Table 2.

Whole cell vaccine, without exogenous antigen-presenting cell

DiseaseVaccineNImmune responseClinical responseReference
AML/MDS GVAX administered following allogeneic transplantation 15 patients vaccinated Local vaccine site reaction, biopsy demonstrating T-cell infiltrate. 2-y OS for patients who received at least 1 vaccine was 57% ± 14% 55  
Decrease in soluble MICA and MICB in clinical responders. 
CLL GVAX administered following allogeneic transplantation 18 patients vaccinated Interferon γ secretion by CD8 T cells isolated from vaccinated patients after exposure to autologous tumor. Estimated 2-y PFS in vaccinated patients: 82% 56  
In 4 patients, it was shown that 17% of CD8+ T-cell clones reacted against CLL antigens. Estimated 2-y OS in vaccinated patients: 88% 
Multiple myeloma GVAX administered following autologous transplant 28 patients vaccinated Injection site reactions in all patients 41% of patients who received at least 4 posttransplant vaccines demonstrated increase in T-cell secretion of interferon γ secretion after ex vivo stimulation. 3-y PFS in 28 patients treated with vaccine was 61.8%; 3-y OS was 73.7% 57  
DiseaseVaccineNImmune responseClinical responseReference
AML/MDS GVAX administered following allogeneic transplantation 15 patients vaccinated Local vaccine site reaction, biopsy demonstrating T-cell infiltrate. 2-y OS for patients who received at least 1 vaccine was 57% ± 14% 55  
Decrease in soluble MICA and MICB in clinical responders. 
CLL GVAX administered following allogeneic transplantation 18 patients vaccinated Interferon γ secretion by CD8 T cells isolated from vaccinated patients after exposure to autologous tumor. Estimated 2-y PFS in vaccinated patients: 82% 56  
In 4 patients, it was shown that 17% of CD8+ T-cell clones reacted against CLL antigens. Estimated 2-y OS in vaccinated patients: 88% 
Multiple myeloma GVAX administered following autologous transplant 28 patients vaccinated Injection site reactions in all patients 41% of patients who received at least 4 posttransplant vaccines demonstrated increase in T-cell secretion of interferon γ secretion after ex vivo stimulation. 3-y PFS in 28 patients treated with vaccine was 61.8%; 3-y OS was 73.7% 57  

CLL, chronic lymphocytic leukemia; MICA, MHC class I chain-related protein A; MICB, MHC class I chain-related protein B. Other abbreviations are explained in Table 1.

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