The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
First results on survival from a large Phase 3 clinical trial of an autologous dendritic cell vaccine in newly diagnosed glioblastoma
Open accessAbstract
Background: Standard therapy for glioblastoma includes surgery, radiotherapy, and temozolomide. This Phase 3 trial evaluates the addition of an autologous tumor lysate-pulsed dendritic cell vaccine (DCVax ® -L) to standard therapy for newly diagnosed glioblastoma. Methods: After surgery and chemoradiotherapy, patients were randomized (2:1) to receive temozolomide plus DCVax-L (n = 232) or temozolomide and placebo (n = 99). Following recurrence, all patients were allowed to receive DCVax-L, without unblinding. The primary endpoint was progression free survival (PFS); the secondary endpoint was overall survival (OS). Results: For the intent-to-treat (ITT) population (n = 331), median OS (mOS) was 23.1 months from surgery. Because of the cross-over trial design, nearly 90% of the ITT population received DCVax-L. For patients with methylated MGMT (n = 131), mOS was 34.7 months from surgery, with a 3-year survival of 46.4%. As of this analysis, 223 patients are ≥ 30 months past their surgery date; 67 of these (30.0%) have lived ≥ 30 months and have a Kaplan-Meier (KM)-derived mOS of 46.5 months. 182 patients are ≥ 36 months past surgery; 44 of these (24.2%) have lived ≥ 36 months and have a KM-derived mOS of 88.2 months. A population of extended survivors (n = 100) with mOS of 40.5 months, not explained by known prognostic factors, will be analyzed further. Only 2.1% of ITT patients (n = 7) had a grade 3 or 4 adverse event that was deemed at least possibly related to the vaccine. Overall adverse events with DCVax were comparable to standard therapy alone. Conclusions: Addition of DCVax-L to standard therapy is feasible and safe in glioblastoma patients, and may extend survival. Trial registration Funded by Northwest Biotherapeutics; Clinicaltrials.gov number: NCT00045968; https://clinicaltrials.gov/ct2/show/NCT00045968?term=NCT00045968&rank=1 ; initially registered 19 September 2002
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Self-citationBevacizumab plus Radiotherapy–Temozolomide for Newly Diagnosed Glioblastoma
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Self-citationCancer immunotherapy via dendritic cells
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Metadata
- Authors
- Liau, L. M., Ashkan, K., Tran, D. D., Campian, J. L., Trusheim, J. E., Cobbs, C. S., Heth, J. A., Salacz, M., Taylor, S., D’Andre, S. D., Iwamoto, F. M., Dropcho, E. J., Moshel, Y. A., Walter, K. A., Pillainayagam, C. P., Aiken, R., Chaudhary, R., Goldlust, S. A., Bota, D. A., Duic, P., Grewal, J., Elinzano, H., Toms, S. A., Lillehei, K. O., Mikkelsen, T., Walbert, T., Abram, S. R., Brenner, A. J., Brem, S., Ewend, M. G., Khagi, S., Portnow, J., Kim, L. J., Loudon, W. G., Thompson, R. C., Avigan, D. E., Fink, K. L., Geoffroy, F. J., Lindhorst, S., Lutzky, J., Sloan, A. E., Schackert, G., Krex, D., Meisel, H.-J., Wu, J., Davis, R. P., Duma, C., Etame, A. B., Mathieu, D., Kesari, S., Piccioni, D., Westphal, M., Baskin, D. S., New, P. Z., Lacroix, M., May, S.-A., Pluard, T. J., Tse, V., Green, R. M., Villano, J. L., Pearlman, M., Petrecca, K., Schulder, M., Taylor, L. P., Maida, A. E., Prins, R. M., Cloughesy, T. F., Mulholland, P., & Bosch, M. L.
- Venue
- Journal of Translational Medicine
- Published
- 2018-05-29
- Volume
- 16
- Issue
- 1
- Pages
- 142-142
- ISSN
- 1479-5876 (ISSN-L)
- OpenAlex
- W2805359783
- Cited by
- 537
- References
- 29
- FWCI
- 26.87
- Type
- journal article
- Language
- en
- Open access
- gold
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- Liau, L. M., Ashkan, K., Tran, D. D., Campian, J. L., Trusheim, J. E., Cobbs, C. S., Heth, J. A., Salacz, M., Taylor, S., D’Andre, S. D., Iwamoto, F. M., Dropcho, E. J., Moshel, Y. A., Walter, K. A., Pillainayagam, C. P., Aiken, R., Chaudhary, R., Goldlust, S. A., Bota, D. A., . . . Bosch, M. L. (2018). First results on survival from a large Phase 3 clinical trial of an autologous dendritic cell vaccine in newly diagnosed glioblastoma. Journal of Translational Medicine. https://doi.org/10.1186/s12967-018-1507-6
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