Literature DB >> 33064988

A Phase Ib Trial of Personalized Neoantigen Therapy Plus Anti-PD-1 in Patients with Advanced Melanoma, Non-small Cell Lung Cancer, or Bladder Cancer.

Patrick A Ott1, Siwen Hu-Lieskovan2, Bartosz Chmielowski2, Ramaswamy Govindan3, Aung Naing4, Nina Bhardwaj5, Kim Margolin6, Mark M Awad7, Matthew D Hellmann8, Jessica J Lin9, Terence Friedlander10, Meghan E Bushway11, Kristen N Balogh11, Tracey E Sciuto11, Victoria Kohler11, Samantha J Turnbull11, Rana Besada11, Riley R Curran11, Benjamin Trapp11, Julian Scherer11, Asaf Poran11, Dewi Harjanto11, Dominik Barthelme11, Ying Sonia Ting11, Jesse Z Dong11, Yvonne Ware11, Yuting Huang11, Zhengping Huang11, Amy Wanamaker11, Lisa D Cleary11, Melissa A Moles11, Kelledy Manson11, Joel Greshock11, Zakaria S Khondker11, Ed Fritsch11, Michael S Rooney11, Mark DeMario11, Richard B Gaynor11, Lakshmi Srinivasan12.   

Abstract

Neoantigens arise from mutations in cancer cells and are important targets of T cell-mediated anti-tumor immunity. Here, we report the first open-label, phase Ib clinical trial of a personalized neoantigen-based vaccine, NEO-PV-01, in combination with PD-1 blockade in patients with advanced melanoma, non-small cell lung cancer, or bladder cancer. This analysis of 82 patients demonstrated that the regimen was safe, with no treatment-related serious adverse events observed. De novo neoantigen-specific CD4+ and CD8+ T cell responses were observed post-vaccination in all of the patients. The vaccine-induced T cells had a cytotoxic phenotype and were capable of trafficking to the tumor and mediating cell killing. In addition, epitope spread to neoantigens not included in the vaccine was detected post-vaccination. These data support the safety and immunogenicity of this regimen in patients with advanced solid tumors (Clinicaltrials.gov: NCT02897765).
Copyright © 2020 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  NEO-PV-01; T cell; anti-PD-1; cancer vaccine; checkpoint inhibitor; epitope spread; immunotherapy; metastatic cancer; neoantigen; personalized vaccine

Mesh:

Substances:

Year:  2020        PMID: 33064988     DOI: 10.1016/j.cell.2020.08.053

Source DB:  PubMed          Journal:  Cell        ISSN: 0092-8674            Impact factor:   41.582


  108 in total

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Review 5.  Neoantigen vaccine platforms in clinical development: understanding the future of personalized immunotherapy.

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Review 10.  Impact of Immunotherapy on CD4 T Cell Phenotypes and Function in Cancer.

Authors:  Margaux Saillard; Mara Cenerenti; Pedro Romero; Camilla Jandus
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