PMID- 20466548 OWN - NLM STAT- MEDLINE DCOM- 20101124 LR - 20100531 IS - 1532-2653 (Electronic) IS - 0967-5868 (Linking) VI - 17 IP - 7 DP - 2010 Jul TI - Autologous tumor cell vaccination plus infusion of GM-CSF by a programmable pump in the treatment of recurrent malignant gliomas. PG - 842-8 LID - 10.1016/j.jocn.2009.11.017 [doi] AB - We report on the safety and feasibility of autologous tumor cell vaccination combined with infusion of granulocyte-macrophage colony-stimulating factor by a programmable pump in the treatment of recurrent malignant gliomas. The programmable pump is a promising tool used to infuse cytokines subcutaneously for vaccination. Our trial enrolled nine patients who had undergone surgery, radiation and had been successfully weaned off steroids. Unfortunately, only five patients completed the protocol and were monitored for side effects, local reactions, delayed-type hypersensitivity (DTH) responses and survival. The treatment was well tolerated. Two patients developed DTH reactions after vaccination and three patients had an unusually long survival without any other treatment. Despite the few patients treated, the results of this trial are encouraging. This study also highlights the specific difficulties encountered in vaccination programs for the treatment of glioma. FAU - Clavreul, Anne AU - Clavreul A AD - Departement de Neurochirurgie, Centre Hospitalier Universitaire (CHU), 4 rue Larrey, Angers, France. anne.clavreul@univ-angers.fr FAU - Piard, Nicole AU - Piard N FAU - Tanguy, Jean-Yves AU - Tanguy JY FAU - Gamelin, Eric AU - Gamelin E FAU - Rousselet, Marie-Christine AU - Rousselet MC FAU - Leynia, Pierre AU - Leynia P FAU - Menei, Philippe AU - Menei P LA - eng PT - Clinical Trial, Phase I PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100513 PL - Scotland TA - J Clin Neurosci JT - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JID - 9433352 RN - 0 (Cancer Vaccines) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) SB - IM MH - Adult MH - Aged MH - Brain Neoplasms/*drug therapy/prevention & control MH - Cancer Vaccines/*therapeutic use MH - Combined Modality Therapy MH - Female MH - Glioma/*drug therapy/prevention & control MH - Granulocyte-Macrophage Colony-Stimulating Factor/*administration & dosage/therapeutic use MH - Humans MH - Immunotherapy, Adoptive/instrumentation/methods MH - *Infusion Pumps, Implantable MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/*drug therapy/prevention & control MH - Treatment Outcome MH - Tumor Cells, Cultured EDAT- 2010/05/15 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/05/15 06:00 PHST- 2009/09/29 00:00 [received] PHST- 2009/11/10 00:00 [revised] PHST- 2009/11/17 00:00 [accepted] PHST- 2010/05/15 06:00 [entrez] PHST- 2010/05/15 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - S0967-5868(10)00047-0 [pii] AID - 10.1016/j.jocn.2009.11.017 [doi] PST - ppublish SO - J Clin Neurosci. 2010 Jul;17(7):842-8. doi: 10.1016/j.jocn.2009.11.017. Epub 2010 May 13.