1. Exploratory open-label clinical study to determine the S-588410 cancer peptide vaccine-induced tumor-infiltrating lymphocytes and changes in the tumor microenvironment in esophageal cancer patients
- Author
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S. Yoshimura, Teresa Marafioti, Toshiyoshi Fujiwara, K. Stoeber, I Puccio, T. Nakagawa, Tetsuya Nakatsura, Takashi Kojima, T. Hikichi, H. Daiko, M. Nagira, Yasuhiro Shirakawa, N. Ide, Ken Kato, and M. Furukawa
- Subjects
PD-L1 ,Male ,Cancer Research ,Esophageal Neoplasms ,Immunology ,Esophageal cancer ,HLA-A24 Antigen ,Cancer peptide vaccine ,Cancer Vaccines ,Tumor-infiltrating lymphocytes ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Lymphocytes, Tumor-Infiltrating ,Antigens, Neoplasm ,PD-1 ,Tumor Microenvironment ,Immunology and Allergy ,Cytotoxic T cell ,Medicine ,Humans ,030304 developmental biology ,Aged ,0303 health sciences ,Tumor microenvironment ,business.industry ,Cancer ,Middle Aged ,medicine.disease ,Oncology ,030220 oncology & carcinogenesis ,Vaccines, Subunit ,Cancer research ,Peptide vaccine ,Cancer/testis antigens ,Original Article ,Female ,business ,T-Lymphocytes, Cytotoxic - Abstract
Cancer vaccines induce cancer-specific T-cells capable of eradicating cancer cells. The impact of cancer peptide vaccines (CPV) on the tumor microenvironment (TME) remains unclear. S-588410 is a CPV comprising five human leukocyte antigen (HLA)-A*24:02-restricted peptides derived from five cancer testis antigens, DEPDC1, MPHOSPH1, URLC10, CDCA1 and KOC1, which are overexpressed in esophageal cancer. This exploratory study investigated the immunologic mechanism of action of subcutaneous S-588410 emulsified with MONTANIDE ISA51VG adjuvant (median: 5 doses) by analyzing the expression of immune-related molecules, cytotoxic T-lymphocyte (CTL) response and T-lymphocytes bearing peptide-specific T-cell receptor (TCR) sequencing in tumor tissue or blood samples from 15 participants with HLA-A*24:02-positive esophageal cancer. Densities of CD8+, CD8+ Granzyme B+, CD8+ programmed death-1-positive (PD-1+) and programmed death-ligand 1-positive (PD-L1+) cells were higher in post- versus pre-vaccination tumor tissue. CTL response was induced in all patients for at least one of five peptides. The same sequences of peptide-specific TCRs were identified in post-vaccination T-lymphocytes derived from both tumor tissue and blood, suggesting that functional peptide-specific CTLs infiltrate tumor tissue after vaccination. Twelve (80%) participants had treatment-related adverse events (AEs). Injection site reaction was the most frequently reported AE (grade 1, n = 1; grade 2, n = 11). In conclusion, S-588410 induces a tumor immune response in esophageal cancer. Induction of CD8+ PD-1+ tumor-infiltrating lymphocytes and PD-L1 expression in the TME by vaccination suggests S-588410 in combination with anti-PD-(L)1 antibodies may offer a clinically useful therapy. Trial registration UMIN-CTR registration identifier: UMIN000023324. Electronic supplementary material The online version of this article (10.1007/s00262-020-02619-3) contains supplementary material, which is available to authorized users.
- Published
- 2020