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Re: Vaccine Therapy in Treating Patients With Breast Cancer
I just went back and read the criteria, and unfortunately you have to be disease free and within 1-6 months of just finishing treatment. I'm sorry Pam. Here is the inclusion and exclusion criteria . . .
Inclusion criteria: - Meets one of the following criteria:
- Lymph node-positive breast cancer
- High-risk lymph node-negative breast cancer, defined by any one of the following criteria:
- T2 disease
- Grade 3 disease
- Lymphovascular invasion
- Estrogen receptor- or progesterone receptor-negative disease
- N0 (I+) disease
HER2/neu-expressing tumor (immunohistochemistry [IHC] 1-3+ and/or positive fluorescence in situ hybridization [FISH] > 1.2)
- Clinically cancer-free (no evidence of disease) after completion (between 1-6 months ago) of primary standard of care breast cancer therapies (i.e., surgery, chemotherapy, immunotherapy, and radiation therapy as appropriate per standard of care for patients' specific cancer)
Exclusion criteria: - HER2/neu-negative breast cancers (IHC 0)
- Clinical and/or radiographic evidence of residual or persistent breast cancer
PATIENT CHARACTERISTICS:
Inclusion criteria: - Female or male
- Menopausal status not specified
- Immunologically intact by recall anergy testing
- Negative pregnancy test
Exclusion criteria: - Anergic by the Mantoux panel of recall antigens
- Karnofsky 0-60% or ECOG ≥ 2
- Total bilirubin > 1.8 g/dL
- Creatinine > 2.0 g/dL
- Hemoglobin < 10.0 g/dL
- Platelet count < 50,000/mm³
- WBC< 2,000/mm³
- Active pulmonary disease requiring medication that includes multiple inhalers
- Pregnancy
- Breastfeeding
- History of autoimmune disease
PRIOR CONCURRENT
Inclusion criteria: - See Disease Characteristics
Exclusion criteria: - <LI style="MARGIN-TOP: 0.7ex">Concurrent immunosuppressive therapy including chemotherapy, steroids, or methotrexate
- Concurrent participation in another experimental treatment (except with permission of the other study investigator)
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9/15/08 (age 52) - Mammo: calcifications
9/22/08 - Biopsy: DCIS, grade 3. ER,PR status: Pos. in 75-90% of tumor cells.
10/01/08 - Ob/Gyn appt.: found complex, mostly cystic mass on right ovary - 11cmx12cmx 8cm
10/15/08 - Hysterectomy & Oophorectomy, Lumpectomy: Cyst on uterus, not ovary - all was benign. Breast - 5 of 6 bad margins. 2 Sentinel Lymph nodes removed, both negative. Stage 0, Tis, N0
12/11/08 - Mastectomy & DIEP reconstruction: Surprise! 2 cm Invasive DC, grade 2 found. One benign internal mammary lymph node. Stage 1, T1c, N0, all clean margins. ER+ (Proportion Score = 2/5, Intensity Score = 2/3) and PR+(Proportion Score = 3/5, Intensity Score = 2/3)
HER2 score = 3+
1/09/09 - Oncotype DX: Recurrence S/core of 60 !?!?! ER status is NEG!! PR staus is NEG! HER2 score = 12.2 (still positive, greater than 11.5 is positive).
1/20/09 - Started chemo: TCH
5/26/09 - FINISHED CHEMO!
1/05/10 - FINISHED HERCEPTIN!
1/22/10 - Port-a-catheter removed!
3/07/18 - Still NED
9/10/23 - Still NED
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