Patient characteristics and MAGE-specific CD8+ T-cell response before and during treatment with azacitidine/VPA: summary of results from immune monitoring
Patient number . | Age, y/sex . | Diagnosis . | Date of diagnosis . | Previous treatment . | Disease status pretreatment . | Karyotype . | CTA-specific CD8+ T-cell response (% lymphocytes) . | Response to treatment . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Karyotype . | Pretreatment . | Cycle 1 . | Cycle 2 . | Cycle 3 . | Cycle 4 . | Cycle 5 . | Cycle 6 . | Cycle 7 . | Antigen . | |||||||
UPIN01 | 71/M | MDS-RAEB | Oct 2005 | None | MDS RAEB II | Standard risk | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | PR 190 | |
UPIN02 | 68/F | Secondary AML | June 2008 | DA, FLAG | Refractory AML | Standard risk | Negative | Negative | Negative | Negative | Negative | PR 53 | ||||
UPIN03 | 70/M | Secondary AML | June 2007 | DA ×2 | Relapsed AML | Standard risk | Negative | Negative | Negative | Negative | Negative | 0.49 | 0.05 | 1.1* | MAGE A2212-220 | PR 354§ |
UNPIN04 | 76/M | Secondary AML | Oct 2008 | DClo | Refractory AML | Standard risk | Negative | 0.05 | 0.1 | 0.2 | MAGE A2157-166 | SD | ||||
UPIN05 | 82/F | MDS –RAEB | Jan 2009 | None | MDS –RAEB | Standard risk | Negative | NE | ||||||||
UPIN06 | 54/F | Secondary AML | Jan 2008 | DA, MidAC, RIC allotransplant | Relapsed AML | Standard risk | Negative | NE | ||||||||
UPIN07 | 61/M | Primary AML | April 2008 | High-dose cytarabine ×3 | Relapsed AML | Poor risk | Negative | NE | ||||||||
UPIN08 | 72/M | Secondary AML | Jan 2009 | None | Secondary AML | Poor risk | Negative | NE | ||||||||
UPIN09 | 74/M | Secondary AML | Jan 2009 | DA, high-dose cytarabine; high-dose cytarabine (×2) on relapse | Relapsed AML | Standard risk | Negative | 0.01 | 0.02 | 0.004 | 0.1 | MAGE C2336-344/RAGE 132-40 | CR 267§ | |||
UPIN10 | 67/F | Primary AML | Nov 2003 | DA×2, MACE, MidAC, high-dose cytarabine; high-dose cytarabine (×2) | Relapsed AML | Standard risk | 0.042 | 0.085 | 0.014 | 0.1 | MAGE A2157-166 | CR 56 | ||||
UPIN11 | 51/M | Secondary AML | Feb 2009 | DA | Refractory AML | Standard risk | Negative | Negative | Negative | 0.05 | MAGE A2212-220 | PR 140 | ||||
UPIN12 | 55/M | Primary AML | May 2009 | None | De novo AML | Standard risk | Negative | Negative | Negative | Negative | CR 79 | |||||
UPIN13 | 70/M | Primary AML | Nov 2008 | DA | Relapsed AML | Poor risk | Negative | Negative | Negative | CR 148 | ||||||
UPIN14 | 70/M | MDS-RAEB | Sep 2007 | None | MDS-RAEB | Standard risk | Negative | Not performed | Not performed | Not performed | Not performed | 0.01 (cycle 16) | 0.95 (cycle 18)* | MAGE-A3167-176 | CR 799§ | |
UPIN15 | 68/M | Secondary AML | June 2009 | MidAC | Refractory AML | Standard risk | Negative | Negative | Negative | 0.07 | 0.1 | 0.01† | RAGE-1352-360 | SD | ||
UPIN16 | 71/F | Secondary AML | March 2008 | None | De novo AML | Standard risk | Negative | NE | ||||||||
UPIN17 | 80/M | MDS-RAEB | May 2007 | MidAC | Relapsed AML | Standard risk | Negative | Negative | 0.47‡ | RAGE-A111-20 | CR 29 | |||||
UPIN18 | 63/M | Primary AML | Dec 2008 | DA, FLAG, RIC, allogeneic transplant | Relapsed AML | Poor risk | Negative | Negative | 0.02 | 0.004 | 0.02† | MAGE-A2212-220 | PR 63 | |||
UPIN19 | 71/F | Primary AML | Oct 2009 | Cytosine | Refractory AML | Standard risk | Negative | NE | ||||||||
UPIN20 | 67/F | MDS-RAEB | Aug 2007 | Azacitidine, RIC, allograft | Relapsed MDS | Standard risk | Negative | 0.02 | 0.10 | MAGE-A196-104 | SD | |||||
UPIN 21 | 46/F | Primary AML | Jan 2009 | MidAC, RIC, allograft | Relapsed AML | Standard risk | Negative | 0.18 | 0.2 | Peptide pool A | PR |
Patient number . | Age, y/sex . | Diagnosis . | Date of diagnosis . | Previous treatment . | Disease status pretreatment . | Karyotype . | CTA-specific CD8+ T-cell response (% lymphocytes) . | Response to treatment . | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Karyotype . | Pretreatment . | Cycle 1 . | Cycle 2 . | Cycle 3 . | Cycle 4 . | Cycle 5 . | Cycle 6 . | Cycle 7 . | Antigen . | |||||||
UPIN01 | 71/M | MDS-RAEB | Oct 2005 | None | MDS RAEB II | Standard risk | Negative | Negative | Negative | Negative | Negative | Negative | Negative | Negative | PR 190 | |
UPIN02 | 68/F | Secondary AML | June 2008 | DA, FLAG | Refractory AML | Standard risk | Negative | Negative | Negative | Negative | Negative | PR 53 | ||||
UPIN03 | 70/M | Secondary AML | June 2007 | DA ×2 | Relapsed AML | Standard risk | Negative | Negative | Negative | Negative | Negative | 0.49 | 0.05 | 1.1* | MAGE A2212-220 | PR 354§ |
UNPIN04 | 76/M | Secondary AML | Oct 2008 | DClo | Refractory AML | Standard risk | Negative | 0.05 | 0.1 | 0.2 | MAGE A2157-166 | SD | ||||
UPIN05 | 82/F | MDS –RAEB | Jan 2009 | None | MDS –RAEB | Standard risk | Negative | NE | ||||||||
UPIN06 | 54/F | Secondary AML | Jan 2008 | DA, MidAC, RIC allotransplant | Relapsed AML | Standard risk | Negative | NE | ||||||||
UPIN07 | 61/M | Primary AML | April 2008 | High-dose cytarabine ×3 | Relapsed AML | Poor risk | Negative | NE | ||||||||
UPIN08 | 72/M | Secondary AML | Jan 2009 | None | Secondary AML | Poor risk | Negative | NE | ||||||||
UPIN09 | 74/M | Secondary AML | Jan 2009 | DA, high-dose cytarabine; high-dose cytarabine (×2) on relapse | Relapsed AML | Standard risk | Negative | 0.01 | 0.02 | 0.004 | 0.1 | MAGE C2336-344/RAGE 132-40 | CR 267§ | |||
UPIN10 | 67/F | Primary AML | Nov 2003 | DA×2, MACE, MidAC, high-dose cytarabine; high-dose cytarabine (×2) | Relapsed AML | Standard risk | 0.042 | 0.085 | 0.014 | 0.1 | MAGE A2157-166 | CR 56 | ||||
UPIN11 | 51/M | Secondary AML | Feb 2009 | DA | Refractory AML | Standard risk | Negative | Negative | Negative | 0.05 | MAGE A2212-220 | PR 140 | ||||
UPIN12 | 55/M | Primary AML | May 2009 | None | De novo AML | Standard risk | Negative | Negative | Negative | Negative | CR 79 | |||||
UPIN13 | 70/M | Primary AML | Nov 2008 | DA | Relapsed AML | Poor risk | Negative | Negative | Negative | CR 148 | ||||||
UPIN14 | 70/M | MDS-RAEB | Sep 2007 | None | MDS-RAEB | Standard risk | Negative | Not performed | Not performed | Not performed | Not performed | 0.01 (cycle 16) | 0.95 (cycle 18)* | MAGE-A3167-176 | CR 799§ | |
UPIN15 | 68/M | Secondary AML | June 2009 | MidAC | Refractory AML | Standard risk | Negative | Negative | Negative | 0.07 | 0.1 | 0.01† | RAGE-1352-360 | SD | ||
UPIN16 | 71/F | Secondary AML | March 2008 | None | De novo AML | Standard risk | Negative | NE | ||||||||
UPIN17 | 80/M | MDS-RAEB | May 2007 | MidAC | Relapsed AML | Standard risk | Negative | Negative | 0.47‡ | RAGE-A111-20 | CR 29 | |||||
UPIN18 | 63/M | Primary AML | Dec 2008 | DA, FLAG, RIC, allogeneic transplant | Relapsed AML | Poor risk | Negative | Negative | 0.02 | 0.004 | 0.02† | MAGE-A2212-220 | PR 63 | |||
UPIN19 | 71/F | Primary AML | Oct 2009 | Cytosine | Refractory AML | Standard risk | Negative | NE | ||||||||
UPIN20 | 67/F | MDS-RAEB | Aug 2007 | Azacitidine, RIC, allograft | Relapsed MDS | Standard risk | Negative | 0.02 | 0.10 | MAGE-A196-104 | SD | |||||
UPIN 21 | 46/F | Primary AML | Jan 2009 | MidAC, RIC, allograft | Relapsed AML | Standard risk | Negative | 0.18 | 0.2 | Peptide pool A | PR |
M indicates male; MDS, myelodysplasia; RAEB, refractory anemia with excess blasts; Oct, October; F, female; DA, daunorubicin/cytarabine; FLAG, fludarabine/cytarabine/GCSF; DClo, daunorubicin/clofarabine; SD, stable disease; Jan, January; NE, not evaluable; MidAC, mitoxantrone/cytarabine; RIC, reduced-intensity conditioning; Nov, November; MACE, amsacrine/cytarabine/etoposide; Feb, February; Sep, September; Dec, December; and Aug, August. Peptide pool A comprised MAGE-A2157-166; MAGE A2212-220 MAGE-C2336-344; RAGE-111-20; RAGE 132-40; CR, clinical response; and PR, partial response.
Indicates patient with notable increase in absolute lymphocyte count (from 2.1 at cycle 6 to > 6.6 at cycle 8), as well as increase in tumor blasts in the blood.
Indicates T-cell response additionally quantified by IFN-γ capture assay.
Indicates patient in whom responses were found to all 5 peptides in peptide pool A, with RAGE-A111-20 being dominant.
Indicates patients still responding to treatment.