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Table 3 Selected phase II-III clinical trials of peptide/protein-based cancer vaccines

From: Cancer vaccines: current status and future directions

Platform

Vaccine: targets

Year, Phase, reference

Target cancer

Route

Results

Sample number

Lipo-peptide

Tecemotide (L-BLP25): MUC1

2014, phase III, NCT00409188 [301]

Unresectable stage III NSCLC after chemoradiotherapy/1239

Subcutaneous

No improvement compared to placebo

Peptide

IMA901: ten tumor-associated peptides

2016, phase III, NCT01265901 [95]

HLA-A*02-positive, metastatic and/or locally advanced cell renal cell carcinoma/1171

Intradermal

No improvement compared to sunitinib

Peptide

Nelipepimut-S: E75 with GM-CSF

2019, phase III, NCT01479244 [101]

T1–T3, HER2 IHC 1 + /2 + , node-positive BC/758

Intradermal

No improvement compared to placebo

2020, phase IIb, NCT01570036 [102]

HER2 IHC 1 + /2 + , FISH nonamplified BC, node positive and/or hormone receptor-negative BC/275

No improvement compared to GM-CSF alone

Peptide

GP2 with GM-CSF

2021, phase IIb, NCT00524277 [99]

HER2 1–3 + , node-positive and high-risk node-negative BC/168

Intradermal

100% 5-year DFS in HER2 IHC 3 + BC

Peptide

OSE2101: peptides targeting five TAAs plus PADRE

2023, phase III, NCT02654587 [97]

HLA-A2-positive advanced NSCLC with resistance to immunotherapy/219

Subcutaneous

Improved median OS (11.1 vs 7.5 months) compared to chemotherapy

Peptide

IO102-IO103: IDO and PD-L1

2023, Phase II, NCT03047928 [105]

Anti-PD-1 naïve patients with metastatic melanoma/30

Subcutaneous

ORR: 80%, median PFS: 25.5 months

Peptide

GV1001: 16 amino acids from human telomerase reverse transcriptase

2024, phase III, NCT02854072 [302]

Untreated advanced PDAC with high serum eotaxin levels/148

Intradermal

Improved median OS (11.3 months) compared to chemotherapy alone (7.5 months)

Protein

MAGE-A3 protein combined with AS15

2016, phase III, NCT00480025 [303]

Resected stage IB, II, and IIIA MAGE-A3-positive NSCLC/2312

Intramuscular

No improvement compared to placebo

2018, phase III, NCT00796445 [304]

Resected, stage IIIB or IIIC, MAGE-A3-positive cutaneous melanoma/1345

No improvement compared to placebo

  1. NSCLC, non-small cell lung cancer; BC, breast cancer; IHC, immunohistochemistry; GM-CSF, granulocyte–macrophage colony-stimulating factor; DFS, disease-free survival; OS, overall survival; ORR, overall response rate; PFS, proliferation-free survival; PDAC, pancreatic ductal adenocarcinoma