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Summary of key vaccine therapy clinical trials for treatment of lymphoma

StudyLymphoma subtypeVaccine typeInduction therapyPatients (n) Immune responseEfficacy
Levy et al.114Untreated FLProtein-based; Id-KLH + GM-CSF vs. KLH + GM-CSF CVP287Anti-Id humoral responses in 41% of treated patients.Median PFS 19.1 months (experimental) vs. 23.3 months (control)
Freedman
et al.115
Untreated FLProtein-based; Id-KLH + GM-CSF vs. placebo + GM-CSF Rituximab349N/AMedian TTP 9 months (experimental) vs. 12.6 months (control) (HR = 1.384; P = 0.019)
Schuster et al.116Untreated FLProtein-based; Id-KLH + GM-CSF vs. KLH + GM-CSF PACE177IgM isotype vaccines compared to IgG isotypes improves survival (52.9 vs.28.7 months, P = 0.001) Median DFS 44.2 months (experimental), vs. 30.6 months (control) (HR, 0.62; P = 0.047)
Di NiCola et al.119R/R indolent B-cell NHLDC loaded killed autologous tumor cell vaccineN/A18Humoral responses against lymphoma antigens. Decrease in regulatory T-cells and increase in cytotoxic NK cellsORR 33%, with 3 CRs
Brody et al.126R/R indolent B-cell NHLIn situ vaccination with CpG DNA + XRT N/A15Vaccination resulted in the development of tumor-reactive memory CD8+ T-cellsORR 27%, with 1 CR
Kim et al.127R/R CTCLIn situ vaccination with CpG DNA + XRT N/A15Immunized sites appeared to demonstrate a reduction in infiltration of regulatory T-cells5 clinical responses noted