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. 2015 Apr 14;5(4):e006321. doi: 10.1136/bmjopen-2014-006321

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.