Table 2.
Adoptive immunotherapy in high-grade gliomas using cytotoxic T lymphocytes (CTL) or tumour-infiltrated lymphocytes (TIL)*.
| References | Type of trial | Patients | Administration | Immune response | Clinical responses |
|---|---|---|---|---|---|
| CTL obtained from PBMC | |||||
|
| |||||
| [35] | Phase I | N = 5 HGG 2 newly diagnosed GBM, 2 recurrent GBM, 1 AOA | IC (7 to 13 injections) | 2 PR (1 GBM, 1 AOA) No survival benefit (survival >2 years— N = 1 AOA) | |
|
| |||||
| [36] | Phase I | N = 4 HGG 3 GBM, 1 AA | IC (3 injections) | 3 PR (1 AA), 1 SD | |
|
| |||||
| [37] | Phase I | N = 10 recurrent HGG 7 GBM, 2 AA, 1 AOA | IC (3 injections) | 1 CR (AA), 4 PR (3 GBM, 1 AA), 3 SD (GBM) Median survival: > 5 months | |
|
| |||||
| [38] | Phase I | N = 5 recurrent HGG 2 GBM, 1 AA, 2 AO | IC (3 to 11 injections) | Cerebrospinal fluid hypereosinophilia | 3 SD (1 AA, 2 AO) No survival benefit |
|
| |||||
| CTL obtained by lymphocytes from draining lymph nodes or PBMC after vaccination with irradiated ATC | |||||
|
| |||||
| [40] | Phase I | N = 15 recurrent HGG 12 GBM, 3 AA | IV (1 to 3 injections) | DTH (15/15) | No PR or SD Free disease survival: ≥ 8 months (N = 7) (>40 months N = 1) |
|
| |||||
| [41] | Phase I | N = 10 recurrent HGG 9 GBM, 1 AA | IV (1 injection) | 3 PR (1 AA, 2 GBM) Survival after reoperation: > 1 year (N = 4/8) | |
|
| |||||
| [42] | Pilot study | N = 9 recurrent HGG 6 GBM, 3 GIII | IV +/− intracarotid infusion (1 injection) | DTH (9/9) | 3 PR (1 GBM, 2 GIII with survival > 4 years) Correlation between clinical response and CD4/CD8 composition of infused cells. |
|
| |||||
| [43] | Phase I | N = 12 newly diagnosed glioma: 6 GBM, 2 GII, 4 GIII | IV (1 to 2 injections) | 4 PR (2 GBM, 2 GIII) 2 SD (2 GII) | |
|
| |||||
| [44] | Pilot study | N = 19 recurrent HGG16 GBM, 2 AA, 1 gliosarcoma | IV (1 injection) | DTH (17/19) | 1 CR, 7 PR, 9 SD Median survival: 12 months Correlation between survival and DTH response |
|
| |||||
| Autologous TIL | |||||
|
| |||||
| [39] | Pilot study | N = 6 HGG 3 GBM, 3 AA | IC (2 injections) | 1 CR (AA), 2 PR (1 AA, 1 GBM) | |
*: Abbreviations used in this table: see Table 1; DTH: delayed-type hypersensitivity; PBMC: peripheral blood mononuclear cells; IV: intravenous.