Cancer
Conditions
Brief summary
The aim of this project is to provide personalized multi-peptide vaccination in combination with the TLR1/2 ligand XS15 to individual patients with advanced solid and hematological malignancies without any approved treatment options.
Detailed description
Ethics: Patient treatment will be conducted according to §13 Absatz 2b, AMG.
Interventions
Peptide vaccine: Personalized multi-peptide vaccine cocktails consisting of 200-300µg each of 1-10 tumor-associated peptides selected individually based on the patient-individual HLA allotypes and HLA ligandome analysis of tumor cells Peptides are synthesized in the GMP-certified Wirkstoffpeptidlabor at the University of Tübingen and will be formulated at the GMP-Center of the University Hospital Tübingen. Peptides will be administered subcutaneously (s.c.) together with the TLR1/2 ligand XS15 emulsified in Montanide ISA 51 VG as adjuvant. Vaccination will take place every 6 weeks. A total of two to five vaccinations are planned. Treatment schedule: Vaccination will take place every 6 weeks. A total of two to five vaccinations are planned, depended on the induction of peptide-specific T-cell responses.
Sponsors
Eligibility
Inclusion criteria
* Documented diagnosis of advanced malignant disease * Advanced malignant disease without any available standard of care treatment option * Low tumor cell burden * Live expectancy \> 6 month * Ability to understand and voluntarily sign an informed consent form. * Ability to adhere to the study visit schedule and other protocol requirements * Eastern Cooperative Oncology Group (ECOG) performance status score of ≤ 2.
Exclusion criteria
* Pregnant or lactating females. * Treatment regimens inducing sever T cell deficiencies * Treatment-related side effect \> CTC grade 2 (CTCAE V5.0 * Participation in any clinical study or having taken any investigational therapy, which would interfere with the studys primary and secondary end points within 2 weeks prior to vaccination * Pre-existing auto-immune disease except for Hashimoto thyroiditis and mild (not requiring immunosuppressive treatment) psoriasis