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A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Prostate cancer vaccines in clinical trials
1Department of Urology, University of Iowa Carver College of Medicine and The Holden Comprehensive Cancer Center, 375 Newton Road, 3210 MERF, Iowa City, IA 52242, USA. david-lubaroff@uiowa.edu
Abstract:
This review presents important information about the current state of the art for vaccine immunotherapy of prostate cancer. It includes important preclinical research for each of the important prostate cancer vaccines to have reached clinical trials. To date, the only prostate cancer vaccine that has completed Phase III trials and has been approved and licensed by the US FDA is Sipuleucel-T, which immunizes patients against the prostate-associated antigen prostatic acid phosphatase. The benefits and concerns associated with the vaccine are presented. A current Phase III trial is currently underway using the vaccinia-based prostate-specific antigen vaccine Prostvac-TRICOM. Other immunotherapeutic vaccines in trials include the Ad/prostate-specific antigen vaccine Ad5-prostate-specific antigen and the DNA/prostatic acid phosphatase vaccine. A cellular vaccine, GVAX, has been in clinical trials but has not seen continuous study. This review also delves into the multiple immune regulatory elements that must be overcome in order to obtain strong antitumor-associated antigen immune responses capable of effectively destroying prostate tumor cells.
Insights
This review covers prostate cancer vaccine immunotherapy, including Sipuleucel-T (prostatic acid phosphatase vaccine) and Prostvac-TRICOM (prostate-specific antigen vaccine). It examines preclinical data and challenges in developing effective prostate cancer immunotherapies.
Area of Science:
- Oncology
- Immunology
- Vaccinology
Background:
- Prostate cancer immunotherapy is an evolving field.
- Several therapeutic vaccines targeting prostate cancer have been developed and tested in clinical trials.
- Understanding immune regulation is crucial for effective cancer vaccines.
Purpose of the Study:
- To review the current state of prostate cancer vaccine immunotherapy.
- To present preclinical research for key prostate cancer vaccines in clinical trials.
- To discuss the benefits, concerns, and immune challenges associated with these therapies.
Main Methods:
- Review of preclinical data for prostate cancer vaccines.
- Analysis of clinical trial outcomes for approved and investigational vaccines.
- Examination of immune regulatory mechanisms in prostate cancer.
Main Results:
- Sipuleucel-T, targeting prostatic acid phosphatase (PAP), is the only FDA-approved prostate cancer vaccine.
- Prostvac-TRICOM (prostate-specific antigen - PSA) is in Phase III trials.
- Other vaccines like Ad5-PSA and DNA-PAP are in development, with GVAX cellular vaccine having intermittent study.
Conclusions:
- Significant progress has been made in prostate cancer vaccine immunotherapy.
- Overcoming immune evasion is critical for enhancing vaccine efficacy.
- Further research is needed to optimize immune responses against prostate tumors.
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