Table 2.
Clinical information of patients from the eligible trials in the meta-analysis
Trials | Age | Number of pts | Operative method | Tumour stage | Vaccine regimens | Vaccine formulation | Clinical efficacy |
---|---|---|---|---|---|---|---|
Alfonso et al14 | 18+ | 89 | Placebo | IIIB–IV | 5 immunisations every 2 weeks and reimmunisations every 4 weeks for 1 year | Anti-idiotype vaccine targeting the NeuGcGM3 tumour-associated ganglioside | Median OS: Racotumomab-Alum vs placebo was 8.23 vs 6.80 months (HR 0.63) Median PFS: Racotumomab-Alum vs placebo was 5.33 vs 3.90 months for placebo (HR 0.73) The 1-year and 2-year survival rates were 40.2% and 18.4% for the Racotumomab-Alum group vs 22.5% and 6.7% for the placebo group |
87 | RacotumomabAlum | ||||||
Butts et al15 | UK | 410 | Chemo+placebo | III | Eight consecutive weekly subcutaneous injections, 806 µg lipopeptide or placebo | Tecemotide (L-BLP25):MUC1 glycoprotein | Median OS: tecemotide vs placebo was 25.6 vs 22.3 months (HR 0.88) Median TTP:tecemotide vs placebo was 10 vs 8.4 months (HR 0.87) The 1-year, 2-year, 3-year survival rates were 77%, 51%, 40% for the tecemotide group vs 75%, 46%, 37% for the placebo group, respectively |
829 | Chemo+tecemotide | ||||||
Butts et al16 | UK | 83 | BSC | IIIB–IV | Low dose of cyclophosphamide 3 days before the first L-BLP25, then weekly subcutaneous injection 930 µg L-BLP25 | L-BLP25:MUC1 glycoprotein | Median OS: L-BLP25 plus BSC vs BSC was 17.2 vs 13.0 months (HR 0.745) The 3-year survival rate was 31% in L-BLP25 plus BSC and 17% in those receiving BSC |
88 | BSC+ L-BLP25 | ||||||
Butts17 | M59 | 83 | BSC | IIIB–IV | Low dose of cyclophosphamide 3 days before the first L-BLP25, followed by 8 weekly of 1000 µg of L-BLP25 | L-BLP25:MUC1 glycoprotein | Median OS: L-BLP25 arm vs BSC arm was 17.4 vs13.3 months (HR 0.524) The 2-year survival rate was 43.2% for the L-BLP25 arm vs 28.9% for the BSC arm ORR: L-BLP25 arm vs BSC arm was 49/88 vs 45/83 |
88 | BSC+ L-BLP25 | ||||||
Manegold et al18 | M65 | 37 | Chemo | IIIB–IV | PF-3512676 was administered via subcutaneous injection at a dose of 0.2 mg/kg on days 8 and 15 of each cycle | PF-3512676: mimics the natural ligand of TLR9 (unmethylated CpG motifs) | Median OS: PF-3512676 arm vs chemo arm was 12.3 vs 6.8 months The 1-year survival was 50% for PF-3512676 arm vs 33% for chemo arm ORR: 38% in the PF-3512676 arm vs19% in chemo arm |
75 | Chemo+PF-3512676 | ||||||
Mitchell et al19 | UK | 410 | Chemo+placebo | III–IV | Subcutaneous injection tecemotide (806 µg lipopeptide) or placebo, weekly for 8 weeks and then 6 weekly | Tecemotide (L-BLP25):MUC1 glycoprotein | Median PFS: tecemotide arm vs placebo was 9.6 vs 7.7 months (HR 0.865) |
829 | Chemo+tecemotide | ||||||
Nemunaitis et al20 | 27–78 M59 |
86 | Tumours harvested | III–IV | Every 2 weeks for 3–12 vaccinations with 5–80×6 tumour cells/vaccine | GVAX: whole tumour cells genetically modified to secrete GM-CSF | Median OS: vaccine arm vs control was 7 vs 5.4 months Median PFS: vaccine arm vs control was 4.4 vs 3.7 months The 1-year survival was 30% for vaccine arm vs 22% for control |
49 | Vaccine | ||||||
Nemunaitis et al21 | 32–89 M64 |
63 | Tumours harvested | III–IV | Every 2 weeks for 3–6 vaccinations, contained 5–100×6 cell/dose | Ad-GM: autologous tumour cells expose to adenoviral vector with GM-CSF | Median OS: vaccine arm vs control was 12 vs 9 monthsMedian PFS: vaccine arm vs control was 4 vs 4 monthsThe 1-year survival was 44% for vaccine arm vs 38% for control |
33 | Vaccine | ||||||
O'Brien et al22 | 30–78 M61 |
209 | Chemo | III–IV | 1 mg SRL172 was given monthly | Suspension of killed Mycobacterium vaccae | Median TTP: SRL172 arm vs chemo arm was 5.7 vs 5 months The 1-year survival was 88% for the SRL172 arm vs 83% for control ORR: 37% in the SRL172 arm vs 33% in chemo arm |
210 | Chemo+SRL172 | ||||||
Quoix et al23 | 35–79 M58.5 |
74 | Chemo | IIIB–IV | 108 plaque forming units/dose, once a week for 6 weeks, then once every 3 weeks | TG4010:modified virus with MUC1 and IL-2 | Median OS: TG4010 arm vs control was 10.7 vs 10.3 months Median TTP: TG4010 arm vs chemo arm was 5.9 vs 5.2 months ORR: 42% in the TG4010 arm vs 28% in chemo arm |
74 | Chemo+TG4010 | ||||||
Vinageras et al24 | 30–78 M55 |
40 | BSC | IIIB–IV | Low dose of cyclophosphamide 3 days before the first EGF vaccine, followed by EGF vaccine on weekly | Recombinant protein EGF | Median OS: EGF vaccine arm vs BSC was 10.7 vs 10.3 months The 1-year survival was 67.5% for EGF vaccine arm vs32.5% for control |
40 | BSC+EGF |
The selective data are authors’ names, year of publication, sample size per arm, regimen used, tumour stage, median or mean age of patients, vaccine formulation, information pertaining to study design and main results of clinical efficacy in each arm.
BAI, bronchial arterial infusion; BSC, best supportive care; Chemo, chemotherapy; EGF, epidermal growth factor; GM-CSF, granulocyte–macrophage colony-stimulating factor; IL, interleukin; M, median; ORR, objective response rate; OS, overall survival; PFS, progression-free survival; Pts, patients; TLR, toll-like receptor; TTP, time to progression; UK, unknown.