TUESDAY, April 15 (HealthDay News) -- A germ that commonly
causes food poisoning may be the next weapon in the fight against
cervical cancer, a major cause of death among women worldwide.
A new trial shows that a live Listeria vaccine called Lovaxin C
is safe and even showed some benefit in 15 women with advanced
cervical cancer.
Listeria is a common bacteria found on leafy vegetables and
dairy products. "Most of us eat it routinely but don't know it,
because it generates a strong immune reaction," study lead author
John Rothman, vice president of clinical development at Advaxis
Inc. of North Brunswick, N.J., which makes the vaccine, said at a
Tuesday news conference. "It can cause disease, but it's safe,
because the lowest doses of any number of antibiotics will clear it
and will do it without impeding the immune response."
This vigorous immune response is what researchers are hoping
will give the vaccine a fighting chance against cervical cancer.
According to Rothman, there are at least 10 ways that Listeria
attacks tumors, and probably more.
Most of the women involved in this study had stage 4 disease and
had failed prior surgery, chemotherapy or radiation. All women were
given the vaccine as well as the antibiotic ampicillin.
By study's end, only five patients still had progressive
disease, seven were stable and one demonstrated a partial response
to the vaccine. Three of the seven stable patients showed tumor
reductions of about 20 percent and one of more than 30 percent.
The vaccine did cause flu-like symptoms in all patients (fever,
chills, nausea), but those who had received lower-dose vaccines
were treated easily with over-the-counter drugs, the researchers
said.
Rothman's study was just one of several showing promise that
were presented Tuesday at the American Association for Cancer
Research annual meeting, in San Diego.
A second study, out of the Netherlands, found that the GVAX
vaccine stimulated a significant immune response in men with
prostate cancer. Five out of six participants receiving the highest
dose of vaccine showed declines in PSA (prostate-specific antigen)
levels of 50 percent or more.
"This appears to be a promising approach," study lead author
Saskia Santegoets of VU University Medical Center in Amsterdam,
said at the news conference.
Another vaccine -- this one for prostate cancer that hasn't
responded to other therapies -- also showed hope. Three of six
patients who received the highest dose of the vaccine saw declines
in PSA levels of more than 50 percent. The trial involved 24
patients overall.
According to lead author Dr. Lawrence Fong of the University of
California, San Francisco, the vaccine works by "educating" the
immune system."
And, finally, antibody directed enzyme pro-drug therapy (ADEPT)
showed positive responses in 44 percent of patients with either
colorectal, gastro-esophageal, breast, gallbladder, peritoneal,
appendix, pancreas or cancer of unknown primary site. With ADEPT,
an enzyme activates a drug that has been targeted to the tumor by
an antibody, at the site of the tumor.
More information
The
U.S. National Cancer Institute has more on cancer
vaccines.