Inclusion Criteria: All grades of ependymoma are eligible.

          -  Patients must have recurrent/progressive ependymoma that has progressed or recurred
             after initial adjuvant therapy.

          -  HLA-A2 positive based on flow cytometry performed at the University of Pittsburgh.

          -  Patients must have previously received standard initial therapy including attempted
             gross total resection, where safely feasible, and in appropriate circumstances (e.g.,
             those older than one year at initial diagnosis, with non-metastatic tumors and at
             least microscopic residual disease), involved field fractionated radiation therapy
             (RT). Patients may have received re-irradiation but not to the index lesion within 4
             weeks.

          -  Patients must be clinically stable and off or on low-dose (no more than 0.1 mg/kg/day,
             max 4 mg/day Dexamethasone) corticosteroid for at least one week prior to study
             registration.

          -  Patients must be ≥ 12 months and <22 years of age at the time of study registration.

          -  Patients must have a performance status of ≥ 70; (Karnofsky if > 16 years and Lansky
             if ≤ 16 years of age).

          -  Patients may have non-bulky, asymptomatic metastatic disease.

          -  Males and females must agree to use effective birth control methods during the course
             of vaccination (from the first vaccine to two weeks after the last vaccine).

          -  Patients must be free of systemic infection requiring IV antibiotics at the time of
             registration and off IV antibiotics for at least 7 days prior to registration.

          -  Patients must have adequate organ function as measured by:

               -  Bone marrow: Absolute neutrophil count (ANC) > 1,000/µl; Platelets > 100,000/µl
                  (transfusion independent); Absolute lymphocyte count (ALC) ≥ 500/µl; Hemoglobin
                  >8 g/dl (may be transfused).

               -  Hepatic: bilirubin ≤ 1.5x institutional normal for age; serum glutamate pyruvate
                  transaminase (SGPT) < 3x institutional normal

               -  Renal: Serum creatinine based on age or creatinine clearance or radioisotope
                  glomerular filtration rate (GFR) > 70 ml/min/1.73 m²

          -  Patients must have recovered from the toxic effects of prior therapy and be at least 3
             weeks from the last dose of standard cytotoxic chemotherapy or myelosuppressive
             biological therapy, at least one week from the last dose of non-myelosuppressive
             biological therapy and at least 4 weeks from the completion of radiation therapy.

          -  Patients must have no overt cardiac, gastrointestinal, pulmonary, or psychiatric
             disease.

        Patients must be willing to travel to Pittsburgh to receive the vaccine. Visits: Every 3
        weeks x 9, then every 6 weeks x 12 depending on response/side effects

        Exclusion Criteria:

          -  Patients living outside of North America are not eligible.

          -  Patients must be off concurrent treatment or medications for at least 1 week
             including: Interferon (e.g. Intron-A®), allergy desensitization injections, growth
             factors (e.g. Procrit®, Aranesp®, Neulasta®), interleukins (e.g. Proleukin®), and any
             investigational therapeutic medication.

          -  Patients must not have a history of any immune system disorder or laboratory
             abnormality or any condition that could potentially alter immune function.

          -  Use of immunosuppressives within four weeks prior to study entry or anticipated use of
             immunosuppressive agents. Patients must be on no more than 0.1 mg/kg/day, max 4 mg/day
             dexamethasone for at least one week before study registration. Topical corticosteroids
             are acceptable.

          -  Patients with a known immune deficiency.

          -  Pregnancy or breastfeeding. Female patients who are post-menarchal must have a
             documented negative pregnancy test.

          -  Tetanus vaccine during therapy or within 1 week prior to enrollment.

          -  Patients who have received prior immunotherapy.