Melanoma Clinical Trial
Official title:
First-in-human Study Evaluating the Safety, Tolerability and Immunogenicity of i.n. Administration of a Personalized Vaccination With IVAC MUTANOME Vaccine w/o Initial Treatment With RBL001/RBL002 Vaccine in Patients With Advanced Melanoma
Clinical first-in-human study evaluating the safety, tolerability and immunogenicity of intra-nodal administration of a personalized vaccination with IVAC MUTANOME vaccine with or without initial treatment with RBL001/RBL002 vaccine in patients with advanced melanoma
IVAC MUTANOME is a poly-neo-epitopic coding RNA vaccine targeting the unique mutation
signature of an individual patient. It is engineered on demand, provided as two
patient-specific RNA drug products and administered as an individual treatment.
RBL001/RBL002 and IVAC MUTANOME are naked ribonucleic acid (RNA) based recombinant vaccines
optimized to induce antigen-specific CD8+ and CD4+ T cell responses against melanoma
associated target antigens.
The two antigens are well characterized antigens in melanoma that have been previously
utilized with excellent safety and proven immunogenicity as vaccine targets in a number of
independent clinical trials.
The overall rationale of the study is to determine safety of the novel RNA-based vaccine
strategy and determine the number and function of vaccine-induced antigen-specific
immune-responses as early biomarkers for the clinical mode of action.
The IVAC MUTANOME vaccine approach is based on targeting multiple immunogenic tumour
mutations unique to a given patient's tumour using a poly-epitopic RNA-based vaccine
manufactured for use in a single patient only. Parallel to the target discovery process and
on demand manufacturing of IVAC MUTANOME vaccine patients with RBL001 and/ or RBL002
positive-tumours will receive the RBL001/RBL002 vaccine. Patients which tumours that are
RBL001 and RBL002 negative can also be included into the clinical study but will not receive
RBL001/RBL002 prior to IVAC MUTANOME. Applying this approach the RBL001/RBL002 vaccine and
the IVAC MUTANOME vaccine administration is expected to lead to several effects contributing
to their immunological (therapeutic) effects.
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