Table 3.
Clinical trials on pancreatic ductal adenocarcinoma using vaccines
National clinical trial number
|
Sample
|
Phase
|
Settings
|
Drug
|
Results
|
UMIN000004919 | 31 | I/II | Metastatic ≥ Second line | KIF20A-66 | KIF20A-66 vaccine: OS 4.7 m ± 0.8; Best supportive care: OS 2.7 m ± 1.1 |
UMIN000000905 | 6 | I | Advanced (gastrointestinal and endocrine malignancies) ; Any line | SVN-2B; IFA; INFa | > 50% of the patients had positive clinical and immunological responses |
NCT00569387 | 73 | II | Adjuvant treatment | Algenpantucel-L | 12-m OS: 86% |
Kaufman et al, J Transl Med 2007; 5: 60 | 10 | I | Advanced; Metastatic; Any line | MUC1; HLA-A2; ICAM-1; LFA-3; CM-CSF | antiCEA/MUC-1 positive: OS 15.1 m; antiCEA/MUC-1 negative: OS 3.9 m |
Lepisto et al, Cancer Ther 2008; 6: 955–964 | 12 | I/II | Adjuvant treatment | MUC1 peptide-loaded DC vaccine | Four of twelve patients are still alive without disease recurrence |
NCT01410968 | 12 | I | Advanced; Metastatic; Any line | w/Poly-ICLC peptide-pulsed DC-CIK | OS 7.7 m |
Gjertsen et al, Int J Cancer 2001; 92: 441–50 | 48 | I/II | Surgically resected; Advanced; Any line | K-Ras vaccine GM-CSF | Resected: OS 25.6 m (95%CI: 10-39); Unresectable: OS 10.2 m (95%CI: 3-28) |
Abou-Alfa et al, Am J Clin Oncol 2011; 34: 321–5 | 24 | I | Adjuvant (KRAS mutant) | Ras-peptide GM-CSF | OS 20.3 (95%CI: 11.6-45.3) |
Bernhardt et al, Br J Cancer 2006; 95: 1474–1482 | 48 | I/II | Advanced Treatment naive | GV1001; GM-CSF | Responders: OS 7.2 m (95%CI: 4.8-10.7); Non-responders: OS 2.9 m (95%CI: 1.7-6.30) |
Shima et al, Cancer Sci 2019; 110: 2378-2385 | 83 | II | Unresectable ≥ Second line | Survivin 2B peptide (SVN-2B); Interferon-β | SVN-2B + IFNβ: OS 312 d (95%CI: 43-460); IFNβ: OS 39 d (95%CI: 13-153) |
CIK: cytokine-induced killer ; DC: dendritic cells; GM-CSF: granulocyte-macrophage colony-stimulating factor; IFN: interferon; m: months; OS: overall survival; PDAC: pancreatic ductal adenocarcinoma; PFS: progression-free survival.