Patient characteristics
Patient subject no. . | Tumor path . | Age . | Gender . | KPS . | Dendritic cell dose (× 106) . | Tumor status at dendritic cell vaccine . | Pre-vaccine therapy* . | Post-vaccine therapy . | Adverse events† . |
---|---|---|---|---|---|---|---|---|---|
1 | GBM‡ | 33 | M | 90 | 1 | ND | Reoperation, Temodar | Constipation/diarrhea | |
2 | GBM§ | 33 | M | 80 | 1 | PD | Temodar + Accutane, Tamoxifen | Reoperation, CPT-11 | Headache, nausea/vomiting, low-grade fever |
3 | GBM§ | 23 | F | 100 | 1 | ND | Tamoxifen, Reoperation, Temodar, Carboplatin | Fatigue, nausea/vomiting | |
4 | GBM§ | 20 | F | 90 | 5 | SD | Reoperation | Low-grade fever, constipation/diarrhea | |
5 | GBM† | 23 | F | 100 | 5 | SD | Temodar | Fatigue, myalgia, nausea/vomiting, pain/itching at injection site, lymph node swelling, allergic rhinitis | |
6 | GBM† | 42 | F | 100 | 5 | SD | Temodar + Accutane | Lymph node swelling | |
7 | GBM§ | 48 | M | 80 | 10 | PD | “Intra-cellular hyperthermia” | Reoperation, Temodar, Gleevec | Headache, fatigue |
8∥ | GBM§ | 55 | F | 60 | 10 | SD | SRS, Thalidomide, Accutane, Tamoxifen | Temodar | Fatigue |
9∥ | GBM† | 43 | F | 90 | 10 | ND | Temodar | Erythema at injection site | |
10 | GBM† | 65 | M | 90 | 10 | PD | Temodar | Fatigue | |
11 | GBM† | 57 | M | 90 | 10 | PD | Temodar + VP16 | ||
12 | GBM§ | 43 | F | 70 | 10 | PD | Temodar, Tamoxifen | CCNU | Seizure, hyponatremia |
Patient subject no. . | Tumor path . | Age . | Gender . | KPS . | Dendritic cell dose (× 106) . | Tumor status at dendritic cell vaccine . | Pre-vaccine therapy* . | Post-vaccine therapy . | Adverse events† . |
---|---|---|---|---|---|---|---|---|---|
1 | GBM‡ | 33 | M | 90 | 1 | ND | Reoperation, Temodar | Constipation/diarrhea | |
2 | GBM§ | 33 | M | 80 | 1 | PD | Temodar + Accutane, Tamoxifen | Reoperation, CPT-11 | Headache, nausea/vomiting, low-grade fever |
3 | GBM§ | 23 | F | 100 | 1 | ND | Tamoxifen, Reoperation, Temodar, Carboplatin | Fatigue, nausea/vomiting | |
4 | GBM§ | 20 | F | 90 | 5 | SD | Reoperation | Low-grade fever, constipation/diarrhea | |
5 | GBM† | 23 | F | 100 | 5 | SD | Temodar | Fatigue, myalgia, nausea/vomiting, pain/itching at injection site, lymph node swelling, allergic rhinitis | |
6 | GBM† | 42 | F | 100 | 5 | SD | Temodar + Accutane | Lymph node swelling | |
7 | GBM§ | 48 | M | 80 | 10 | PD | “Intra-cellular hyperthermia” | Reoperation, Temodar, Gleevec | Headache, fatigue |
8∥ | GBM§ | 55 | F | 60 | 10 | SD | SRS, Thalidomide, Accutane, Tamoxifen | Temodar | Fatigue |
9∥ | GBM† | 43 | F | 90 | 10 | ND | Temodar | Erythema at injection site | |
10 | GBM† | 65 | M | 90 | 10 | PD | Temodar | Fatigue | |
11 | GBM† | 57 | M | 90 | 10 | PD | Temodar + VP16 | ||
12 | GBM§ | 43 | F | 70 | 10 | PD | Temodar, Tamoxifen | CCNU | Seizure, hyponatremia |
Abbreviations: SD, stable disease; PD, progressive disease; ND, no measurable disease; KPS, Karnofsky performance score.
Pre-vaccination therapy refers to additional treatments besides surgery and standard external beam radiation therapy (up to 60 Gy); Temodar, temozolamide; Accutane, isotretinoin; “Intracellular hyperthermia” was an experimental protocol in Switzerland; CPT-11, irinotecan; Gleevec, imatinib mesylate; VP-16, etoposide; CCNU = lomustine; and SRS = stereotactic radiosurgery.
All adverse experiences related to protocol were of mild severity (National Cancer Institute grades 1 and 2). Adverse events that were of higher severity were determined to be not related to protocol and likely due to tumor progression.
Newly diagnosed glioblastoma multiforme.
Recurrent glioblastoma multiforme.
Patients 8 and 9 received only one injection of 107 dendritic cells because insufficient numbers of HLA-DR+/CD-14− dendritic cells were generated to complete all three injections.