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Table 3 Active trials involving peptide and tumor lysate-derived vaccines

From: Translational landscape of glioblastoma immunotherapy for physicians: guiding clinical practice with basic scientific evidence

NCT

Phase

Intervention

Target population

Location

Sample size

Key outcomes

NCT01903330

Phase II

ERC1671 (tumor-derived cells and cell lysate) combined with GM-CSF and cyclophosphamide to stimulate the immune response, with bevacizumab, vs placebo injection with bevacizumab

Recurrent glioblastoma or gliosarcoma

USA

84

OS, PFS, immune response, adverse events

NCT02287428

Phase I

NeoVax (personalized neoantigen vaccine from autologous tumor lysate) with pembrolizumab with or without standard therapy

Newly diagnosed glioblastoma

USA

56

Safety, adverse events, number of actionable peptides, feasibility of vaccine administration

NCT03018288

Phase II

RT/TMZ plus pembrolizumab, with or without HSPPC-96 (heat shock protein peptide complex-96) peptide vaccine

Newly diagnosed glioblastoma

USA

90

OS

NCT03149003

Phase III

WT1 antigen-based peptide vaccine (DSP-7888) with concurrent bevacizumab vs bevacizumab alone

Recurrent or progressive glioblastoma with HLA-A2 positivity

Multiple countries

236

DLT, OS, PFS, adverse events

NCT03223103

Phase I

Personalized vaccine containing synthetic long peptides adjusted to the patient's tumor, with poly:ICLC and tumor-treating fields

Newly diagnosed glioblastoma immediately after TMZ/RT

USA

13

DLT, OS, PFS, ORR

NCT03382977

Phase I/IIa

Use of a pp65 peptide-containing vaccine, administered with GM-CSF for immune response improvement

Recurrent glioblastoma

USA

38

DLT, immunogenicity, anti-CMV immunity, Treg and myeloid changes, OS, PFS

NCT03650257

Phase II

gp96 vaccine received after TMZ/RT

Newly diagnosed high-grade glioma

China

150

OS, PFS, T cell changes

NCT03665545

Phase I/II

IMA950, a standardized peptide vaccine, plus poly-ICLC for immunogenicity

Recurrent glioblastoma

Switzerland

24

Adverse events, PFS, OS, TIL density, T cell responses

NCT04013672

Phase II

Pembrolizumab, with SurVaxM, sargramostim, and montanide ISA 51 in combination

Recurrent glioblastoma

USA

40

PFS, safety, and tolerability

NCT04116658

Phase Ib/IIa

EO2401 (therapeutic peptide vaccine based on tumor-associated antigens and microbiome-derived peptides) with and without nivolumab and bevacizumab

Recurrent or progressive glioblastoma with HLA-A2 positivity

Multiple countries

52

Safety and tolerability, OS, immunogenicity

NCT04280848

Phase I/II

Peptide vaccine with telomerase-derived antigens, with Montanide ISA 51 (vaccine adjuvant)

Recurrent or progressive, MGMT-unmethylated glioblastoma

France

28

Immunogenicity via T cell responses

NCT04642937

Phase I

Combination therapy with anti-CD200AR ligand, imiquimod, and GBM6-AD tumor lysate vaccine

Recurrent glioblastoma

USA

24

MTD, adverse events, OS, PFS

NCT04808245

Phase I

Peptide vaccine against H3K27M antigens, along with atezolizumab and imiquimod

Newly diagnosed H3K27M-mutated gliomas

Germany

15

Toxicity, immunogenicity, PFS, OS

NCT04842513

Phase I

Vaccine (XS15) containing specific immunomodulatory proteins after standard of care

Newly diagnosed IDH wt, HLA-A2 positive, MGMT-methylated glioblastoma after resection

Germany

15

Adverse events, immunogenicity changes