Table 2.
Cancer Type |
Phase | pDC Used | Doses | Patients | Toxicity | Clinical Outcomes |
---|---|---|---|---|---|---|
gp100- expressing distant metastatic melanoma |
I | Isolated naturally occurring mature pDCs were loaded with gp100154–162, gp100280–288 and tyrosinase-derived peptide tyrosinase369–377. | Three intranodal injections every 2 weeks. Two maintenance cycles consisting of 3 biweekly vaccinations if no disease progression | Fifteen HLA-A2+ patients with distant metastatic melanoma | Only grade 1–2 toxicity | Generation of CD8 T cell responses specific to tumor antigens; two patients showed durable stable disease and were eligible for 2 additional cycles consisting of 3 pDC vaccinations. One patient with a mixed response [82]. |
Castration-resistant prostate cancer | IIa | Blood-derived pDCs, CD1a+ cDC2s or a combination of pDCs and cDC2s, loaded with NY-ESO-1157–165, MAGE-C2336– 344 and NY-ESO-1 and MUC1 PepTivators (overlapping long peptides that cover the complete protein). | Maximal 9 times | 21 (21 HLA-A2+ patients with confirm adenocarcinoma of the prostate, 7 for each treatment) | Grade 1–2 toxicity | A partial radiological response was observed in 1 patient; 12 patients (57%) with stable disease > 6 months. No significant difference among the three treatment arms (cDCs, pDCs and cDCs + pDCs) [85]. |
Stage IIIC or IV confirmed unresectable metastatic melanoma | Ib | pDCs from a cell line loaded with one of three melanoma antigens separately: MART126–35L, MAGEA3271–279, gp100209–217 and TYR369–377. | 3 weekly injections | 9 HLA-A2+ stage IIIC or IV patients with confirmed unresectable meta- static melanoma | Grade 1–3 toxicity | Three weekly injections of up to 60 × 106 cells were safe and well tolerated. Two patients from the highest dose group (60 × 106 cells) displayed a stable disease [86]. |