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clinical / clinicalsipuleucel-T IMPACT trial, bone metastases mCRPC, prostate cancer immunotherapy

Celestia S. Higano

塞莱斯蒂亚·希加诺

MD, FACP

🏢University of British Columbia / Fred Hutchinson Cancer Center(英属哥伦比亚大学 / 弗雷德·哈钦森癌症中心)🌐USA/Canada

Professor Emerita of Medicine (Oncology), University of Washington; Affiliate Professor, University of British Columbia; Clinical Research Lead (ret.), Fred Hutchinson Cancer Center华盛顿大学医学(肿瘤学)荣誉退休教授;英属哥伦比亚大学兼职教授;弗雷德·哈钦森癌症中心临床研究主任(退休)

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Key Contributions

👥Biography 个人简介

Celestia S. Higano, MD, FACP is Professor Emerita of Medicine (Oncology) at the University of Washington and Affiliate Professor at the University of British Columbia, having spent the majority of her career at the Fred Hutchinson Cancer Center in Seattle, where she built and led one of the most productive mCRPC clinical research programs in North America. Dr. Higano is best known internationally as the leading clinical investigator of sipuleucel-T (Provenge), the first FDA-approved therapeutic cancer vaccine. She was a principal investigator and steering committee co-chair of the landmark IMPACT trial (NEJM 2010), a phase III randomized study of 512 asymptomatic or minimally symptomatic mCRPC patients that demonstrated sipuleucel-T improved overall survival by 4.1 months (HR 0.78; p=0.03) versus placebo, leading to FDA approval of sipuleucel-T in April 2010 — the first therapeutic cancer vaccine ever approved. Beyond immunotherapy, Dr. Higano has been a pioneer in characterizing the long-term complications of androgen-deprivation therapy, particularly bone loss and osteoporosis, sexual dysfunction, cardiovascular metabolic syndrome, and cognitive effects, leading clinical guidelines for ADT toxicity monitoring and prevention. She has also conducted seminal research on the management of bone metastases in mCRPC, contributing to the development of zoledronic acid and denosumab as standards for preventing skeletal-related events. Dr. Higano is a past president of ASCO and has served on the FDA Oncology Drug Advisory Committee, influencing regulatory standards for prostate cancer drug approvals.

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🧪Research Fields 研究领域

Sipuleucel-T (Provenge) — IMPACT Phase III Trial and Prostate Cancer Immunotherapysipuleucel-T(Provenge)——IMPACT三期试验与前列腺癌免疫疗法
Bone Metastases in mCRPC — Bisphosphonates, Denosumab, and Skeletal-Related EventsmCRPC骨转移——双膦酸盐、地诺单抗与骨骼相关事件
ADT Long-Term Complications — Bone Loss, Cardiovascular Risk, and Quality of LifeADT长期并发症——骨量丢失、心血管风险与生活质量
Prostate Cancer Vaccine Therapy — Antigen-Specific Immunotherapy Development前列腺癌疫苗疗法——抗原特异性免疫治疗开发
mCRPC Clinical Trials — Phase III Leadership and Endpoints DevelopmentmCRPC临床试验——三期领导与终点开发

🎓Key Contributions 主要贡献

IMPACT Trial — Sipuleucel-T, First Therapeutic Cancer Vaccine Approval

Served as principal investigator and steering committee co-chair of the phase III IMPACT trial (NEJM 2010) randomizing 512 asymptomatic/minimally symptomatic mCRPC patients to sipuleucel-T or placebo. IMPACT demonstrated a significant OS benefit: median OS 25.8 versus 21.7 months, HR 0.78 (p=0.03), translating to a 22% reduction in the risk of death. No significant difference in time to objective disease progression was seen — establishing the "immunotherapy dissociation" between PFS and OS that would become a recurring theme in cancer immunotherapy trials. FDA approval of sipuleucel-T in April 2010 was a watershed moment, proving therapeutic cancer vaccination could extend survival.

Bone Metastases Management — Denosumab and Zoledronic Acid in mCRPC

Led and participated in key clinical trials establishing bone-protective agents as standard of care in mCRPC with bone metastases. Was a central investigator in the phase III trial demonstrating denosumab (RANK-L antibody) superior to zoledronic acid in preventing skeletal-related events (SREs) in mCRPC (Lancet 2011: HR 0.82; p=0.008), and contributed to the evidence base establishing zoledronic acid itself as the first agent proven to reduce SREs in hormone-refractory prostate cancer — transforming supportive care in mCRPC.

ADT Complications — Bone Loss, Osteoporosis, and Long-Term Toxicity Management

Conducted and synthesized pivotal research characterizing the spectrum of long-term ADT complications in prostate cancer patients, including accelerated bone loss (up to 4% per year at femoral neck), increased fracture risk, metabolic syndrome, dyslipidemia, insulin resistance, cardiovascular event risk, and cognitive effects. Published landmark guideline papers and consensus statements establishing monitoring recommendations, prevention strategies (calcium, vitamin D, exercise, bisphosphonates), and thresholds for bone-targeted therapy in ADT-treated prostate cancer patients.

Prostate Cancer Immunotherapy — Antigen-Specific Vaccine Development

Beyond sipuleucel-T, conducted early-phase research on multiple prostate cancer vaccine platforms including PSA-TRICOM (PROSTVAC), GVAX, and peptide-based vaccines targeting PSMA and other prostate-specific antigens. Characterized immune correlates of vaccine response in mCRPC, defined optimal immunological endpoints for phase I/II vaccine trials, and investigated combination strategies of cancer vaccines with androgen deprivation and checkpoint inhibitors to enhance antitumor immune responses in prostate cancer.

Representative Works 代表性著作

[1]

Sipuleucel-T Immunotherapy for Castration-Resistant Prostate Cancer (IMPACT)

New England Journal of Medicine (2010)

Landmark IMPACT phase III trial demonstrating sipuleucel-T improved OS in asymptomatic/minimally symptomatic mCRPC, earning the first-ever FDA approval of a therapeutic cancer vaccine.

[2]

Denosumab versus Zoledronic Acid for Treatment of Bone Metastases in Men with Castration-Resistant Prostate Cancer

Lancet (2011)

Phase III trial demonstrating denosumab superiority over zoledronic acid in preventing SREs in mCRPC, establishing RANK-L inhibition as preferred bone-protective standard of care.

[3]

Osteoporosis and Bone Loss in Patients with Prostate Cancer Receiving Androgen Deprivation Therapy

Journal of Urology (2009)

Comprehensive review defining the magnitude of ADT-associated bone loss and fracture risk with evidence-based prevention and management recommendations.

[4]

Active immunotherapy with a poxviral-based PSA vaccine in prostate cancer

Journal of Clinical Oncology (2000)

Early-phase clinical trial of PSA-targeted poxviral vaccine demonstrating PSA-specific T-cell responses and early signals of clinical activity, establishing the immunological proof-of-concept for therapeutic prostate cancer vaccines.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Past President (2015–2016)
🏆American Urological Association Honorary Member Award
🏆Society of Urologic Oncology Willet F. Whitmore Award
🏆International Prostate Cancer Update Lifetime Achievement Award
🏆American College of Physicians (ACP) Fellow (FACP)

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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