2022
DOI: 10.1038/s41698-022-00279-3
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Durable complete response to neoantigen-loaded dendritic-cell vaccine following anti-PD-1 therapy in metastatic gastric cancer

Abstract: AbsractNeoantigens are ideal targets for dendritic cell (DC) vaccines. So far, only a few neoantigen-based DC vaccines have been investigated in clinical trials. Here, we reported a case of a patient with metastatic gastric cancer who received personalized neoantigen-loaded monocyte-derived dendritic cell (Neo-MoDC) vaccines followed by combination therapy of the Neo-MoDC and immune checkpoint inhibitor (ICI). The patient developed T cell responses against neoantigens after receiving the Neo-MoDC vaccine alone… Show more

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Cited by 36 publications
(27 citation statements)
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“…Neoantigen-loaded DC vaccines can expand the antigenic breadth and clonal diversity of anti-tumor immunity. 9,112,[356][357][358][359][360][361] Several clinical trials are investigating the efficacy and safety of personalized neoantigen DC vaccines in solid tumors, such as melanoma, bladder cancer, colorectal cancer, esophageal cancer, breast cancer, ovarian cancer, pancreatic cancer, hepatocellular carcinoma, lung cancer, and gastric cancer (Table 4).…”
Section: Nucleic Acid Vaccinesmentioning
confidence: 99%
“…Neoantigen-loaded DC vaccines can expand the antigenic breadth and clonal diversity of anti-tumor immunity. 9,112,[356][357][358][359][360][361] Several clinical trials are investigating the efficacy and safety of personalized neoantigen DC vaccines in solid tumors, such as melanoma, bladder cancer, colorectal cancer, esophageal cancer, breast cancer, ovarian cancer, pancreatic cancer, hepatocellular carcinoma, lung cancer, and gastric cancer (Table 4).…”
Section: Nucleic Acid Vaccinesmentioning
confidence: 99%
“…Consequently, we used WT1 protein for antigen pulsing. The most widely studied approach in DC therapy uses mo-DC pulsed with WT1 in conjunction with chemotherapy [ 12 ]. The safety and immunogenicity of mo-DC has been confirmed through clinical trials [ 13 ].…”
Section: Discussionmentioning
confidence: 99%
“…Mo-DC are primarily involved in inflammation and promote TH17 immune response [ 10 ] ( Figure 1 A). Currently, mo-DC is most used in the field of DC anti-cancer immunotherapy research [ 11 , 12 , 13 ]. Although mo-DC is well-tolerated and safe, low therapeutic efficacy has hindered its widespread use.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, the patients with metastatic gastric cancer have received the administration of neoantigen-pulsed DC (Neo-MoDC) vaccines combined with immune checkpoint inhibition (ICI). Although the Neo-MoDC vaccine alone could trigger neoantigen-specific CD4 + and CD8 + TCRs, the combination therapy induced a higher immune response and significant elimination of tumors ( 68 ). Notably, a phase Ib trial (CHUV-DO-0017_PC-PEPDC_2017) was also conducted on a DC vaccine pulsed with personalized neoantigen peptides (PEP-DC) coupled with the treatment of chemotherapy and the anti-PD-1 antibody.…”
Section: Neoantigen-based Dendritic Cell Vaccines In Pancreatic Cancermentioning
confidence: 99%