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Title:
Adjuvant vaccination with melanoma antigen-pulsed dendritic cells in stage III melanoma patients | Medical Oncology
Description:
Dendritic cells may be successfully used to induce in vivo-specific anti-tumor responses when combined with the appropriate antigen in the appropriate context. The purpose of this study was to evaluate efficacy of peptide-loaded DC vaccine in high-risk stage III melanoma patients after lymph node dissection (LND). HLA-A2+, -A1+, or -A3+ melanoma patients (N = 22), stage III, N1b-N3, received 5–16 (median: 11) DC vaccines loaded with MHC class-I-restricted melanoma peptides respective to the patient’s haplotype, and with autologous tumor lysate, if available. Vaccinated patients were matched to unvaccinated stage III controls (22 of 869) by sex, number of metastatic lymph nodes, extracapsular involvement, LND type, Breslow stage, and ulceration. Vaccination elicited cutaneous delayed-type hypersensitivity (DTH) or/and IFN-γ-producing CD8+ cell response to melanoma peptides in 15 of 22 patients. Three-year overall survival (OS) rate was 68.2% in the vaccinated group versus 25.7% in the control group, P value accounting for matching: 0.0290. In a Cox regression model, hazard ratio (HR) for death of vaccinated patients was 0.31 [95% confidence interval (CI): 0.10–0.94]. The corresponding values for 3-year disease-free survival rate were 40.9 versus 14.5%, P = 0.1083; HR of recurrence for vaccinated, 0.46 (95% CI: 0.18–1.22). There was no grade >1 toxicity. The DC/peptide vaccine was well tolerated and elicited immune responses to melanoma antigens. Vaccinated patients had significantly longer OS after LND than the matched controls, but a significant improvement in the primary endpoint DFS was not achieved.
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Keywords {🔍}
google, scholar, article, pubmed, melanoma, cas, dendritic, patients, cells, cancer, cell, vaccination, vaccine, immunol, factor, stage, tumor, clinical, res, oncol, adjuvant, iii, markowicz, vaccines, immunotherapy, med, human, responses, antigen, blood, clin, granulocytemacrophage, colonystimulating, oncology, rutkowski, autologous, metastatic, survival, immune, access, phase, trial, privacy, cookies, content, vaccinated, peptide, generation, ann, progenitors,
Topics {✒️}
granulocyte/macrophage colony-stimulating factor granulocyte-macrophage colony-stimulating factor peptide-pulsed dendritic cells vivo-specific anti-tumor responses peptide-loaded dc vaccine month download article/chapter melana/mart-127-35-specific ctls dendritic cell-based vaccination pubmed google scholar dc/peptide vaccine antigen-specific cd8+ ctls castration-resistant prostate cancer piotr rutkowski cd4+ t-cell responses prolonged relapse-free interval soft tissue/bone sarcoma author information authors dendritic cell immunotherapy dendritic cell vaccines peripheral-blood cell recovery human dendritic cells autologous tumor lysate multicenter randomized trial anna jakubowska-mucka dc vaccines loaded cell melanoma vaccine peptide vaccination dendritic cells loaded related subjects author correspondence dendritic langerhans cells functional dendritic cells immunostimulatory dendritic cells dendritic cell progenitors full article pdf tumor necrosis factor node-negative melanoma peripheral blood lymphocytes adjuvant immunotherapy dendritic cell growth multipeptide melanoma vaccine allogeneic tumor vaccine antigen-specific cd4+ vaccine adjuvant adjuvant vaccination privacy choices/manage cookies therapeutic vaccine development elicited immune responses anticancer therapy stage iv melanoma
Questions {❓}
- Dendritic cell vaccines in melanoma: from promise to proof?
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headline:Adjuvant vaccination with melanoma antigen-pulsed dendritic cells in stage III melanoma patients
description:Dendritic cells may be successfully used to induce in vivo-specific anti-tumor responses when combined with the appropriate antigen in the appropriate context. The purpose of this study was to evaluate efficacy of peptide-loaded DC vaccine in high-risk stage III melanoma patients after lymph node dissection (LND). HLA-A2+, -A1+, or -A3+ melanoma patients (N = 22), stage III, N1b-N3, received 5–16 (median: 11) DC vaccines loaded with MHC class-I-restricted melanoma peptides respective to the patient’s haplotype, and with autologous tumor lysate, if available. Vaccinated patients were matched to unvaccinated stage III controls (22 of 869) by sex, number of metastatic lymph nodes, extracapsular involvement, LND type, Breslow stage, and ulceration. Vaccination elicited cutaneous delayed-type hypersensitivity (DTH) or/and IFN-γ-producing CD8+ cell response to melanoma peptides in 15 of 22 patients. Three-year overall survival (OS) rate was 68.2% in the vaccinated group versus 25.7% in the control group, P value accounting for matching: 0.0290. In a Cox regression model, hazard ratio (HR) for death of vaccinated patients was 0.31 [95% confidence interval (CI): 0.10–0.94]. The corresponding values for 3-year disease-free survival rate were 40.9 versus 14.5%, P = 0.1083; HR of recurrence for vaccinated, 0.46 (95% CI: 0.18–1.22). There was no grade >1 toxicity. The DC/peptide vaccine was well tolerated and elicited immune responses to melanoma antigens. Vaccinated patients had significantly longer OS after LND than the matched controls, but a significant improvement in the primary endpoint DFS was not achieved.
datePublished:2012-02-03T00:00:00Z
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Adjuvant vaccination
Cancer vaccine
Dendritic cells
Melanoma
Melanoma peptide
Oncology
Hematology
Pathology
Internal Medicine
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headline:Adjuvant vaccination with melanoma antigen-pulsed dendritic cells in stage III melanoma patients
description:Dendritic cells may be successfully used to induce in vivo-specific anti-tumor responses when combined with the appropriate antigen in the appropriate context. The purpose of this study was to evaluate efficacy of peptide-loaded DC vaccine in high-risk stage III melanoma patients after lymph node dissection (LND). HLA-A2+, -A1+, or -A3+ melanoma patients (N = 22), stage III, N1b-N3, received 5–16 (median: 11) DC vaccines loaded with MHC class-I-restricted melanoma peptides respective to the patient’s haplotype, and with autologous tumor lysate, if available. Vaccinated patients were matched to unvaccinated stage III controls (22 of 869) by sex, number of metastatic lymph nodes, extracapsular involvement, LND type, Breslow stage, and ulceration. Vaccination elicited cutaneous delayed-type hypersensitivity (DTH) or/and IFN-γ-producing CD8+ cell response to melanoma peptides in 15 of 22 patients. Three-year overall survival (OS) rate was 68.2% in the vaccinated group versus 25.7% in the control group, P value accounting for matching: 0.0290. In a Cox regression model, hazard ratio (HR) for death of vaccinated patients was 0.31 [95% confidence interval (CI): 0.10–0.94]. The corresponding values for 3-year disease-free survival rate were 40.9 versus 14.5%, P = 0.1083; HR of recurrence for vaccinated, 0.46 (95% CI: 0.18–1.22). There was no grade >1 toxicity. The DC/peptide vaccine was well tolerated and elicited immune responses to melanoma antigens. Vaccinated patients had significantly longer OS after LND than the matched controls, but a significant improvement in the primary endpoint DFS was not achieved.
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Adjuvant vaccination
Cancer vaccine
Dendritic cells
Melanoma
Melanoma peptide
Oncology
Hematology
Pathology
Internal Medicine
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