Review Article

Immunotherapy for Bone and Soft Tissue Sarcomas

Table 3

Clinical trials stimulating adaptive immunity against bone and soft tissue sarcomas.

AgentNumber of patientsDiagnosisTreatmentImmune responseClinical result

Autologous tumor cells [23]23SarcomaTotal 1.0 × 107 cellsDelayed-type hypersensitivity (DTH) positive:
8 patients
Median survival
DTH responder: 16.6 months
Nonresponder: 8.2 months
Tumor translocation breakpoint specific peptide-pulsed DCs [24]52Ewing's sarcoma,
rhabdomyosarcoma
Total 4.2–143.0 × 106 cells39% with immune response to the translocation breakpoint,
25% with response to E7-specific
Overall survival
Vaccination: 43%
Control: 31%
Tumor-specific synthetic peptides or tumor lysates pulsed DCs [25]5Ewing’s sarcoma,
synovial sarcoma,
neuroblastoma
2–15 × 106 pulsed DCs
injected 6–8 times
DTH positive:
1 patient
CR: 1 (77 months)
PD: 4 (2–27 months)
A 9-mer peptide from
SYT-SSX fusion site [26]
21Synovial sarcoma0.1 or 1.0 mg peptide +/− adjuvant 6 times at 14-day intervalTetramer positive CD8:
7 patients
Stable disease (SD):
1/9 peptide alone
6/12 vaccine with adjuvant
Anti-CTLA-4 antibody [27]6Synovial sarcoma (expressed NY-ESO-1)Ipilimumab 3 mg/kg
every 3 weeks for 3 cycles
DTH:
all patients negative
Time to progression
0.47–2.1 months (median 1.85),
overall survival time
0.77–19.7 months (median 8.75)
T cell receptor- (TCR-) transduced T cells (NY-ESO-1 specific) [28]6Synovial sarcoma (expressed NY-ESO-1)TCR-transduced T cells
+720,000 IU/kg of IL-2
Tetramer positive CD8:
5 patients
PR: 4
PD: 2