Summary:Between April 1997 and March 1998 we evaluated the immune response and outcome in 11 chemosensitive patients who were treated with the anti-idiotype antibody vaccine TriAb after recovery from intensive therapy and autologous stem cell transplant (ASCT). Triab was commenced after recovery from the acute effects of ASCT; a minimum interval of 1 month was required from completion of consolidation radiotherapy, if given. Although intensive therapy and autologous stem cell transplantation (ASCT) produces durable progression-free survival in a small proportion of women with metastatic breast cancer, the majority of patients relapse despite the procedure. 1 A number of different intensive chemotherapeutic agents and dose schedules have been evaluated, but none has clearly produced superior results. 1,2 One approach to try to improve the outcome involves the use of immunotherapy in conjunction with ASCT. The use of immunebased therapy has particular appeal after ASCT, at which time the tumor burden may be small. Several strategies have been proposed in breast cancer patients undergoing ASCT, including the use of cyclosporine to evoke an auto-