Clinical trial · Observational
A Study of Personalized Neoantigen Cancer Vaccines
An Observational Feasibility Study for the Production of a Patient-Specific Neoantigen Cancer Vaccine and Screening Study for a Shared Neoantigen Cancer Vaccine in Patients With Advanced Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The purpose of this study is 1) to evaluate the feasibility of manufacturing a patient-specific neoantigen cancer vaccine, which involves predicting the patient's neoantigens and generating a vaccine that encodes the predicted neoantigens; and, 2) to identify and select patients who may be eligible for a shared neoantigen cancer vaccine where their tumor contains a specific shared mutation and who have the correct HLA allele capable of presenting the neoantigen derived from the tumor-specific mutation.
Conditions
Conditions (5)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Colorectal Cancer | Malignant Colorectal Neoplasm | CURATED_BROADER | 0.80 |
| Gastroesophageal Adenocarcinoma | — | UNRESOLVED | — |
| Non Small Cell Lung Cancer | Lung Non-Small Cell Carcinoma | ALIAS | 0.90 |
| Pancreatic Ductal Adenocarcinoma | Pancreatic Ductal Adenocarcinoma | ONTOLOGY_EXACT | 0.98 |
| Urothelial Carcinoma | Urothelial Carcinoma | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Blood collection for research (HLA typing) | Procedure | — | UNRESOLVED |
| Blood collection for research (next-generation sequencing [NGS]) | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- label
- 1 - patient-specific neoantigen cancer vaccine production
- interventionNames
- Procedure: Blood collection for research (next-generation sequencing [NGS])
- Procedure: Blood collection for research (HLA typing)
- label
- 2 - shared neoantigen cancer vaccine screening
- interventionNames
- Procedure: Blood collection for research (HLA typing)
Primary outcomes (3)
- measure
- Group 1 only: Presence of neoantigens sufficient to warrant patient-specific vaccine manufacture
- timeFrame
- At study enrollment
- measure
- Group 1 only: Percentage of patients for whom patient-specific vaccine is successfully manufactured (defined as meeting release criteria)
- timeFrame
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Group 1 Inclusion Criteria: * Provide a signed and dated informed consent form prior to initiation of study-specific procedures * Patients with the indicated advanced or metastatic solid tumor as follows: 1. NSCLC who have received ≤ 1 cycle of systemic treatment with cytotoxic, platinum-based chemotherapy (Note: patients with NSCLC who are receiving pembrolizumab monotherapy as first line systemic monotherapy are eligible) 2. GEA who have received ≤ 1 cycle of systemic treatment with cytotoxic, platinum-based chemotherapy 3. mUC who have received ≤ 1 cycle of systemic treatment with cytotoxic, platinum-based chemotherapy 4. CRC-microsatellite stable (MSS) who have received ≤ 1 cycle of second line systemic therapy including a fluoropyrimidine and oxaliplatin or irinotecan (Note: patients receiving first-line systemic therapy are eligible) * 18 years of age or older * ECOG Performance Status 0 or 1 * Available FFPE tumor specimen for sequencing and neoantigen selection * Measurable disease according to RECIST v1.1 Have adequate organ function, as measured by laboratory values (criteria listed in protocol) Group 1 Exclusion Criteria: * Tumors with genetic characteristics as follows: 1. For NSCLC, patients with a known driver genomic alteration in EGFR, ALK, ROS1, RET, or TRK 2. For CRC or GEA, patients with MSI disease 3. For CRC, patients with a known BRAF mutation or patients with peritoneal carcinomatosis Group 2 Inclusion Criteria: * Provide a signed and dated informed consent form prior to initiation of study-specific procedures * Patient's tumor possesses one of the mutations listed in the clinical study protocol, as determined per local institutional standard * Patients with an advanced or metastatic solid tumor as follows: 1. MSS-CRC who are currently receiving systemic treatment with a fluoropyrimidine and oxaliplatin or irinotecan that may include a VEGF or EGFR targeting therapy as their first-line or second-line therapy for metastatic disease 2. NSCLC who are currently receiving systemic treatment with cytotoxic, platinum-based chemotherapy in combination with an anti-PD-(L)1 antibody 3. PDA who are currently receiving systemic cytotoxic chemotherapy as their first-line therapy for metastatic disease Group 2 Exclusion Criteria * Patients with MSI disease * Patients with NSCLC with a known driver genomic alteration in EGFR, ALK, ROS1, RET, or TRK Complete inclusion and exclusion criteria are listed in the clinical study protocol.
References
Publications (0)
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