Nature Materials, 2017, Vol16, p 489-496
James Moon and Anna Schwendeman of the Department of Pharmaceutical Sciences and Biointerfaces Institute at the University of Michigan
They were funded by the NIH, AHA, the UM MTRAC for Life Sciences, and the UM College of Pharmacy faculty start-up fund. Additionally, they found funding from the DoD Congressionally directed medical research program peer reviewed cancer research program and the NSF.
Despite the tremendous potential of peptide-based cancer vaccines, their efficacy has been limited in humans. Recent innovations in tumour exome sequencing have signaled the new era of personalized immunotherapy with patient-specific neoantigens, but a general methodology for stimulating strong CD8α+ cytotoxic T-lymphocyte (CTL) responses remains lacking Here we demonstrate that high-density lipoprotein-mimicking nanodiscs coupled with antigen (Ag) peptides and adjuvants can markedly improve Ag/adjuvant co-delivery to lymphoid organs and sustain Ag presentation on dendritic cells Strikingly, nanodiscs elicited up to 47-fold greater frequencies of neoantigen-specific CTLs than soluble vaccines and even 31-fold greater than perhaps the strongest adjuvant in clinical trials (that is, CpG in Montanide). Moreover, multi-epitope vaccination generated broad-spectrum T-cell responses that potently inhibited tumour growth. Nanodiscs eliminated established MC-38 and B16F10 tumours when combined with anti-PD-1 and anti-CTLA-4 therapy. These findings represent a new powerful approach for cancer immunotherapy and suggest a general strategy for personalized nanomedicine.
My takeaways:
1. The researchers leverage the two successful developing cancer treatment strategies - immunotherapy and personalized medicine - to demonstrate excellent cancer treatment and prevention in mice. I like how they used an established nanoparticle, the synthetic HDL particles - that are currently under investigation by CSL limited for preventing the recurrence of cardiovascular events. By doing this they avoid developing their own good manufacturing practices and safety profiles required for regulatory approval.
2. I’m excited to hear about the startup that the researchers formed for this product in 2016: EVOQ Therapeutics. They have a long pathway ahead of them with fundraising, pre-clinical efficacy and safety testing, and establishing their own GMP manufacturing methods. And that is just to get to first-in-human testing.
The company CSL demonstrated that HDL-ApoA1 particles have received positive results from a clinical trial on recurrence of cardiovascular events in a phase 2 clinical trial recently.
Competing financial interests
A patent application for nanodisc vaccines has been filed, with J.J.M., A.S. and R.K. as inventors, and J.J.M. and A.S. are co-founders of EVOQ Therapeutics, LLC., that develops the nanodisc technology for vaccine applications.
Found EVOQ Therapeutics in 2016.