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. 2023 Dec 28;20(1):2297453. doi: 10.1080/21645515.2023.2297453

Table 2.

Summary of clinical trials with TLR agonists as cancer vaccine adjuvants.

TLR Agonist Vaccine description Vaccine type Target Cancer No. of Clinical Trial Phase Response References
TLR3,7 PolyICLC
IMQ
Tumor lysate and DC vaccine DC Glioblastoma NCT00068510 Phase I Activation of DCs and tumor antigen specific T cells 166
TLR3,7 PolyICLC
Resquimod
Tumor lysate-pulsed DCs DC Brain tumors NCT01204684 Phase II Ongoing study N/A
TLR3 PolyICLC NY-ESO-1 vaccine Protein Ovarian cancer NCT00616941 Phase I Increased antigen specific antibodies, CD4+ and CD8+ T cells 167
TLR3 PolyICLC NY-ESO-1 vaccine Protein Melanoma N/A Phase I/II robust NY-ESO-1 specific humoral and cellular immune responses 168
TLR3 PolyICLC Melanoma specific neoantigen peptide vaccine Peptide Melanoma NCT04364230 Phase I/II Ongoing study N/A
TLR3 PolyICLC Multipeptide vaccine Peptide Breast cancer NCT01532960 Phase I Moderate induction of antigen specific CD8+ T cells 169
TLR3,4 PolyICLC
LPS
Melanoma peptide vaccines Peptide Melanoma NCT01585350 Unknown
(Phase I or II)
Induction of CD8+ T-cell immune response with high OS/DFS 170
TLR4 GLA Recombinant NY-ESO-1 vaccine Protein Solid tumors expressing NY-ESO-1 NCT02015416 Phase I Increased antigen specific antibodies, CD4+ and CD8+ T-cell responses 171
TLR4 MPLA Recombinant baculovirus-derived KSA (Ep-CAM) vaccine Protein Colorectal cancer N/A Phase I Induction of KSA specific antibodies 172
TLR4 GLA Melanoma-associated peptide(MART-1a) vaccine Peptide Melanoma NCT02320305 Phase I Increased MART-1a specific T cells 173
TLR7 IMQ Flt3L and tumor antigen vaccine Peptide Metastatic melanoma N/A Phase I Increased peptide-specific CD8+ T-cell response 174
TLR7 IMQ Recombinant NY-ESO-1 vaccine Protein Melanoma NCT00142454 Phase I Increased humoral and cellular immune response specific to NY-ESO-1 175
TLR7 IMQ Multipeptide cancer vaccine Peptide Melanoma NCT01264731 Phase I Activation and tumor-infiltration of CD8+ T cells and NK cells 176
TLR7 Resquimod NY-ESO-1 vaccine Protein Melanoma NCT00821652 Phase I Induction of antigen specific antibodies and CD4+ T-cell responses 177
TLR7 Resquimod gp100 and MAGE-3 peptide vaccine Peptide Melanoma NCT00960752 Phase II Activation of pDCs and regression of in-transit melanoma metastasis 178
TLR9 CpG7909 Melanoma antigen vaccine Peptide Melanoma N/A Phase I Induction of NY-ESO-1 specific T-cell responses 179
TLR9 CpG7909 URLC210–177 and TTK567 peptide vaccine Peptide Esophageal squamous cell carcinoma NCT00669292 Phase I/II Induction of antigen specific CD8+ T-cell responses 180