Prolongation of survival of dogs with oral malignant melanoma treated by en bloc surgical resection and adjuvant CSPG4-antigen electrovaccination

Vet Comp Oncol. 2017 Sep;15(3):996-1013. doi: 10.1111/vco.12239. Epub 2016 May 4.

Abstract

Reported post-surgery 1-year survival rate for oral canine malignant melanoma (cMM) is around 30%; novel treatments are needed as the role of adjuvant chemotherapy is unclear. This prospective study regards adjuvant electrovaccination with human chondroitin sulfate proteoglycan-4 (hCSPG4)-encoded plasmid in 23 dogs with resected II/III-staged CSPG4-positive oral cMM compared with 19 dogs with resected only II/III-staged CSPG4-positive oral cMM. Vaccination resulted in 6-, 12-, 18- and 24-month survival rate of 95.6, 73.9, 47.8 and 30.4%, respectively [median survival time (MST) 684 days, range 78-1694, 8 of 23 dogs alive] and 6-, 12-, 18- and 24-month disease-free interval (DFI) rate of 82.6, 47.8, 26.1 and 17.4%, respectively (DFI 477 days, range 50-1694). Non-vaccinated dogs showed 6-, 12-, 18- and 24-month survival rate of 63.2, 26.3, 15.8 and 5.3%, respectively (MST 200 days, range 75-1507, 1 of 19 dogs alive) and 6-, 12-, 18- and 24-month DFI rate of 52.6, 26.3, 10.5 and 5.3%, respectively (DFI 180 days, range 38-1250). Overall survival and DFI of vaccinated dogs was longer in those <20 kg. In vaccinated and non-vaccinated dogs local recurrence rate was 34.8 and 42%, respectively while lung metastatic rate was 39 and 79%, respectively.

Keywords: CSPG4; DNA electroporation; adjuvant immunotherapy; canine oral malignant melanoma; comparative oncology.

MeSH terms

  • Adjuvants, Immunologic / therapeutic use
  • Animals
  • Cancer Vaccines / therapeutic use
  • Chondroitin Sulfate Proteoglycans / immunology*
  • Combined Modality Therapy
  • Dog Diseases / mortality
  • Dog Diseases / therapy*
  • Dogs
  • Female
  • Male
  • Melanoma / mortality
  • Melanoma / therapy
  • Melanoma / veterinary*
  • Mouth Neoplasms / mortality
  • Mouth Neoplasms / therapy
  • Mouth Neoplasms / veterinary*

Substances

  • Adjuvants, Immunologic
  • Cancer Vaccines
  • Chondroitin Sulfate Proteoglycans