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@ARTICLE{Grassl:283125,
author = {N. Grassl$^*$ and I. Poschke$^*$ and K. Lindner$^*$ and L.
Bunse$^*$ and I. Mildenberger$^*$ and T. Boschert$^*$ and K.
Jähne$^*$ and E. W. Green$^*$ and I. Hülsmeyer$^*$ and S.
Jünger$^*$ and T. Kessler and A. K. Suwala$^*$ and P.
Eisele and M. Breckwoldt$^*$ and P. Vajkoczy and O. M.
Grauer and U. Herrlinger and J.-C. Tonn and M. Denk and F.
Sahm$^*$ and M. Bendszus and A. von Deimling$^*$ and F.
Winkler and W. Wick and M. Platten$^*$ and K. Sahm$^*$},
title = {{A} {H}3{K}27{M}-targeted vaccine in adults with diffuse
midline glioma.},
journal = {Nature medicine},
volume = {29},
number = {10},
issn = {1078-8956},
address = {New York, NY},
publisher = {Nature America Inc.},
reportid = {DKFZ-2023-01912},
pages = {2586-2592},
year = {2023},
note = {#EA:D170#LA:D170# / 2023 Oct;29(10):2586-2592 / HI-TRON},
abstract = {Substitution of lysine 27 to methionine in histone H3
(H3K27M) defines an aggressive subtype of diffuse glioma.
Previous studies have shown that a H3K27M-specific long
peptide vaccine (H3K27M-vac) induces mutation-specific
immune responses that control H3K27M+ tumors in major
histocompatibility complex-humanized mice. Here we describe
a first-in-human treatment with H3K27M-vac of eight adult
patients with progressive H3K27M+ diffuse midline glioma on
a compassionate use basis. Five patients received H3K27M-vac
combined with anti-PD-1 treatment based on physician's
discretion. Repeat vaccinations with H3K27M-vac were safe
and induced CD4+ T cell-dominated, mutation-specific immune
responses in five of eight patients across multiple human
leukocyte antigen types. Median progression-free survival
after vaccination was 6.2 months and median overall survival
was 12.8 months. One patient with a strong mutation-specific
T cell response after H3K27M-vac showed pseudoprogression
followed by sustained complete remission for >31 months. Our
data demonstrate safety and immunogenicity of H3K27M-vac in
patients with progressive H3K27M+ diffuse midline glioma.},
cin = {D170 / B300 / HD01},
ddc = {610},
cid = {I:(DE-He78)D170-20160331 / I:(DE-He78)B300-20160331 /
I:(DE-He78)HD01-20160331},
pnm = {314 - Immunologie und Krebs (POF4-314)},
pid = {G:(DE-HGF)POF4-314},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37735561},
doi = {10.1038/s41591-023-02555-6},
url = {https://inrepo02.dkfz.de/record/283125},
}