PMID- 35377001 OWN - NLM STAT- MEDLINE DCOM- 20220930 LR - 20221004 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 71 IP - 11 DP - 2022 Nov TI - Evaluation of the efficacy and safety of TAS0313 in adults with recurrent glioblastoma. PG - 2703-2715 LID - 10.1007/s00262-022-03184-7 [doi] AB - BACKGROUND: TAS0313 is a multi-epitope long peptide vaccine targeting several cancer-associated antigens highly expressed in multiple cancer types, including glioblastoma (GBM). This cohort of a Phase 2 part evaluated the efficacy and safety of TAS0313 in patients with GBM. METHODS: TAS0313 (27 mg) was administered subcutaneously on Days 1, 8 and 15 of Cycles 1 and 2, and Day 1 of subsequent cycles in 21-day cycles. The primary endpoint was the objective response rate (ORR). The secondary endpoints were the disease control rate, progression-free survival (PFS) and 6- and 12-month progression-free survival rates (PFR) and safety. Immunological response was assessed as an exploratory endpoint. RESULTS: The best overall response was partial response in 1 patient, and the ORR (95% CI) was 11.1% (0.3-48.2%) in the per-protocol set (n = 9). A further 3 patients achieved stable disease, for a disease control rate (95% CI) of 44.4% (13.7-78.8%). Median (95% CI) PFS was 1.7 (1.3-NE) months and 6- and 12-month PFRs (95% CI) were 22.2% (3.4-51.3%) each. Common (>/= 20% incidence) treatment-related adverse events (AEs) were injection site reactions (n = 8, 80.0%), followed by pyrexia (n = 7, 70.0%), and malaise, injection site erythema and injection site pruritus (n = 2, 20.0% each). There were no grade 4 or 5 treatment-related AEs. No deaths occurred during the study. In some patients, TAS0313 treatment was confirmed to increase cytotoxic T lymphocyte and immunoglobulin G levels compared with baseline. CONCLUSION: TAS0313, a multi-epitope long peptide vaccine, demonstrated promising efficacy and acceptable safety in patients with recurrent GBM. CLINICAL TRIAL REGISTRATION: JapicCTI-183824 (Date of registration: Jan 11, 2018). CI - (c) 2022. The Author(s). FAU - Narita, Yoshitaka AU - Narita Y AUID- ORCID: 0000-0003-4303-6006 AD - Department of Neurosurgery and Neuro-Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan. yonarita@ncc.go.jp. FAU - Okita, Yoshiko AU - Okita Y AD - Department of Neurosurgery, Osaka International Cancer Institute, Osaka, Japan. AD - Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan. FAU - Arakawa, Yoshiki AU - Arakawa Y AD - Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan. LA - eng PT - Journal Article DEP - 20220404 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 0 (Cancer Vaccines) RN - 0 (Epitopes) RN - 0 (Immunoglobulin G) SB - IM MH - Adult MH - *Brain Neoplasms/drug therapy MH - Cancer Vaccines MH - Epitopes MH - *Glioblastoma/drug therapy MH - Humans MH - Immunoglobulin G PMC - PMC9519730 OTO - NOTNLM OT - Cancer peptide vaccine OT - Cancer vaccines OT - Glioblastoma OT - High-grade glioma OT - TAS0313 COIS- YN has received grant support from Taiho Pharmaceutical Co., Ltd to their institution for manuscript preparation, has received grants from Taiho Pharmaceutical Co., Ono Pharmaceutical, Taiho Pharmaceutical Co., Eisai, Daiichi Sankyo, Stella-Pharma, Ohara, Denba and AbbVie to their institution in the past 3 years, has received consulting fees from AbbVie in the past 3 years and has received payments or honoraria from Chugai, Ono Pharmaceutical, Daiichi Sankyo, Eisai and Novocure in the past 3 years. YO has no conflicts of interest to disclose. YA has received grant support from Taiho Pharmaceutical Co., Ltd to their institution for manuscript preparation, has received grants from Siemens, Philips, Sanofi, Ono Pharmaceutical, Sanofi, Nihon Medi Physics, Brainlab, Carl Zeiss, Tanabe Mitsubishi, Chugai, Eisai, Merck, Meiji Seika, Daiichi Sankyo, CSL Behring, Takeda, Pfizer, Stryker and Astellas Pharma to their institution in the past 3 years and has received payments or honoraria from Nippon Kayaku, Novocure, UCB Japan, Ono Pharmaceutical, Brainlab, Chugai, Merck, Eisai, Meiji Seika, Daiichi Sankyo, CSL Behring, Integra Japan, Carl Zeiss, Otsuka and AbbVie in the past 3 years. EDAT- 2022/04/05 06:00 MHDA- 2022/10/01 06:00 PMCR- 2022/04/04 CRDT- 2022/04/04 12:02 PHST- 2021/10/22 00:00 [received] PHST- 2022/03/01 00:00 [accepted] PHST- 2022/04/05 06:00 [pubmed] PHST- 2022/10/01 06:00 [medline] PHST- 2022/04/04 12:02 [entrez] PHST- 2022/04/04 00:00 [pmc-release] AID - 10.1007/s00262-022-03184-7 [pii] AID - 3184 [pii] AID - 10.1007/s00262-022-03184-7 [doi] PST - ppublish SO - Cancer Immunol Immunother. 2022 Nov;71(11):2703-2715. doi: 10.1007/s00262-022-03184-7. Epub 2022 Apr 4.