Table 3. Evaluation of immune response and clinical outcome after therapeutic cancer vaccines by log-rank test using the Kaplan-Meier model.
Product | Cancer | Phase | Evaluation results | Positive Correlation | Reference |
---|---|---|---|---|---|
Provenge® |
Prostate cancer |
P I/II |
TTP correlated with development of an immune response to prostatic acid phosphatase (PAP) and with the dose of dendritic cells received. |
Y |
29
|
P III (IMPACT) |
An antibody titer of more than 400 against PA2024 or PAP after baseline lived longer than did those who had an antibody titer of 400 or less (p < 0.001 and p = 0.08, respectively). No survival difference could be detected between patients in the sipuleucel-T group who had T-cell proliferation response to PA2024 or PAP and those who did not. |
Y |
10
|
||
Canvaxin® |
Melanoma (Stage IV) |
P II |
5-y OS rate was 75% for patients who had an elevated level of anti-TA90 IgM and a strong DTH response, 36% for patients who had either an elevated IgM response or a strong DTH response, and only 8% if neither response was strong (p < 0.001) |
Y |
30
|
Melanoma (Stage II) |
P II |
Anti-TA90 IgM levels ≧ 1:800 were significantly correlated with improved 5-y DFS and improved 5-y OS. |
Y |
30
|
|
Melanoma (Stage IIIa and IV) |
After P II |
Survival correlated significantly with delayed cutaneous hypersensitiity (p = 0.0066) and antibody response (p = 0.0117). |
Y |
31
|
|
SpecifidTM |
Non-Hodgkin's lymphoma |
P II (after rituximab) |
There was no correlation observed between the development of anti-Id immune response and the achievement of an objective response or duration of EFS. |
N |
33
|
BEC2 |
Small cell lung cancer |
P III |
The survival of responders was better than that of non-responders, although this did not reach statistical significance (median survival, 19.2 v 13.9 mo for responders v non-responders; p = 0.0851). |
Y |
21
|
InsegiaTM |
Pancreatic cancer |
P II |
Median survival was 217 d for the antibody responders and 121 d for the antibody non-responders. The difference in survival between the antibody responders and non-responders was significant (p = 0.0023). |
Y |
35
|
P III (single agent) |
Patients developing anti-G17DT responses (73.8%) survived longer than non-responders or those on placebo (median survival, 176 v 63 v 83 d; log-rank test, p = 0.003). |
Y |
40
|
||
M-VaxTM |
Melanoma (Stage III) |
Before P III |
The development of a positive DTH response to unmodified autologous melanoma cells was associated with significantly longer 5-y survival (71% v 49%; p = 0.031). |
Y |
36
|
P III |
OS after relapse was significantly longer in patients who developed positive DTH to unmodified tumor cells (25.2% v 12.3%; p < 0.001). |
Y |
13
|
||
MyVax® |
Non-Hodgkin's lymphoma |
Before P III |
Patients who mounted humoral immune responses had a longer PFS than those who did not (8.21 v 3.38 y; p = 0.018). |
Y |
37
|
Theratope® | Breast cancer | P II | 51 patients who generated titers higher than median value for anti-STn+ mucin IgG survived longer than 46 patients who generated lower titers below the median. | Y | 38 |