IMMUNOTHERAPY IN CML

Combined application of targeted therapy and immunotherapy in chronic myeloid leukaemia

Coordinatore	IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY AND MEDICINE    more  Organization address address: SOUTH KENSINGTON CAMPUS EXHIBITION ROAD city: LONDON postcode: SW7 2AZ contact info Titolo: Mr. Nome: Michael Cognome: Robinson Email: send email Telefono: 020 7594 3866 Fax: +44 (0)20 7594 3868
Nazionalità Coordinatore	United Kingdom [UK]
Totale costo	100˙000 €
EC contributo	100˙000 €
Programma	FP7-PEOPLE Specific programme "People" implementing the Seventh Framework Programme of the European Community for research, technological development and demonstration activities (2007 to 2013)
Code Call	FP7-PEOPLE-IRG-2008
Funding Scheme	MC-IRG
Anno di inizio	2008
Periodo (anno-mese-giorno)	2008-11-03   -   2012-11-02

 Partecipanti

#	participant	country	role	EC contrib. [€]
1	IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY AND MEDICINE  Organization address address: SOUTH KENSINGTON CAMPUS EXHIBITION ROAD city: LONDON postcode: SW7 2AZ contact info Titolo: Mr. Nome: Michael Cognome: Robinson Email: send email Telefono: 020 7594 3866 Fax: +44 (0)20 7594 3868	UK (LONDON)	coordinator	100˙000.00

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 Obiettivo del progetto (Objective)

'Chronic myeloid leukaemia (CML) is a disease of the haemopoietic stem cell, arising from a translocation t(9;22)(q34;q11). This translocation gives rise to a Philadelphia chromosome together with a BCR-ABL fusion gene that codes for a fusion protein with greatly enhanced tyrosine kinase activity. CML is a paradigm for the use of immunotherapy as well as being a model disease for the use of molecularly targeted therapies (tyrosine kinase inhibitors-TKI) in malignant disease. In patients with newly diagnosed chronic-phase CML, treatment with TKI results in a high rate of durable complete cytogenetic responses (CcyR), but 15% of patients never achieve a CCyR and a further 15-20% of patients achieve a CCyR but subsequently lose it. Moreover in the majority of patients who do respond well, BCR-ABL transcripts can still be detected in the blood and marrow for many years. These and others lines of evidence suggest that leukaemia stem cells persist in all or almost all patients and could pose a risk for relapse after many years of apparently successful treatment. In this study we propose to exploit this status of ‘minimal residual disease’ achieved with TKI by using a multi-epitope vaccine approach to eliminate all persisting leukaemia. Furthermore, we will investigate if the addition of immunomodulatory agents such as interferon-alpha will further enhance this vaccine-induced immune effect.'