This study is a dose-escalation, prospective clinical trial to assess the safety, tolerability, and preliminary therapeutic efficacy of engineered mitochondria expressing specific tumor antigen in patients with advanced solid tumors.
Advanced malignant solid tumors have limited treatment options and poor prognosis, which is a major health challenge worldwide. As a promising immunotherapy strategy, cancer vaccines use tumor-specific antigens or tumor-associated antigens to activate body-specific immune responses and effectively inhibit tumor growth and metastasis. Current research suggests that mitochondria are a form of archaeozoic proteus that is integrated into modern eukaryotes by symbiosis with anaerobic pre-eukaryotic (host) cells. Mitochondria are key mediators of innate and adaptive immune processes, and many mitochondrial components and metabolites (e.g., mitochondrial DNA, proteins, etc.) are released in response to cellular injury or stress as damage-associated molecular patterns (DAMPs) to promote inflammatory responses. These DAMPs elicit an innate immune response by activating pattern recognition receptors (PRRs) such as TLRs and NOD-like receptors (NLRs). A mitochondrial engineering platform for the generation of antigen-rich mitochondria as a cancer vaccine has been successfully established. This study includes four dose escalation cohorts and aims to evaluate the safety, tolerability, and preliminary anti-tumor activity of the engineered mitochondrial vaccine in patients with advanced solid tumors.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Participants were assigned to one of four dose-escalation groups (25 μg, 50 μg, 100 μg, or 200 μg per dose) and received subcutaneous injections of the engineered mitochondrial vaccine in a prime-boost schedule. The regimen consisted of 3 doses of primary immunization, 1 dose of boost immunization and subsequent personalized treatment.
West China Hospital, Sichuan University
Chengdu, Sichuan, China
RECRUITINGAdverse events
Time frame: 1 year
Objective Response Rate (ORR)
The ratio of participants assessed with complete response (CR) or partial response (PR) as a best overall response.
Time frame: 6 months
Disease Control Rate (DCR)
The ratio of subjects assessed with CR or PR or stable disease (SD) as a best overall response.
Time frame: 6 months
PFS
PFS is defined as the duration until disease progression or death in participants from the first dose of immunization.
Time frame: 6 months
OS
OS is defined as the duration until death in participants from the first dose of immunization.
Time frame: 1 year
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