Research Article

Long-Term Follow-Up of HLA-A2+ Patients with High-Risk, Hormone-Sensitive Prostate Cancer Vaccinated with the Prostate Specific Antigen Peptide Homologue (PSA146-154)

Table 2

Immunological outcomes based on specific DTH, tetramer, and IFN-γ responses.

Patient
Code
DTH
responders
positive (+)
negative (−)
Fold increase in tetramerTetramer
responders
positive (+)
negative (−)
Absolute change in IFN-γIFN-γ
responder
positive (+)
negative (−)
week 26week 52week 26week 52

UPIN13+22.2534.49+141.40+
UPIN16+22.77121.29+44.4241.6+
UPIN28+29.2512.5+525.4847.9+
UPIN40+15.852.47+313.5488.9+
UPIN45+11.396.97+30.688.8
UPIN49+1.751.710113.5+
UPIN50+6.113.8+−20.7−20.7
UPIN51+0.690.2600
UPIN53+1.580.6925.32417.4+
UPIN55+2.715.28+262.766
UPIN69+2.090.231293.5133.4+
UPIN71+4.914.82+20.931
UPIN81+1.720.09−2.9−2.9
UPIN88+1.420.06−34.5230.4+
UPIN23.095.83+63.9−50.2
UPIN210.515.43+1064−9.3+
UPIN260.350.81255.51211.4+
UPIN2782.11ND+2236ND+
UPIN321.131.0500
UPIN351.310.09−10.424.3+
UPIN370.800.261.40
UPIN3810.791.37+112.11.3+
UPIN431.115.06+−3.5−11.2
UPIN671.720.0740.30
UPIN700.461.85130.90+
UPIN824.470.24+3.23.2
UPIN852.500.0800
UPIN892.930.0246.946.9

Fourteen of 28 (50%) patients developed positive tetramer, IFN-γ, and/or DTH responses to PSA146-154 peptide by week 52. A positive tetramer response is defined as ≥4-fold increase in tetramer levels by week 52 over prevaccine levels, while positive IFN-γ response was defined as ≥100 ng/ml of absolute change in cytokine levels at week 26 or 52 minus prevaccine levels. A positive DTH reaction is defined as ≥15 mm of induration to PSA146-154 peptide. A stringent cutoff value was taken into consideration to measure true immune responses and to avoid false positives.