Table 4.
Clinical Trials of Peptide-Based Vaccines Against Cervical Cancer
| Vaccine | Vaccine Composition & Adjuvant | Phase/ Status | Clinical Trials | Outcomes | Ref |
|---|---|---|---|---|---|
| HPV-16 E711-20/86-93, peptide trial | HPV-16 E711-20, E786-93, and PADRE emulsified in Montanide ISA 51 adjuvant | I–II/ Completed | 19 patients; dose-escalation study | 15 patients developed progressive disease; 2 patients showed tumor regression with chemotherapy. | [131] |
| I–II/ Completed | 15 patients | No HPV-specific CTL response. | [130] | ||
| HPV-16 E712-20/86-93 peptide trial | HPV-16 E712-20, E786-93, and PADRE emulsified in Montanide ISA 51 adjuvant | I/ Completed | 18 patients; dose-escalation study | 10 patients showed HPV-16 E7 specific CTL response. | [129] |
| Five peptides for HLA-A*2402 cervical cancer | Five peptides: FOXM1-262, MELK-87-7N, HJURP-408, VEGFR-1-1084 and VEGFR-2-169 in Montanide ISA 51 adjuvant | I/ Completed | UMIN000003999: 9 patients; dose-escalation study | No toxicity and well-tolerated | [230] |
| WT-1 peptide trial | WT-1187-195, GM-CSF, Montanide ISA 51 ±CpG7909 | I/ Completed | UMIN000002771: 28 patients; 2 groups | Skin toxicity level and adverse effects | [231] |
| P1637-63 peptide trial | p1637-63 peptide of cellular protein P16INK4 plus Montanide ISA-51 adjuvant | I–IIa/ Completed | NCT01462838: 26 patients; single group; open label | No dose-limited toxicity | [234] |
| Cisplatin-based chemotherapy combined with p1637-63 peptide and Montanide ISA-51 adjuvant | I/ Completed | NCT02526316: 10 patients; single group; open label | No results posted | [241] | |
| ISA 101 | 9 overlapping long E6 peptides and 4 overlapping E7 peptides from HPV-16 (HPV16-SLP) with Montanide ISA 51 adjuvant | I/ Completed | 35 patients; 3 groups with different doses | Minimal toxicity and sustained immunogenicity | [225] |
| HPV16-SLP with Montanide ISA 51 adjuvant | II/ Completed | 20 patients; single group | 12 patients showed clinical CTL responses. | [226] | |
| HPV16-SLP with Montanide ISA 51 adjuvant | II/ Completed | 34 patients | All patients showed significant HPV-specific CTL response. | [227] | |
| HPV16-SLP, Montanide ISA 51 adjuvant, combined therapy with nivolumab (PD-1 inhibitor) | II/ Completed | NCT02426892: 24 patients; single-arm; single-center | No toxicity accumulation; well-tolerated | [245] | |
| HPV-SLP, Montanide ISA 51 adjuvant, CarboTaxol with/without Bevacizumab (pegylated IFNα as immune modulator) | I–II/ Completed | NCT02128126: 93 participants; multicenter; open label | No results posted | [242] | |
| PepCan | Peptides from HPV-16 E6 with Candin/ Candin as active comparator | I/ Completed | NCT00569231: 24 patients; dose-escalation | No dose-limited toxicity | [236] |
| II/ Recruitment | NCT02481414: 125 participants; randomized, doubled-blinded to two therapy arms | No results posted | [236] | ||
| II/ Recruitment | NCT03821272 | No results posted | [236] | ||
| PDS0101 | Peptides from HPV-16 E6 and E7, and R-enantiomer of 1.2-dioleoyl-3-trimethylammonium- propane chloride (R-DOTAP) | I/ Completed | NCT02065973: 12 patients; open-label; sequential- cohort; escalating dose | Safety | [239] |
| Cisplatin, liposomal HPV-16 E6/E7 multipeptide with R-DOTAP and radiation therapy | IIA/ Recruitment | NCT04580771: 35 participants; interventional; single group assignment; open label | No results posted | [239] | |
| DPX-E7 | HPV-16 E749-57 and PADRE plus DepoVax™ (DPX) adjuvant |
Ib-II/ Active, not recruiting | NCT02865135: 11 participants; interventional; single group assignment; open label | No results posted | [96,113] |