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Table 2 Clinical Trials of mRNA Encoding TAAs

From: mRNA vaccine for cancer immunotherapy

Brand

NCT Number

Status

Phases

Disease

Antigen

mRNA

Formulation Type

Route

Combo

Sponsor (s)

Study Results

CV9201

NCT00923312

Completed

Phase 1/2

Stage IIIB/IV NSCLC

MAGE-C1, MAGE-C2, NY-SEO-1, survivin, 5 T4

mRNA

RNActive, (Protamine)

i.d.

NA

CureVac

CV9201 was well-tolerated and immune responses were detected after treatment. Median progression-free and overall survival were 5 and 10.8 months

CV9202

NCT03164772

Recruiting

Phase 1/2

NSCLC

NY-ESO-1, MAGE-C1, MAGE-C2, 5 T4, survivin, MUC1

mRNA

RNActive, Protamine

i.d.

Durvalumab; Tremelimumab

CureVac

CV9202 was well-tolerated, and antigen specific immune responses were detected in majority of patients (84%)

CV9103

NCT00831467

Completed

Phase I/2

Prostate cancer

PSA, PSCA, PSMA, STEAP1

mRNA

RNActive, Protamine

i.d.

NA

CureVac

CV9103 is well tolerated and immunogenic

CV9104

NCT01817738

Terminated

Phase I/2

Prostate cancer

PSA, PSCA, PSMA, STEAP1, PAP, MUC1

mRNA

RNActive, Protamine

i.d.

NA

CureVac

Terminated due to insufficient activities

BNT111 (Lipo-MERIT)

NCT02410733

Active,

not yet recruiting

Phase 1

advanced melanoma

NY-ESO-1, MAGE-C3, tyrosinase,

gp100

mRNA

Lipo-MERIT, DOTMA

(DOTAP)/

DOPE lipoplex

i.v.

NA

BioNTech

Not available

IVAC

NCT02316457

Active,

not yet recruiting

Phase 1

TNBC

3 TAAs selected

mRNA

Lipo-MERTI, DOTMA(DOTAP)/DOPE lipoplex

i.v.

NA

BioNTech

Not available

Not available

NCT01995708

Active,

not yet recruiting

Phase 1

malignant melanoma

CT7, MAGE-A3, and WT1 mRNA-electroporated Langerhans cells (LCs)

dendritic cell (DC)-loaded mRNA

CT7, MAGE-A3, and WT1 mRNA-electroporated Langerhans cells (LCs)

i.d.

NA

Memorial Sloan Kettering Cancer Center

Not available

Not available

NCT00204516

Completed

Phase 1/2

melanoma

TAA for melanoma (Melan-A, Mage-A1, Mage-A3, survivin, GP100, and tyrosinase)

naked mRNA

naked mRNA

i.d.

GM-CSF

The Norwegian Radium Hospital

Not available

NA

NCT01278940

Completed

Phase 1/2

melanoma

TAA-transfected DC

dendritic cell (DC)-loaded mRNA

DC loaded mRNA

i.d. or i.n.

IL-2

Oslo University Hospital

Not available

AVX701

NCT01890213

Completed

Phase 1

Stage III CRC

an alphavirus replicon (VRP) encoding the protein (CEA)

SAM

VRP

i.m.

NA

AlphaVax

Not available

AVX701

NCT00529984

Completed

Phase 1/2

Advanced or metastatic CEA expressing solid tumor

an alphavirus replicon (VRP) encoding the protein (CEA)

SAM

VRP

i.m.

NA

AlphaVax

Five-year survival for patients with stage IV and stage III cancer was 17, 75%, respectively. All patients shown CEA-specific humoral immunity. CEA-specific, IFNγ-producing CD8 + granzyme B + TCM cells were increased.

So, VRP-CEA induces antigen-specific effector T cells while decreasing Tregs, suggesting favorable immune modulation.