Table 1

Patient characteristics and MAGE-specific CD8+ T-cell response before and during treatment with azacitidine/VPA: summary of results from immune monitoring

Patient numberAge, y/sexDiagnosisDate of diagnosisPrevious treatmentDisease status pretreatmentKaryotype
CTA-specific CD8+ T-cell response (% lymphocytes)
Response to treatment
KaryotypePretreatmentCycle 1Cycle 2Cycle 3Cycle 4Cycle 5Cycle 6Cycle 7Antigen
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 numberAge, y/sexDiagnosisDate of diagnosisPrevious treatmentDisease status pretreatmentKaryotype
CTA-specific CD8+ T-cell response (% lymphocytes)
Response to treatment
KaryotypePretreatmentCycle 1Cycle 2Cycle 3Cycle 4Cycle 5Cycle 6Cycle 7Antigen
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.

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