A Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma

Endometrial cancer (EC) is a common gynecological malignancy and the fourth most common malignancy in European and North American women. Amongst EC, the advanced serous, p53-mutated, and pMMR subtypes have the highest risk of relapse despite optimal standard of care therapy. At present, there is no...

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Autores principales: Alexandre Harari, Apostolos Sarivalasis, Kaat de Jonge, Anne-Christine Thierry, Florian Huber, Caroline Boudousquie, Laetitia Rossier, Angela Orcurto, Martina Imbimbo, Petra Baumgaertner, Michal Bassani-Sternberg, Lana E. Kandalaft
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:54bbe941a68b4cdeb4848cf98f87ab842021-11-25T17:04:10ZA Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma10.3390/cancers132258012072-6694https://doaj.org/article/54bbe941a68b4cdeb4848cf98f87ab842021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5801https://doaj.org/toc/2072-6694Endometrial cancer (EC) is a common gynecological malignancy and the fourth most common malignancy in European and North American women. Amongst EC, the advanced serous, p53-mutated, and pMMR subtypes have the highest risk of relapse despite optimal standard of care therapy. At present, there is no standard of care maintenance treatment to prevent relapse among these high-risk patients. Vaccines are a form of immunotherapy that can potentially increase the immunogenicity of pMMR, serous, and p53-mutated tumors to render them responsive to check point inhibitor-based immunotherapy. We demonstrate, for the first time, the feasibility of generating a personalized dendritic cell vaccine pulsed with peptide neoantigens in a patient with pMMR, p53-mutated, and serous endometrial adenocarcinoma (SEC). The personalized vaccine was administered in combination with systemic chemotherapy to treat an inoperable metastatic recurrence. This treatment association demonstrated the safety and immunogenicity of the personalized dendritic cell vaccine. Interestingly, a complete oncological response was obtained with respect to both radiological assessment and the tumor marker CA-125.Alexandre HarariApostolos SarivalasisKaat de JongeAnne-Christine ThierryFlorian HuberCaroline BoudousquieLaetitia RossierAngela OrcurtoMartina ImbimboPetra BaumgaertnerMichal Bassani-SternbergLana E. KandalaftMDPI AGarticleendometrial cancercancer vaccinesimmunotherapyneoantigensNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5801, p 5801 (2021)
institution DOAJ
collection DOAJ
language EN
topic endometrial cancer
cancer vaccines
immunotherapy
neoantigens
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle endometrial cancer
cancer vaccines
immunotherapy
neoantigens
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Alexandre Harari
Apostolos Sarivalasis
Kaat de Jonge
Anne-Christine Thierry
Florian Huber
Caroline Boudousquie
Laetitia Rossier
Angela Orcurto
Martina Imbimbo
Petra Baumgaertner
Michal Bassani-Sternberg
Lana E. Kandalaft
A Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma
description Endometrial cancer (EC) is a common gynecological malignancy and the fourth most common malignancy in European and North American women. Amongst EC, the advanced serous, p53-mutated, and pMMR subtypes have the highest risk of relapse despite optimal standard of care therapy. At present, there is no standard of care maintenance treatment to prevent relapse among these high-risk patients. Vaccines are a form of immunotherapy that can potentially increase the immunogenicity of pMMR, serous, and p53-mutated tumors to render them responsive to check point inhibitor-based immunotherapy. We demonstrate, for the first time, the feasibility of generating a personalized dendritic cell vaccine pulsed with peptide neoantigens in a patient with pMMR, p53-mutated, and serous endometrial adenocarcinoma (SEC). The personalized vaccine was administered in combination with systemic chemotherapy to treat an inoperable metastatic recurrence. This treatment association demonstrated the safety and immunogenicity of the personalized dendritic cell vaccine. Interestingly, a complete oncological response was obtained with respect to both radiological assessment and the tumor marker CA-125.
format article
author Alexandre Harari
Apostolos Sarivalasis
Kaat de Jonge
Anne-Christine Thierry
Florian Huber
Caroline Boudousquie
Laetitia Rossier
Angela Orcurto
Martina Imbimbo
Petra Baumgaertner
Michal Bassani-Sternberg
Lana E. Kandalaft
author_facet Alexandre Harari
Apostolos Sarivalasis
Kaat de Jonge
Anne-Christine Thierry
Florian Huber
Caroline Boudousquie
Laetitia Rossier
Angela Orcurto
Martina Imbimbo
Petra Baumgaertner
Michal Bassani-Sternberg
Lana E. Kandalaft
author_sort Alexandre Harari
title A Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma
title_short A Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma
title_full A Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma
title_fullStr A Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma
title_full_unstemmed A Personalized Neoantigen Vaccine in Combination with Platinum-Based Chemotherapy Induces a T-Cell Response Coinciding with a Complete Response in Endometrial Carcinoma
title_sort personalized neoantigen vaccine in combination with platinum-based chemotherapy induces a t-cell response coinciding with a complete response in endometrial carcinoma
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/54bbe941a68b4cdeb4848cf98f87ab84
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