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title: New Study Explores if a Vaccine Can Prevent Breast Cancer
description: The trial will ultimately test whether women can be immunized against breast cancer
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author: Alice Park
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article:published_time: 2021-11-29T18:03:20.000Z
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# New Study Explores if a Vaccine Can Prevent Breast Cancer

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<!-- video src="https://cdn.jwplayer.com/manifests/zKXhRQrd.m3u8" -->
## Video: Treating DCIS: A New Approach

[Watch (HLS stream): Treating DCIS: A New Approach](https://cdn.jwplayer.com/manifests/zKXhRQrd.m3u8) (7:37)

![Treating DCIS: A New Approach](https://cdn.jwplayer.com/v2/media/zKXhRQrd/poster.jpg?width=720)

_Published 2021-11-03. Six years after TIME's initial interview with surgical oncologist Dr. Shelley Hwang and her patient Laura Colletti, we show the long term outcome of active surveillance for Laura._


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Nov 29, 2021 6:03 PM UTC

![Unrecognizable nurse taking a mammogram exam to an adult patient](https://static.time.com/v3/assets/bltea6093859af6183b/bltcfaa765e5e071b0d/698a20340116827e729814d3/GettyImages-917730122.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Unrecognizable nurse taking a mammogram exam to an adult patient at the hospital

Unrecognizable nurse taking a mammogram exam to an adult patient at the hospital Getty Images

![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1:1)

by 

[Alice Park](https://time.com/author/alice-park/)


![Alice Park](https://static.time.com/v3/assets/bltea6093859af6183b/blt9b1ff6b12c3a4c3f/698a0b4397cdff3e366ba723/200116_Time_Headshots_Day552832-e1583529256299.jpg?branch=production&width=96&quality=75&auto=webp)

## Alice Park


Senior Correspondent

Nov 29, 2021 6:03 PM UTC

Harnessing the immune system to target cancer has long resided on doctors’ wish lists, with very little promise of becoming reality. Because [cancer cells](https://time.com/6110530/ellison-institute-breast-cancer/) are normal cells that mutate to grow out of control, directing the body to destroy these cells is a risky endeavor with potentially dangerous outcomes.

Advances in [immunotherapy](https://time.com/4721371/immunotherapy-triple-negative-breast-cancer/), however, have led to powerful drugs that can help immune cells better distinguish between cancer cells and healthy ones, and researchers are now testing the idea of whether the immune system can be trained to recognize and destroy breast cancer cells in the same way that it dispatches viruses or bacteria.

Dr. G. Thomas Budd, staff physician at the Cleveland Clinic Taussig Cancer Center, is leading a potentially ground-breaking study of a breast cancer vaccine that could help women produce antibodies and other immune cells that protect them from getting cancer. The vaccine is designed to target a particularly aggressive form of the disease, known as [triple negative](https://time.com/5429733/immune-therapy-triple-negative-breast-cancer/), that currently has very few treatment options. Triple negative cancer lacks the molecular flags—for estrogen, progesterone or HER2—that common breast cancer drugs target.

The first phase of the study will focus on safety and include 18 to 24 women who have already been diagnosed with triple negative breast cancer and treated with standard therapies, which include chemotherapy, surgery and DNA-interfering drugs that inhibit cancer cells’ ability to copy their genes and grow. They will receive three doses of the experimental vaccine, two weeks apart, and Budd and his team will look for side effects and determine whether the participants produce any immune response directed against the cancer targets. Budd’s team will also see if the women’s cancer returns.


Ultimately, he says, if this early phase indicates the vaccine is safe and shows promise in triggering an [anti-cancer immune response](https://time.com/6109518/laura-esserman-breast-cancer-wisdom/), the study will expand to include women at high risk of developing triple negative cancer, but who haven’t been diagnosed yet, to see if immunizing them could help prevent the cancer from occurring in the first place. Women with BRCA1 mutations as well as [Black and Hispanic women](https://time.com/4070036/race-and-breast-cancer/) are more likely to develop triple negative cancers, so including these women in the study will help demonstrate how effective the vaccine might be.

“I would say this could be game changing,” says Budd of the approach. While others have tried to develop breast cancer vaccines, targeted against some of the more common features of breast cancer cells like the HER2 receptor, those efforts haven’t led to dramatic success yet. That may have to do with the fact that the vaccine targets things on the breast cancer cells that also appear on healthy cells, which makes them more toxic and less efficient in blocking tumors from growing.


The vaccine Budd is testing was based on work by his Cleveland Clinic colleague and immunologist Vincent Tuohy. It targets a never-before-tried breast cancer protein called alpha lactalbumin, which breast cells actively express only when a woman is lactating. If she’s no longer lactating, the gene for the protein goes silent, and the protein isn’t produced. It turns out, however, that 70% of triple negative breast cancers actively produce this protein, which makes it a reasonable target for the immune system. Tuohy showed in studies with mice that training the immune system to recognize this protein with a vaccine effectively preventing tumors from forming, and also slowed growth of existing breast tumors in the animals.

That data convinced the Food and Drug Administration to support the first studies in humans, which Budd is leading. With funding from the Department of Defense, his team is now recruiting women with triple negative breast cancer who are in remission and treating them to see if the vaccine is safe, and, hopefully, if it can prevent recurrence of their disease.


From the animal studies, Budd believes that the vaccine will be most effective in [preventing disease](https://time.com/5884236/coronavirus-pandemic-cancer-care/), or preventing recurrence, and is hopeful that once this first trial shows the vaccine is safe, his team can start vaccinating healthy women at high risk for triple negative breast cancer. “I do think the \[target\] we are using makes a difference, and the major lesson from previous vaccine trials shows that ultimately we ought to move more to the prevention setting than the treatment setting,” he says.

The trial could be a milestone in establishing the usefulness of immune-based approaches in treating breast cancer, including its most intractable forms. Some immunotherapy drugs that manipulate the immune system and make it easier for immune cells to target breast tumors have demonstrated some anti-cancer activity, but it’s not enough. “Those showed us the bear can dance, and we’d like to teach it new steps,” says Budd about the vaccine strategy.


## Transcript

I remember sitting in the Imaging room at Duke and a radiologist knocked on the door and he comes in with a big smile on his face. I'll never forget him and he sits down and he goes misses colletti. It's basically almost gone. The cells are being reabsorbed this very little there. This is amazing. I was just so excited and he was excited and it made me feel really hopeful for my future and other woman's future. And now it's seven years since I'm doing, okay. I don't think there's anything else. I will look at the grant, but I was just looking forward to see what the background was. So, in April of 2014, I was diagnosed with dcis when they gave me the diagnosis, I initially felt a lot of dread got sick to my stomach and just thought, you know, oh no, so what is this going to lead to my daughters?

And this will reaction was mom. If it was me. I take it out. And you know, that was initially how she felt until we discussed it, you know, and when we talked about the risks of surgery and radiation treatments and some of the things that can happen with that and the fact that he's a pre-cancerous cells that need to sit there and never do anything. She came around. One of the best things about my job is that I see patients who have a potentially lethal diagnosis, and I'm able to be part of what allows them to be cured of their disease. The flip side is that one of the least rewarding experiences I have is what I see a patient who is so fearful.

And so not at peace with her own body. That she feels that she has to do extraordinary things to be free of her anxiety of breast cancer. I'm fortunate to be on the early side of things, where most of the patients, I see have very early, very treatable problems. And I think that's how I got interested in DC is because of all, the so-called cancers that we diagnose now dcis is the very earliest. Form active surveillance is very new and for many people, both on the position side and the patient side. It's a scary proposition. I'm certainly not condoning it for everyone and not recommending that everyone was dcis, follow path of active surveillance, but I think it should be considered in the context of all the options that patients have all the time different Comfort levels of how far we're willing to go to be sure.

We don't die of this and that other disease, but we all done something and we can't prevent everything. You're going to couple of very important Studies have been published lately, which has shown that for the really low risk. DC is whether you ever operate on them, but I do want back to me, or what are you doing? This text to me? To patients are equally likely to not die of breast cancer. They're removing both your breath of that phase. Really doesn't help a woman to live longer and I filled in for some of those patients. They see mastectomy was being a way to rid themselves of anxiety. And that makes me sad.

I think there are much better ways to reduce anxiety than to do a pretty major operation. After, which you're never really going to be the same and the side effects that patients have in terms of discomfort with themselves. Never feeling like their whole again. A lot of the work that I do in clinic is being with patients at probably, one of the most vulnerable and scary times in their lives. And to be part of that process in to see patients through, that is incredibly rewarding. The initial fear that you have. I think it's just because you don't know what's going to happen. But you know, if you read the studies and you look at the information out there, I don't feel afraid at all.

I feel great about my decision. They've been busy today. Wow, very busy. Hey there, girl. What you doing? Just hanging out. So since my initial diagnosis, it's been 7 years. I am doing great. I'm active healthy have no major health issues. I go for my mammogram now once a year like everyone else and I'm not taking endocrine therapy and I feel fine. I feel wonderful. I think it was for me, the best decision I could make. When I think about this whole process that I went through, and my husband because we discussed everything. I feel like if we weren't in the healthcare field and we weren't able to research articles and and look up information that would help us make a decision that maybe we would have said, oh my goodness, of course lumpectomy radiation and that would be that.

So I feel like because we had that knowledge, it enabled us to make a different decision and Shelley Wong was supportive of that. I want other women to have that choice to This is been a real education for me, going through this seeing how the medical system works and actually how hard it is to change a standard of care. It takes years.

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