Cancer3.AICancer TherapiesCancer Vaccines › Vector-based and peptide vaccines

Vector-based and peptide vaccines

Vector-based and peptide vaccines form a broad experimental class of cancer vaccines: none is approved for routine use, and they are being evaluated mainly in phase 1 and phase 2 clinical trials. Peptide vaccines deliver ready-made fragments of tumor antigens; vector vaccines use modified, harmless viruses or bacteria to carry antigen genes into the body. The NCI notes that vaccines built on antigens shared between many patients' tumors remain experimental.

How it works

Both approaches serve the same purpose — showing the immune system a target found on cancer cells — but take different routes. A peptide vaccine contains short protein fragments copied from tumor-associated antigens, usually injected together with an adjuvant, a substance that heightens the immune system's attention. Antigen-presenting cells pick the fragments up and display them to T cells, which can then recognize tumor cells carrying the same antigen. A vector vaccine instead packs the genetic instructions for an antigen into a carrier — most often a weakened or engineered virus that cannot cause disease. Cells that take up the vector produce the antigen themselves, and the vector's natural ability to alarm the immune system can strengthen the response. Researchers are testing both classes across many tumor types, frequently in combination with checkpoint inhibitors, on the premise that the vaccine supplies the target while the second drug releases the immune response directed at it.

Used in

Malignant Melanoma C43

Melanoma is the setting in which peptide vaccines have been studied most extensively. In a randomised phase 3 trial in 185 patients with advanced melanoma, adding the gp100 peptide vaccine to interleukin-2 increased the response rate from 6% to 16% (p=0.03) and median progression-free survival from 1.6 to 2.2 months (p=0.008); the difference in overall survival (17.8 vs 11.1 months) did NOT reach statistical significance (p=0.06). Peptide and vector-based vaccines have no FDA or EMA approval in any cancer and remain investigational.

Sources

  1. NCI – Cancer Treatment Vaccines ↗
  2. NCI – Immunotherapy to Treat Cancer ↗