HNCPhase II Study Designed To Evaluate Safety and Tumor Debulking Mechanism of an Individualized Cancer Vaccine (AllovaxTM) in Patients With Metastatic or Recurrent Cancer of the Head and Neck.

Date de début de l'étude : 1 janvier 2016

Inclusion Criteria: 1. Adult males and female patients aged 18 to 70 years old, inclusive, at screening visit. 2. Patients with histopatholologically or cytologically confirmed diagnosis of recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN) that is incurable with surgery, chemotherapy or radiation. No nasopharyngeal primaries. 3. Patients must have a tumor safely accessable for biopsy resulting in a minimum of 0.1 g of tumor sample for CRCL processing. 4. Patients must have visible external tumors measurable with at least one lesion deemed to be safely accessible for serial biopsy. 5. ECOG ≤2. 6. The result of screening test were in the criteria: 6.1 Adequate organ function including: A. Marrow: * WBC \>3000/mm3 * Platelets \>100,000/mm3. * Absolute neutrophil count ≥ 1,500/mm³ * Hemoglobin ≥ 10.0 g/dL (transfusion allowed) B. Hepatic: * Serum Total bilirubin \< 2 x ULN mg/dL, * ALT (SGPT) / AST (SGOT) ≤3 x upper limit of normal (ULN). C. Renal: * Serum creatinine (SCR) \<2.0 x ULN, or * Creatinine clearance (CCR) \>30 mL/min. 6.2 All patients have a pre-study echocardiogram without significant abnormalities or Ejection fraction \>50%. 6.3 All patients must be screened to be negative for HIV1, HIV2, HTLVI, HTLVII, HBV, HCV and RPR (syphilis). 6.4 Women of child-bearing potential must have a negative urine or serum pregnancy test result within 72 hours prior to the start of study drug administration. 7. All patients of child producing potential must agree to use contraception or avoidance of pregnancy measures while enrolled on study and receiving the experimental product. 8. Patients must have the ability to understand the study, its inherent risks, side effects and potential benefits and be able to give written informed consent to participate. Exclusion Criteria: 1. Clinical evidence or radiological evidence of nasopharyngeal primaries. 2. Clinical evidence or radiological evidence of brain metastasis. 3. History of severe hypersensitivity to monoclonal antibody drugs or any contraindication to any of the study drugs. 4. Concomitant active autoimmune disease (e.g., rheumatoid arthritis, multiple sclerosis, autoimmune thyroid disease, uveitis). 5. Prior experimental therapy or cancer vaccine treatment (e.g., dendritic cell therapy, heat shock vaccine). 6. Clinical requirement for systemic steroids or current immunosuppressive therapy, including: cyclosporine, antithymocyte globulin, or tacrolimus within 1 month of study entry. 7. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, requiring parenteral antibiotics, symptomatic congestive heart failure, severe myocardial insufficiency, cardiac arrhythmia 8. All infections must be resolved and the patient must remain a febrile for seven days prior to being placed in the study. 9. History of blood transfusion reactions. 10. Psychiatric or addictive disorders or other condition that, in the opinion of the investigator, would preclude study participation. 11. Pregnant or breast feeding. The patient will discontinuation from the participation in the study: 1. Less than 12 doses of CRCL able to be produced 2. Tumor sample for CRCL processing contains less than 80% tumor.