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Published in: Current Neurology and Neuroscience Reports 4/2010

01-07-2010

Immunotherapy Approaches for Malignant Glioma From 2007 to 2009

Authors: Laura A. Johnson, John H. Sampson

Published in: Current Neurology and Neuroscience Reports | Issue 4/2010

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Abstract

Malignant glioma is a deadly disease for which there have been few therapeutic advances over the past century. Although previous treatments were largely unsuccessful, glioma may be an ideal target for immune-based therapy. Recently, translational research led to several clinical trials based on tumor immunotherapy to treat patients with malignant glioma. Here we review 17 recent glioma immunotherapy clinical trials, published over the past 3 years. Various approaches were used, including passive transfer of naked and radiolabeled antibodies, tumor antigen-specific peptide immunization, and the use of patient tumor cells with or without dendritic cells as vaccines. We compare and discuss the current state of the art of clinical immunotherapy treatment, as well as its limited successes, pitfalls, and future potential.
Literature
2.
go back to reference Stupp R, Mason WP, van den Bent MJ, et al.: Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 2005, 352:987–996.CrossRefPubMed Stupp R, Mason WP, van den Bent MJ, et al.: Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 2005, 352:987–996.CrossRefPubMed
3.
go back to reference Walker MD, Green SB, Byar DP, et al.: Randomized comparisons of radiotherapy and nitrosoureas for the treatment of malignant glioma after surgery. N Engl J Med 1980, 303:1323–1329.PubMed Walker MD, Green SB, Byar DP, et al.: Randomized comparisons of radiotherapy and nitrosoureas for the treatment of malignant glioma after surgery. N Engl J Med 1980, 303:1323–1329.PubMed
4.
go back to reference Brem H, Piantadosi S, Burger PC, et al.: Placebo-controlled trial of safety and efficacy of intraoperative controlled delivery by biodegradable polymers of chemotherapy for recurrent gliomas. The Polymer-brain Tumor Treatment Group. Lancet 1995, 345:1008–1012.CrossRefPubMed Brem H, Piantadosi S, Burger PC, et al.: Placebo-controlled trial of safety and efficacy of intraoperative controlled delivery by biodegradable polymers of chemotherapy for recurrent gliomas. The Polymer-brain Tumor Treatment Group. Lancet 1995, 345:1008–1012.CrossRefPubMed
5.
go back to reference Westphal M, Hilt DC, Bortey E, et al.: A phase 3 trial of local chemotherapy with biodegradable carmustine (BCNU) wafers (Gliadel wafers) in patients with primary malignant glioma. Neuro Oncol 2003, 5:79–88.CrossRefPubMed Westphal M, Hilt DC, Bortey E, et al.: A phase 3 trial of local chemotherapy with biodegradable carmustine (BCNU) wafers (Gliadel wafers) in patients with primary malignant glioma. Neuro Oncol 2003, 5:79–88.CrossRefPubMed
6.
go back to reference Stummer W, Pichlmeier U, Meinel T, et al.: Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol 2006, 7:392–401.CrossRefPubMed Stummer W, Pichlmeier U, Meinel T, et al.: Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol 2006, 7:392–401.CrossRefPubMed
7.
go back to reference Friedman HS, Prados MD, Wen PY, et al.: Bevacizumab alone and in combination with irinotecan in recurrent glioblastoma. J Clin Oncol 2009, 27:4733–4740.CrossRefPubMed Friedman HS, Prados MD, Wen PY, et al.: Bevacizumab alone and in combination with irinotecan in recurrent glioblastoma. J Clin Oncol 2009, 27:4733–4740.CrossRefPubMed
8.
go back to reference Mitchell DA, Fecci PE, Sampson JH: Immunotherapy of malignant brain tumors. Immunol Rev 2008, 222:70–100.CrossRefPubMed Mitchell DA, Fecci PE, Sampson JH: Immunotherapy of malignant brain tumors. Immunol Rev 2008, 222:70–100.CrossRefPubMed
9.
10.
go back to reference Rosenberg SA, Yang JC, Restifo NP: Cancer immunotherapy: moving beyond current vaccines. Nat Med 2004, 10:909–915.CrossRefPubMed Rosenberg SA, Yang JC, Restifo NP: Cancer immunotherapy: moving beyond current vaccines. Nat Med 2004, 10:909–915.CrossRefPubMed
11.
go back to reference Dudley ME, Wunderlich JR, Robbins PF, et al.: Cancer regression and autoimmunity in patients after clonal repopulation with antitumor lymphocytes. Science 2002, 298:850–854.CrossRefPubMed Dudley ME, Wunderlich JR, Robbins PF, et al.: Cancer regression and autoimmunity in patients after clonal repopulation with antitumor lymphocytes. Science 2002, 298:850–854.CrossRefPubMed
12.
go back to reference • Johnson LA, Morgan RA, Dudley ME, et al.: Gene therapy with human and mouse T-cell receptors mediates cancer regression and targets normal tissues expressing cognate antigen. Blood 2009, 114:535–546. This study demonstrated that ex vivo genetically engineered T cells can eliminate tumors in patients with advanced metastatic disease.CrossRefPubMed • Johnson LA, Morgan RA, Dudley ME, et al.: Gene therapy with human and mouse T-cell receptors mediates cancer regression and targets normal tissues expressing cognate antigen. Blood 2009, 114:535–546. This study demonstrated that ex vivo genetically engineered T cells can eliminate tumors in patients with advanced metastatic disease.CrossRefPubMed
13.
go back to reference Morgan RA, Dudley ME, Wunderlich JR, et al.: Cancer regression in patients after transfer of genetically engineered lymphocytes. Science 2006, 314:126–129.CrossRefPubMed Morgan RA, Dudley ME, Wunderlich JR, et al.: Cancer regression in patients after transfer of genetically engineered lymphocytes. Science 2006, 314:126–129.CrossRefPubMed
14.
15.
go back to reference Neyns B, Sadones J, Joosens E, et al.: Stratified phase II trial of cetuximab in patients with recurrent high-grade glioma. Ann Oncol 2009, 20:1596–1603.CrossRefPubMed Neyns B, Sadones J, Joosens E, et al.: Stratified phase II trial of cetuximab in patients with recurrent high-grade glioma. Ann Oncol 2009, 20:1596–1603.CrossRefPubMed
16.
go back to reference Casaco A, Lopez G, Garcia I, et al.: Phase I single-dose study of intracavitary-administered Nimotuzumab labeled with 188 Re in adult recurrent high-grade glioma. Cancer Biol Ther 2008, 7:333–339.PubMedCrossRef Casaco A, Lopez G, Garcia I, et al.: Phase I single-dose study of intracavitary-administered Nimotuzumab labeled with 188 Re in adult recurrent high-grade glioma. Cancer Biol Ther 2008, 7:333–339.PubMedCrossRef
17.
go back to reference • Zalutsky MR, Reardon DA, Akabani G, et al.: Clinical experience with alpha-particle emitting 211At: treatment of recurrent brain tumor patients with 211At-labeled chimeric antitenascin monoclonal antibody 81C6. J Nucl Med 2008, 49:30–38. This preliminary clinical trial suggested improved patient survival compared with historical controls.CrossRefPubMed • Zalutsky MR, Reardon DA, Akabani G, et al.: Clinical experience with alpha-particle emitting 211At: treatment of recurrent brain tumor patients with 211At-labeled chimeric antitenascin monoclonal antibody 81C6. J Nucl Med 2008, 49:30–38. This preliminary clinical trial suggested improved patient survival compared with historical controls.CrossRefPubMed
18.
go back to reference Yung WK, Albright RE, Olson J, et al.: A phase II study of temozolomide vs. procarbazine in patients with glioblastoma multiforme at first relapse. Br J Cancer 2000, 83:588–593.CrossRefPubMed Yung WK, Albright RE, Olson J, et al.: A phase II study of temozolomide vs. procarbazine in patients with glioblastoma multiforme at first relapse. Br J Cancer 2000, 83:588–593.CrossRefPubMed
19.
go back to reference Vredenburgh JJ, Desjardins A, Herndon JE 2nd, et al.: Phase II trial of bevacizumab and irinotecan in recurrent malignant glioma. Clin Cancer Res 2007, 13:1253–1259.CrossRefPubMed Vredenburgh JJ, Desjardins A, Herndon JE 2nd, et al.: Phase II trial of bevacizumab and irinotecan in recurrent malignant glioma. Clin Cancer Res 2007, 13:1253–1259.CrossRefPubMed
20.
go back to reference Chiocca EA, Smith KM, McKinney B, et al.: A phase I trial of Ad.hIFN-beta gene therapy for glioma. Mol Ther 2008, 16:618–626.CrossRefPubMed Chiocca EA, Smith KM, McKinney B, et al.: A phase I trial of Ad.hIFN-beta gene therapy for glioma. Mol Ther 2008, 16:618–626.CrossRefPubMed
21.
go back to reference Groves MD, Puduvalli VK, Gilbert MR, et al.: Two phase II trials of temozolomide with interferon-alpha2b (pegylated and non-pegylated) in patients with recurrent glioblastoma multiforme. Br J Cancer 2009, 101:615–620.CrossRefPubMed Groves MD, Puduvalli VK, Gilbert MR, et al.: Two phase II trials of temozolomide with interferon-alpha2b (pegylated and non-pegylated) in patients with recurrent glioblastoma multiforme. Br J Cancer 2009, 101:615–620.CrossRefPubMed
22.
go back to reference Olson JJ, McKenzie E, Skurski-Martin M, et al.: Phase I analysis of BCNU-impregnated biodegradable polymer wafers followed by systemic interferon alfa-2b in adults with recurrent glioblastoma multiforme. J Neurooncol 2008, 90:293–299.CrossRefPubMed Olson JJ, McKenzie E, Skurski-Martin M, et al.: Phase I analysis of BCNU-impregnated biodegradable polymer wafers followed by systemic interferon alfa-2b in adults with recurrent glioblastoma multiforme. J Neurooncol 2008, 90:293–299.CrossRefPubMed
23.
go back to reference Hau P, Jachimczak P, Schlingensiepen R, et al.: Inhibition of TGF-beta2 with AP 12009 in recurrent malignant gliomas: from preclinical to phase I/II studies. Oligonucleotides 2007, 17:201–212.CrossRefPubMed Hau P, Jachimczak P, Schlingensiepen R, et al.: Inhibition of TGF-beta2 with AP 12009 in recurrent malignant gliomas: from preclinical to phase I/II studies. Oligonucleotides 2007, 17:201–212.CrossRefPubMed
24.
go back to reference Butowski N, Chang SM, Junck L, et al.: A phase II clinical trial of poly-ICLC with radiation for adult patients with newly diagnosed supratentorial glioblastoma: a North American Brain Tumor Consortium (NABTC01-05). J Neurooncol 2009, 91:175–182.CrossRefPubMed Butowski N, Chang SM, Junck L, et al.: A phase II clinical trial of poly-ICLC with radiation for adult patients with newly diagnosed supratentorial glioblastoma: a North American Brain Tumor Consortium (NABTC01-05). J Neurooncol 2009, 91:175–182.CrossRefPubMed
25.
go back to reference Butowski N, Lamborn KR, Lee BL, et al.: A North American brain tumor consortium phase II study of poly-ICLC for adult patients with recurrent anaplastic gliomas. J Neurooncol 2009, 91:183–189.CrossRefPubMed Butowski N, Lamborn KR, Lee BL, et al.: A North American brain tumor consortium phase II study of poly-ICLC for adult patients with recurrent anaplastic gliomas. J Neurooncol 2009, 91:183–189.CrossRefPubMed
26.
go back to reference De Vleeschouwer S, Fieuws S, Rutkowski S, et al.: Postoperative adjuvant dendritic cell-based immunotherapy in patients with relapsed glioblastoma multiforme. Clin Cancer Res 2008, 14:3098–3104.CrossRefPubMed De Vleeschouwer S, Fieuws S, Rutkowski S, et al.: Postoperative adjuvant dendritic cell-based immunotherapy in patients with relapsed glioblastoma multiforme. Clin Cancer Res 2008, 14:3098–3104.CrossRefPubMed
27.
go back to reference Ishikawa E, Tsuboi K, Yamamoto T, et al.: Clinical trial of autologous formalin-fixed tumor vaccine for glioblastoma multiforme patients. Cancer Sci 2007, 98:1226–1233.CrossRefPubMed Ishikawa E, Tsuboi K, Yamamoto T, et al.: Clinical trial of autologous formalin-fixed tumor vaccine for glioblastoma multiforme patients. Cancer Sci 2007, 98:1226–1233.CrossRefPubMed
28.
go back to reference Okada H, Lieberman FS, Walter KA, et al.: Autologous glioma cell vaccine admixed with interleukin-4 gene transfected fibroblasts in the treatment of patients with malignant gliomas. J Transl Med 2007, 5:67.CrossRefPubMed Okada H, Lieberman FS, Walter KA, et al.: Autologous glioma cell vaccine admixed with interleukin-4 gene transfected fibroblasts in the treatment of patients with malignant gliomas. J Transl Med 2007, 5:67.CrossRefPubMed
29.
go back to reference Walker DG, Laherty R, Tomlinson FH, et al.: Results of a phase I dendritic cell vaccine trial for malignant astrocytoma: potential interaction with adjuvant chemotherapy. J Clin Neurosci 2008, 15:114–121.CrossRefPubMed Walker DG, Laherty R, Tomlinson FH, et al.: Results of a phase I dendritic cell vaccine trial for malignant astrocytoma: potential interaction with adjuvant chemotherapy. J Clin Neurosci 2008, 15:114–121.CrossRefPubMed
30.
go back to reference Wheeler CJ, Black KL, Liu G, et al.: Vaccination elicits correlated immune and clinical responses in glioblastoma multiforme patients. Cancer Res 2008, 68:5955–5964.CrossRefPubMed Wheeler CJ, Black KL, Liu G, et al.: Vaccination elicits correlated immune and clinical responses in glioblastoma multiforme patients. Cancer Res 2008, 68:5955–5964.CrossRefPubMed
31.
go back to reference Izumoto S, Tsuboi A, Oka Y, et al.: Phase II clinical trial of Wilms tumor 1 peptide vaccination for patients with recurrent glioblastoma multiforme. J Neurosurg 2008, 108:963–971.CrossRefPubMed Izumoto S, Tsuboi A, Oka Y, et al.: Phase II clinical trial of Wilms tumor 1 peptide vaccination for patients with recurrent glioblastoma multiforme. J Neurosurg 2008, 108:963–971.CrossRefPubMed
32.
go back to reference • Prins RM, Cloughesy TF, Liau LM: Cytomegalovirus immunity after vaccination with autologous glioblastoma lysate. N Engl J Med 2008, 359:539–541. The authors present a clinical observation of CMV-reactive T cells induced in a patient by vaccination with glioma tumor.CrossRefPubMed • Prins RM, Cloughesy TF, Liau LM: Cytomegalovirus immunity after vaccination with autologous glioblastoma lysate. N Engl J Med 2008, 359:539–541. The authors present a clinical observation of CMV-reactive T cells induced in a patient by vaccination with glioma tumor.CrossRefPubMed
33.
go back to reference • Sampson JH, Archer GE, Mitchell DA, et al.: An epidermal growth factor receptor variant III-targeted vaccine is safe and immunogenic in patients with glioblastoma multiforme. Mol Cancer Ther 2009, 8:2773–2779. This preliminary clinical trial suggested improved patient survival compared with historical controls.CrossRefPubMed • Sampson JH, Archer GE, Mitchell DA, et al.: An epidermal growth factor receptor variant III-targeted vaccine is safe and immunogenic in patients with glioblastoma multiforme. Mol Cancer Ther 2009, 8:2773–2779. This preliminary clinical trial suggested improved patient survival compared with historical controls.CrossRefPubMed
34.
go back to reference Cobbs CS, Harkins L, Samanta M, et al.: Human cytomegalovirus infection and expression in human malignant glioma. Cancer Res 2002, 62:3347–3350.PubMed Cobbs CS, Harkins L, Samanta M, et al.: Human cytomegalovirus infection and expression in human malignant glioma. Cancer Res 2002, 62:3347–3350.PubMed
35.
go back to reference Mitchell DA, Xie W, Schmittling R, et al.: Sensitive detection of human cytomegalovirus in tumors and peripheral blood of patients diagnosed with glioblastoma. Neuro Oncol 2008, 10:10–18.CrossRefPubMed Mitchell DA, Xie W, Schmittling R, et al.: Sensitive detection of human cytomegalovirus in tumors and peripheral blood of patients diagnosed with glioblastoma. Neuro Oncol 2008, 10:10–18.CrossRefPubMed
36.
go back to reference Lamborn KR, Yung WK, Chang SM, et al.: Progression-free survival: an important end point in evaluating therapy for recurrent high-grade gliomas. Neuro Oncol 2008, 10:162–170.CrossRefPubMed Lamborn KR, Yung WK, Chang SM, et al.: Progression-free survival: an important end point in evaluating therapy for recurrent high-grade gliomas. Neuro Oncol 2008, 10:162–170.CrossRefPubMed
37.
go back to reference Johnson LA, Heemskerk B, Powell DJ Jr, et al.: Gene transfer of tumor-reactive TCR confers both high avidity and tumor reactivity to nonreactive peripheral blood mononuclear cells and tumor-infiltrating lymphocytes. J Immunol 2006, 177:6548–6559.PubMed Johnson LA, Heemskerk B, Powell DJ Jr, et al.: Gene transfer of tumor-reactive TCR confers both high avidity and tumor reactivity to nonreactive peripheral blood mononuclear cells and tumor-infiltrating lymphocytes. J Immunol 2006, 177:6548–6559.PubMed
38.
go back to reference Lyman MA, Nugent CT, Marquardt KL, et al.: The fate of low affinity tumor-specific CD8+ T cells in tumor-bearing mice. J Immunol 2005, 174:2563–2572.PubMed Lyman MA, Nugent CT, Marquardt KL, et al.: The fate of low affinity tumor-specific CD8+ T cells in tumor-bearing mice. J Immunol 2005, 174:2563–2572.PubMed
39.
go back to reference Humphrey PA, Wong AJ, Vogelstein B, et al.: Anti-synthetic peptide antibody reacting at the fusion junction of deletion-mutant epidermal growth factor receptors in human glioblastoma. Proc Natl Acad Sci U S A 1990, 87:4207–4211.CrossRefPubMed Humphrey PA, Wong AJ, Vogelstein B, et al.: Anti-synthetic peptide antibody reacting at the fusion junction of deletion-mutant epidermal growth factor receptors in human glioblastoma. Proc Natl Acad Sci U S A 1990, 87:4207–4211.CrossRefPubMed
40.
go back to reference Sugawa N, Ekstrand AJ, James CD, Collins VP: Identical splicing of aberrant epidermal growth factor receptor transcripts from amplified rearranged genes in human glioblastomas. Proc Natl Acad Sci U S A 1990, 87:8602–8606.CrossRefPubMed Sugawa N, Ekstrand AJ, James CD, Collins VP: Identical splicing of aberrant epidermal growth factor receptor transcripts from amplified rearranged genes in human glioblastomas. Proc Natl Acad Sci U S A 1990, 87:8602–8606.CrossRefPubMed
41.
go back to reference Wikstrand CJ, Hale LP, Batra SK, et al.: Monoclonal antibodies against EGFRvIII are tumor specific and react with breast and lung carcinomas and malignant gliomas. Cancer Res 1995, 55:3140–3148.PubMed Wikstrand CJ, Hale LP, Batra SK, et al.: Monoclonal antibodies against EGFRvIII are tumor specific and react with breast and lung carcinomas and malignant gliomas. Cancer Res 1995, 55:3140–3148.PubMed
42.
go back to reference Eshhar Z, Waks T, Gross G, Schindler DG: Specific activation and targeting of cytotoxic lymphocytes through chimeric single chains consisting of antibody-binding domains and the gamma or zeta subunits of the immunoglobulin and T-cell receptors. Proc Natl Acad Sci U S A 1993, 90:720–724.CrossRefPubMed Eshhar Z, Waks T, Gross G, Schindler DG: Specific activation and targeting of cytotoxic lymphocytes through chimeric single chains consisting of antibody-binding domains and the gamma or zeta subunits of the immunoglobulin and T-cell receptors. Proc Natl Acad Sci U S A 1993, 90:720–724.CrossRefPubMed
43.
go back to reference Pule MA, Savoldo B, Myers GD, et al.: Virus-specific T cells engineered to coexpress tumor-specific receptors: persistence and antitumor activity in individuals with neuroblastoma. Nat Med 2008, 14:1264–1270.CrossRefPubMed Pule MA, Savoldo B, Myers GD, et al.: Virus-specific T cells engineered to coexpress tumor-specific receptors: persistence and antitumor activity in individuals with neuroblastoma. Nat Med 2008, 14:1264–1270.CrossRefPubMed
44.
go back to reference Savoldo B, Rooney CM, Di Stasi A, et al.: Epstein Barr virus specific cytotoxic T lymphocytes expressing the anti-CD30zeta artificial chimeric T-cell receptor for immunotherapy of Hodgkin disease. Blood 2007, 110:2620–2630.CrossRefPubMed Savoldo B, Rooney CM, Di Stasi A, et al.: Epstein Barr virus specific cytotoxic T lymphocytes expressing the anti-CD30zeta artificial chimeric T-cell receptor for immunotherapy of Hodgkin disease. Blood 2007, 110:2620–2630.CrossRefPubMed
Metadata
Title
Immunotherapy Approaches for Malignant Glioma From 2007 to 2009
Authors
Laura A. Johnson
John H. Sampson
Publication date
01-07-2010
Publisher
Current Science Inc.
Published in
Current Neurology and Neuroscience Reports / Issue 4/2010
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-010-0111-9

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