The patients’ characteristics are summarized in Table 1. Table 1 Patient characteristics Patient ID Sex Age Histology Stage at enrollment ECOG* Expression Therapy Sequence Time between the treatment modalities (days) Response to the conventional treatment (RECIST) Time to progression from Chemotherapy (days) Time to progression from Immunotherapy (days) Survival from Diagnosis (days) Survival from Immunotherapy (days) 1 M 61 Sq/Ad IIIB (T4,N2) 1 HER-2 (grade 3) MAGE1 (grade 5) CT – IT 77 Partial Response

138 47 258 84 2 M 66 Ad IIIB (T2,N3) 2 WT1 (grade 4) CEA (grade 6) CT – IT – XRT 38; 3 Stable disease 112 60 358 198 3 M 59 Ad IIIB (T4,N2) 1 CEA (grade 7) CT – XRT – IT 30; 52 Stable disease 231 82 276 112 4 F 63 IMA IV (T4,N2,M1)# 2 WT1 (grade 2) CEA (grade 7) HER-2 (grade 1) CT – IT – CT 45; 56 Stable disease 64 1 329 82 5 F 50 Sq IIIB (T4,N2) 1 CEA (grade 3) HER-2 (grade 2) CT – XRT – IT 51; 56 Partial Response 200 22 560 277 Sq, squamous

cell Small molecule library purchase carcinoma; Ad, adenocarcinoma; IMA, invasive mucinous adenocarcinoma. *ECOG: Eastern Cooperative Oncology Group performance status. #T4Ipsi Nod, N2,M1aCont Nod Safety During the chemo and radiotherapy, no adverse events grade >2 were reported. No reaction was observed during or after the leukapheresis. No local reaction was observed at the vaccine site of application. One patient presented systemic reactions after the immunotherapy. This patient developed fatigue (grade 2) and chills five days following Linifanib (ABT-869) the first dose of the vaccine and was hospitalized

on the 7th day because the laboratorial analyses showed leukopenia (1,500/mm3; selleck chemical grade 3), granulocytopenia (900/mm3; grade 3), lymphopenia (495/mm3; grade 3); thrombocytopenia (88,000/mm3; grade 1); anemia (hemoglobin 8,5 g/dL; grade 2) and hyponatremia (126 mEq/L; grade 3). The serology to the Human Immunodeficiency Virus (HIV), mononucleosis, cytomegalovirus, Epstein Barr, Mycoplasma pneumoniae and dengue were negatives, as well as the bacterial cultures. Cephepime was prescribed empirically. No colony-stimulating factor was used and the patient recovered from blood changes, spontaneously, after five days, except by the anemia. The hyponatremia was treated with sodium replacement and became normal after one week. Immunologic responses to Vaccines The lymphoproliferation assay showed an improvement in the specific immune response after the immunization. This response was not long lasting and a tendency to reduction 2 weeks after the second dose of the vaccine was observed. Patterns of reactivity ranged between individuals (Figure 2). Two patients (#3 and #5) expressed a noteworthy result at the lymphoproliferation tests at one time point after the first dose. Patients #1 and #4 presented a visibly boosted response temporally related to the second dose. Patient #2 showed a mixed response with a strongest response after the first dose to WT1 and a boosted response to CEA. Figure 2 Immunological response.