PMID- 24596453 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140408 LR - 20211021 IS - 1177-5475 (Print) IS - 1177-5491 (Electronic) IS - 1177-5475 (Linking) VI - 8 DP - 2014 TI - Therapeutic vaccines and cancer: focus on DPX-0907. PG - 27-38 LID - 10.2147/BTT.S55196 [doi] AB - In an attempt to significantly enhance immunogenicity of peptide cancer vaccines, we developed a novel non-emulsion depot-forming vaccine platform called DepoVax (DPX). Human leukocyte antigen (HLA)-A2 restricted peptides naturally presented by cancer cells were used as antigens to create a therapeutic cancer vaccine, DPX-0907. In a phase I clinical study, the safety and immune-activating potential of DPX-0907 in advanced-stage breast, ovarian, and prostate cancer patients were examined, following encouraging results in HLA-A2 transgenic mice. The DPX-0907 vaccine was shown to be safe and well tolerated, with injection-site reactions being the most commonly reported adverse event. Vaccinated cancer patients exhibited a 61% immune response rate, with higher response rates in the breast and ovarian cancer patient cohorts. In keeping with the higher immune efficacy of this vaccine platform, antigen-specific responses were detected in 73% of immune responders after just one vaccination. In 83% of responders, peptide-specific T-cells were detected at two or more time points post-vaccination, with 64% of these patients showing evidence of immune persistence. Immune monitoring also demonstrated the generation of antigen-specific T-cell memory, with the ability to secrete multiple type 1 cytokines. The novel DPX formulation promotes multifunctional effector/memory responses to peptide-based tumor-associated antigens. The data support the capacity of DPX-0907 to elicit type-1 biased immune responses, warranting further clinical development of the vaccine. In this review, we discuss the rationale for developing DPX-based therapeutic cancer vaccine(s), with a focus on DPX-0907, aimed at inducing efficient anti-tumor immunity that may eventually be shown to prolong patient survival. FAU - Karkada, Mohan AU - Karkada M AD - ImmunoVaccine Inc, Dalhousie University, Halifax, NS, Canada ; Department of Microbiology/Immunology, Dalhousie University, Halifax, NS, Canada. FAU - Berinstein, Neil L AU - Berinstein NL AD - Ontario Institute for Cancer Research, Toronto, ON, Canada. FAU - Mansour, Marc AU - Mansour M AD - ImmunoVaccine Inc, Dalhousie University, Halifax, NS, Canada. LA - eng PT - Journal Article PT - Review DEP - 20140210 PL - New Zealand TA - Biologics JT - Biologics : targets & therapy JID - 101321511 PMC - PMC3930480 OTO - NOTNLM OT - DPX-0907 OT - DepoVax OT - cancer vaccine OT - immunotherapy EDAT- 2014/03/07 06:00 MHDA- 2014/03/07 06:01 PMCR- 2014/02/10 CRDT- 2014/03/06 06:00 PHST- 2014/03/06 06:00 [entrez] PHST- 2014/03/07 06:00 [pubmed] PHST- 2014/03/07 06:01 [medline] PHST- 2014/02/10 00:00 [pmc-release] AID - btt-8-027 [pii] AID - 10.2147/BTT.S55196 [doi] PST - epublish SO - Biologics. 2014 Feb 10;8:27-38. doi: 10.2147/BTT.S55196. eCollection 2014.