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
Used in
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.