The effect of jaundice on the generation of anti-gastrin antibodies in G17DT immunized patients with advanced pancreatic cancer

Eur J Surg Oncol. 2006 Mar;32(2):197-200. doi: 10.1016/j.ejso.2005.08.008. Epub 2005 Oct 24.

Abstract

Aim: The aim of this study was to determine the ability of G17DT to generate anti-gastrin antibodies in jaundiced patients with biliary obstruction due to advanced pancreatic cancer.

Methods: G17DT was administered to 41 patients with advanced pancreatic adenocarcinoma by intramuscular (i.m.) injection at a dose of 250mcg at weeks 0, 1 and 3 of the study.

Results: Thirty-five of 41 patients participating in the study were categorized as responders in terms of their gastrin-17 antibody response. There was no correlation between the maximum G17 antibody response and the bilirubin level at either week 0 or week 12. The median survival of patients from the time of the first injection of G17DT was 204 days with 25% of patients surviving for <or=97 days and 25% of patients surviving for >or=305 days.

Conclusion: This study shows that G17DT administered to jaundiced patients with advanced pancreatic cancer is immunogenic and well tolerated.

Publication types

  • Clinical Trial, Phase II

MeSH terms

  • Adenocarcinoma / drug therapy*
  • Adenocarcinoma / immunology
  • Adult
  • Aged
  • Aged, 80 and over
  • Antibody Formation / drug effects
  • Bilirubin / blood
  • Cancer Vaccines / adverse effects
  • Cancer Vaccines / blood
  • Cancer Vaccines / immunology*
  • Cancer Vaccines / therapeutic use*
  • Cholestasis / immunology
  • Disease Progression
  • Female
  • Gastrins / adverse effects
  • Gastrins / blood
  • Gastrins / immunology*
  • Gastrins / therapeutic use
  • Humans
  • Immunization* / adverse effects
  • Injections, Intramuscular
  • Jaundice / immunology*
  • Male
  • Middle Aged
  • Pancreatic Neoplasms / drug therapy*
  • Pancreatic Neoplasms / immunology
  • Survival Analysis
  • Time Factors
  • Treatment Outcome
  • United Kingdom

Substances

  • Cancer Vaccines
  • Gastrins
  • gastrin immunogen
  • Bilirubin