Unlocking therapeutic vaccines for cancer and advancing in adjuvant systems

Unlocking therapeutic vaccines for cancer and advancing in adjuvant systems

Unlocking new vaccine adjuvants and delivery systems is paramount to supporting the treatment and cure of many cancers. Read on to discover how adjuvants play a role in developing the treatments for specific cancers across the globe.?


Where existing cancer treatments are limited, new therapeutic approaches are being explored, such as therapeutic vaccines to boost T-cell responses directed towards the tumour and assist with the cancer treatment to increase chances of treatment success. That response can often depend on, or be enhanced by, the presence of existing or newly developed adjuvants.

How adjuvants work?

Adjuvants are used in vaccine design to accelerate, prolong, or enhance immune responses. They can help to raise an early, long-lasting, and efficient immune response to the vaccine. This increases vaccine efficacy and can provide a high degree of protection from the disease against which you are vaccinating.??

Exploring an example in prostate cancer research?

Globally, prostate cancer ranks as the second most diagnosed cancer and the fifth primary cause of cancer-related mortality in men. Existing treatments for metastatic prostate cancer are limited, particularly when androgen deprivation therapies fail, emphasising the critical need for new therapeutic approaches. Advances in cancer immunotherapy, particularly therapeutic vaccines that boost T-cell responses directed towards the tumour, offer new hope. Prostate cancer's high expression of tumour-associated antigens (TAA) makes it an ideal candidate for such treatments.?

A study published in Frontiers in Immunology last year, revealed promising results for a novel vaccine targeting hormone-sensitive prostate cancer. The vaccine, which includes the adjuvant CAF09b and a Bcl-XL-peptide, demonstrated the ability to generate strong T-cell responses (CD4+ and CD8+). Researchers believe these findings could significantly influence the future of prostate cancer treatment.?

The novel adjuvant CAF09b, composed of lipid surfactants and a TLR3 agonist, enhances the uptake and processing of these peptides, promoting a robust immune response. In a clinical trial involving 20 hormone-sensitive prostate cancer patients, the vaccine was administered through intramuscular and intraperitoneal injections. The vaccine was found to be safe and tolerable, with significant T-cell responses observed, particularly with intraperitoneal injections.?

These findings pave the way for further development and potential new treatments for prostate cancer1·2. ?

Leveraging liposomal adjuvants in the treatment of other cancers?

More recent studies on neoantigen based vaccines (also formulated with novel adjuvant CAF09b) have shown great potential in treating metastatic melanomas. Neoantigens are mainly tumour-specific antigens created by tumour cell mutation. Treatments based on neoantigens can work by helping the body’s immune system (T cells) to detect cancer cells and stimulate a strong specific anti-tumour immune response to eliminate tumour cells.?

In recent research, a neoantigen vaccine, EVX-01, was formulated in a liposomal adjuvant, CAF09b, and it was shown that patients with metastatic melanoma cancers responded to the treatment.?Leveraging developments like this, scientists are racing to find new life-saving formulations and continue to utilise novel adjuvant systems to deliver them.?

The development of new immunotherapy treatments, like those described, rely on the continued development of new solutions across our field – including new vaccines antigen platforms, immunostimulators, adjuvant systems and excipients.

Visit www.crodapharma.com to learn about our Adjuvant Systems developments and how they can make a difference across different vaccine applications.??

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References

  1. Dose escalation study of a personalized peptide-based neoantigen vaccine (EVX-01) in patients with metastatic melanoma. Available on <https://jitc.bmj.com/content/12/5/e008817>. Access on June 2024.
  2. Personalized therapy with peptide-based neoantigen vaccine (EVX-01) including a novel adjuvant, CAF?09b, in patients with metastatic melanoma. Available on <https://www.tandfonline.com/doi/full/10.1080/2162402X.2021.2023255>. Access on June 2024.

Promising new results for metastatic prostate cancer vaccine. Available on <https://www.crodapharma.com/en-gb/news-and-blog/promising-new-results-for-metastatic-prostate-cancer-vaccine>. Access on June 2024.



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