Immunization With a Pentavalent Vaccine Composed of KLH-conjugates of GD2L, GD3L, Globo H, Fucosyl GM1, and N-Propionylated Polysialic Acid

Inclusion Criteria:

Patients must have small cell lung cancer confirmed by the Department of Pathology at Memorial Sloan-Kettering Cancer Center.
Patients may have limited or extensive stage disease at the time of diagnosis.
Patients must have completed first-line therapy, with or without thoracic and/or cranial irradiation, and have achieved either a complete response or partial response to therapy without subsequent evidence of disease progression.
At least 3 weeks must have elapsed between the time the patient completed chemotherapy and the first vaccination.
No more than 8 weeks can elapse between the time the patient completed chemotherapy and the first vaccination.
If the patient received thoracic or cranial irradiation after completing the chemotherapy, at least 1 week must have elapsed after the radiation before the first vaccination. Patients must have recovered from the acute toxicities of the radiation prior to starting the vaccine therapy.
Karnofsky Performance Status > or = to 70%.
Hematologic parameters:
WBC > or = to 3.0 x 10^3 cells/µl
Total lymphocyte count > or = to 0.5 x 10^3 cells/µl
Platelet count > 100,000/µl
Biochemical parameters
Creatinine clearance > or = to 40 ml/min
Total bilirubin < or = to 1.5 x upper limits of normal
AST and ALT < or = to 2.5 x upper limits of normal
Patients must be able to give written informed consent.
Patients must be ≥ 18 years old.

Exclusion Criteria:

Patients with progression of disease after first-line chemotherapy.
Pregnant or lactating women.
Patients with a history of immunodeficiency or autoimmune disease, or who have undergone radiation to the spleen or splenectomy.
Patients with a history of leptomeningeal disease.
Patients with active infection requiring systemic antibiotics, antiviral, or antifungal treatments.
Patients with serious unstable medical illness.
Patients taking systemic corticosteroids.
Patients with peripheral sensory neuropathy > grade 1.
Patients who have used non-steroidal anti-inflammatory medications within 2 weeks of vaccination.