate whether these second-generation feeder cells can be irradiated, frozen and then thawed prior to their effective use in B cell generation. This would enable these cells to be distributed to other centers that do not have ready access to an irradiator and enable those centers to generate CD40-B cell vaccines on site. We have found that canine B cell expansion using thawed, previously irradiated KTcCD40L feeder cells is possible however it is sub-optimal when compared to freshly irradiated feeder cells. Therefore, we will continue to generate CD40-B cell vaccines using freshly irradiated feeder cells. Interestingly, although our second-generation feeder cells are easier to maintain, we found that they appeared to only support B cell expansion for one round of stimulation and then the B cells died in the culture. After interrogating the system, we believe that the reason for this is that the new feeder cells support robust proliferation of B cells that requires altered culture conditions (diluting the rapidly expanding B cells out to lower concentrations than before and re-stimulating the B cells at shorter time intervals). We are now finalizing these important changes to our standard operating procedure.
Regulatory approval for our second clinical trial using our improved CD40-B cell technology has been given and we have recruited 2 dogs to date. Unfortunately both dogs failed to achieve clinical remission with chemotherapy and were ineligible for the clinical trial. The difficulties we have had with identifying the reason for the apparent “failure” of our B cell culture system has significantly delayed our progress on the clinical part of this trial and we have had to temporarily halt trial recruitment. However, following 2 more confirmatory experiments we hope to start enrollment again within the next few weeks.