2006
DOI: 10.1007/s11060-005-9058-0
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Technical hurdles in a pilot clinical trial of combined B7-2 and GM-CSF immunogene therapy for glioblastomas and melanomas

Abstract: Combined B7-2 and GM-CSF immunogene therapy for glioblastomas and melanomas using autologous tumor cells has many technical pitfalls hindering large scale application and evaluation. As a result, this pilot study was too limited to draw meaningful conclusions regarding safety or anti-tumor immunity. While immunotherapy has been promising in pre-clinical studies, alternate strategies will be required to bring these benefits to patients.

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Cited by 39 publications
(36 citation statements)
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“…No selection for tumor cell transfectants is necessary as is the case with retroviral vectors for which technical hurdles have been described. 21 In fact the efficiency of the retroviral vector approach was so low that from 116 malignant gliomas only three transfectants were successfully established and could be applied to the patients. 21 For comparison, in our glioblastoma study, 13 the efficiency of ATV-NDV tumor vaccine production (autologous cell cultures plus virus infection) was 90%.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…No selection for tumor cell transfectants is necessary as is the case with retroviral vectors for which technical hurdles have been described. 21 In fact the efficiency of the retroviral vector approach was so low that from 116 malignant gliomas only three transfectants were successfully established and could be applied to the patients. 21 For comparison, in our glioblastoma study, 13 the efficiency of ATV-NDV tumor vaccine production (autologous cell cultures plus virus infection) was 90%.…”
Section: Discussionmentioning
confidence: 99%
“…22 Other data obtained by us (not shown here) revealed that NDFL (i) shows tumor selective replication as observed for NDV Ulster, 23 (ii) has a monocyclic replication cycle in tumor cells and (iii) produces noninfectious progeny virus similar to NDV Ulster. 21 The only difference between the two virus strains was that NDFL (rec(À)) had about three times higher cytotoxic effects on tumor cells as revealed by the Nicoletti assay. Such increased tumor cytotoxic effect may lead to an improvement of the immune response through uptake of apoptotic bodies and cross-presentation of tumor-associated antigens via host DCs.…”
Section: Discussionmentioning
confidence: 99%
“…A clinical application of this approach, however, is generally impeded by technical hurdles and low transfection efficiencies. For instance, in one study, from 116 malignant gliomas only three patients could be vaccinated by a retrovirally transduced autologous tumor vaccine (35). For comparison, in our glioblastoma study, the efficiency of ATV-NDV production was 90% (26), which underlines the feasibility and reproducibility of our autologous tumor vaccine preparation.…”
Section: Discussionmentioning
confidence: 60%
“…A pilot clinical trial of combined B7-2 and GM-CSF immunogene therapy for GBMs and melanomas has been reported. 40 In this trial, patients with recurrent malignant gliomas were vaccinated with irradiated autologous tumor cells transduced with the B7-2 and GM-CSF genes, using a retroviral vector. Although vaccine preparation was attempted using 116 samples of malignant glioma tissue, vaccine preparation was successful for only 5 GBM samples.…”
Section: Gm-csfmentioning
confidence: 99%