PMID- 37509288 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230731 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 15 IP - 14 DP - 2023 Jul 14 TI - Clinical Trial on the Safety and Tolerability of Personalized Cancer Vaccines Using Human Platelet Lysate-Induced Antigen-Presenting Cells. LID - 10.3390/cancers15143627 [doi] LID - 3627 AB - Research and development of personalized cancer vaccines as precision medicine are ongoing. We predicted human leukocyte antigen (HLA)-compatible cancer antigen candidate peptides based on patient-specific cancer genomic profiles and performed a Phase I clinical trial for the safety and tolerability of cancer vaccines with human platelet lysate-induced antigen-presenting cells (HPL-APCs) from peripheral monocytes. Among the five enrolled patients, two patients completed six doses per course (2-3 x 10(7) cells per dose), and an interim analysis was performed based on the immune response. An immune response was detected by enzyme-linked immunosorbent spot (ELISpot) assays to HLA-A*33:03-matched KRAS(WT), HLA-DRB1*09:01-compliant KRAS(WT or G12D), or HLA-A*31:01-matched SMAD4(WT), and HLA-DRB1*04:01-matched SMAD4(G365D) peptides in two completed cases, respectively. Moreover, SMAD4(WT)-specific CD8(+) effector memory T cells were amplified. However, an attenuation of the acquired immune response was observed 6 months after one course of cancer vaccination as the disease progressed. This study confirmed the safety and tolerability of HPL-APCs in advanced and recurrent cancers refractory to standard therapy and is the first clinical report to demonstrate the immunoinducibility of personalized cancer vaccines using HPL-APCs. Phase II clinical trials to determine immune responses with optimized adjuvant drugs and continued administration are expected to demonstrate efficacy. FAU - Koya, Terutsugu AU - Koya T AUID- ORCID: 0000-0003-0804-1045 AD - Department of Regenerative Medicine, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. AD - Center for Regenerative Medicine, Kanazawa Medical University Hospital, Kahoku 920-0293, Ishikawa, Japan. FAU - Yoshida, Kenichi AU - Yoshida K AD - Center for Regenerative Medicine, Kanazawa Medical University Hospital, Kahoku 920-0293, Ishikawa, Japan. FAU - Togi, Misa AU - Togi M AUID- ORCID: 0000-0002-7424-4548 AD - Department of Regenerative Medicine, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. AD - Center for Regenerative Medicine, Kanazawa Medical University Hospital, Kahoku 920-0293, Ishikawa, Japan. FAU - Niida, Yo AU - Niida Y AUID- ORCID: 0000-0001-5641-7962 AD - Division of Genomic Medicine, Department of Advanced Medicine, Medical Research Institute, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. FAU - Togi, Sumihito AU - Togi S AUID- ORCID: 0000-0002-3189-8111 AD - Division of Genomic Medicine, Department of Advanced Medicine, Medical Research Institute, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. FAU - Ura, Hiroki AU - Ura H AUID- ORCID: 0000-0002-7600-3481 AD - Division of Genomic Medicine, Department of Advanced Medicine, Medical Research Institute, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. FAU - Mizuta, Shuichi AU - Mizuta S AD - Department of Hematology and Immunology, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. FAU - Kato, Tomohisa Jr AU - Kato T Jr AD - Division of Stem Cell Medicine, Department of Advanced Medicine, Medical Research Institute, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. FAU - Yamada, Sohsuke AU - Yamada S AUID- ORCID: 0000-0003-2662-0024 AD - Department of Pathology and Laboratory Medicine, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. FAU - Shibata, Takeo AU - Shibata T AD - Department of Obstetrics and Gynecology, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. FAU - Liu, Yi-Chang AU - Liu YC AD - Division of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan. AD - Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan. FAU - Yuan, Shyng-Shiou AU - Yuan SS AUID- ORCID: 0000-0002-4753-788X AD - Office of Research & Development, Kaohsiung Medical University, Kaohsiung 807, Taiwan. FAU - Wu, Deng-Chyang AU - Wu DC AD - Internal Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan. FAU - Kobayashi, Hirohito AU - Kobayashi H AD - Division of Transfusion and Cell Therapy, Tokyo Women's Medical University, Adachi Medical Center, Adachi 123-8558, Tokyo, Japan. FAU - Utsugisawa, Taiju AU - Utsugisawa T AD - Department of Transfusion Medicine and Cell Processing, Tokyo Women's Medical University, Shinjuku 162-8666, Tokyo, Japan. FAU - Kanno, Hitoshi AU - Kanno H AD - Department of Transfusion Medicine and Cell Processing, Tokyo Women's Medical University, Shinjuku 162-8666, Tokyo, Japan. FAU - Shimodaira, Shigetaka AU - Shimodaira S AUID- ORCID: 0000-0002-6612-6912 AD - Department of Regenerative Medicine, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. AD - Center for Regenerative Medicine, Kanazawa Medical University Hospital, Kahoku 920-0293, Ishikawa, Japan. AD - Division of Stem Cell Medicine, Department of Advanced Medicine, Medical Research Institute, Kanazawa Medical University, Kahoku 920-0293, Ishikawa, Japan. AD - Department of Transfusion Medicine and Cell Processing, Tokyo Women's Medical University, Shinjuku 162-8666, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20230714 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC10377585 OTO - NOTNLM OT - antigen-presenting cells OT - enzyme-linked immunosorbent assay OT - in silico prediction OT - memory T cells OT - personalized cancer vaccine COIS- S.S., T.K. and M.T. are patent inventors for a method for manufacturing human platelet lysate-inducible interferon (IFN)-DCs (PCT/JP/2021/040505). S.S., T.K. and M.T. evaluated the DCO-K serum-free medium (Nissui Pharmaceutical Co., Ltd.) for the HPL-APC culture. Kanazawa Medical University concludes a collaborative investigation contract with Nissui Pharmaceutical Co., Ltd. The funders had no role in the design of the study, in the collection, analyses, or interpretation of data, in the writing of the manuscript, or in the decision to publish the results. EDAT- 2023/07/29 11:47 MHDA- 2023/07/29 11:48 PMCR- 2023/07/14 CRDT- 2023/07/29 01:11 PHST- 2023/05/27 00:00 [received] PHST- 2023/06/27 00:00 [revised] PHST- 2023/07/11 00:00 [accepted] PHST- 2023/07/29 11:48 [medline] PHST- 2023/07/29 11:47 [pubmed] PHST- 2023/07/29 01:11 [entrez] PHST- 2023/07/14 00:00 [pmc-release] AID - cancers15143627 [pii] AID - cancers-15-03627 [pii] AID - 10.3390/cancers15143627 [doi] PST - epublish SO - Cancers (Basel). 2023 Jul 14;15(14):3627. doi: 10.3390/cancers15143627.