TABLE 2

Clinical trials of moDC-based vaccination in AML

Case reports are excluded from this overview.

Ref.LogisticsNClinical Resultsa
Source/Isolation MethodCulture TimeCulture MediumDifferentiationMaturation RegimenTarget AntigenAntigen SourceLoading MethodOther AspectsAdmin. Route
Lee et al., 2004PBSC harvest/CD14+ isolation8–9 daysAIM VGM-CSF+IL-4TNF-αNAAML cell lysatebPulsing/SC/IV2Disease progression (2)
Kitawaki et al., 2011aLeukapheresis/Elutriation3 or 6 daysCellGroGM-CSF+IL-4OK-432WT1, hTERT, etc.Apoptotic AML cellscPulsingadjuvant OK-432ID4Disease stabilization (2)
↓ AML blast count (1)
Ogasawara and Ota, 2014; Ota and Ogasawara, 2014Leukapheresis/AdherenceNDNDGM-CSF+IL-4OK-432+PGE2WT1PeptidePulsingadjuvant OK-432ID7d↓ WT1 mRNA level (2)
DiPersio et al., 2009; Khoury et al., 2010Leukapheresis/ AdherenceNDNDUnspecified cytokine mixUnspecified cytokine mixhTERTmRNAElectroporation+LAMPID21DFS of 79% [12m]
Van Tendeloo et al., 2010; Berneman et al., 2014Leukapheresis/CD14+ isolation8 daysCellGro +1% hABGM-CSF+IL-4TNF-α+IL-1 +IL-6+PGE2WT1mRNAElectroporation+/−LAMPID30Induction of CR (2/3)
Induction of CMR (8/23)
Continued CR [63m] (8)
Disease stabilization (3)
Kitawaki et al., 2011bLeukapheresis/ElutriationNDNDGM-CSF+IL-4TNF-α+PGE2WT1PeptidePulsing+ZOLID/IV3Disease stabilization (1)
↓ AML blast count (1)
Rosenblatt et al., 2014Leukapheresis/Adherence7–10 daysNDGM-CSF+IL-4TNF-αMUC1, WT1, PRAME, etc.AML cellsFusion hybrids (PEG)adjuvant GM-CSFSC13Continued CR [23m] (9)
Schnorfeil et al., 2014; Subklewe et al., 2014Leukapheresis/Adherence3 daysNDGM-CSF+IL-4R-848+poly(I:C)+othereWT1, PRAMEmRNAElectroporation/ID2fND (ongoing study)
  • CD14+ isolation, magnetic isolation of CD14 monocytes; C(M)R, complete (molecular) remission; DFS, disease-free survival; hAB, human AB serum; hTERT, human telomerase reverse transcriptase; LAMP, inclusion of lysosome-associated membrane protein in mRNA construct; MUC1, mucin 1; ND, no data; PBSC, peripheral blood stem cell; PEG, polyethylene glycol; PRAME, preferentially expressed antigen in melanoma; ZOL, in combination with zoledronate.

  • a The number in parentheses indicates the number of patients in whom the designated clinical effect was observed. The number in brackets indicates the follow up-time (in months).

  • b Prepared by repeated freeze-thaw cycles.

  • c Prepared by γ-irradiation.

  • d Including 2 patients with acute lymphoblastic leukemia.

  • e Including TNF-α, IL-1β, IFN-γ, PGE2.

  • f Schedules to include 20 patients.