Tailor-Made vaccine aims to stop cancer return in High-Risk patients
NCT ID NCT07504484
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase study tested a personalized immunotherapy (iNeo-Vac-P01) in 6 patients with stage III colorectal or non-small cell lung cancer who had already completed surgery and standard adjuvant therapy. The vaccine was designed to target unique neoantigens from each patient's tumor, aiming to activate the immune system to eliminate any remaining cancer cells and prevent recurrence. The main goals were to check safety and see if the approach could improve recurrence-free survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- personalized neoantigen peptides plus GM-CSF
- What this could lead to
- If it works, this could lead to a personalized vaccine that helps prevent cancer from coming back after surgery and standard therapy.
- What could go wrong
- This was a very small, early-phase trial with only 6 participants, so results may not apply to everyone. The treatment is complex and tailored to each person, making it hard to scale.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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6 people
The number who actually took part.
- Started
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Oct 2020
- Finished
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Dec 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥ 18 years and ≤ 80 years; 2. Voluntarily signed written informed consent; 3. Agreed to provide tumor tissue and whole blood for sequencing; or able to supply raw gene sequencing data required for tumor neoantigen analysis and design of personalized anti-tumor neoantigen injection, including whole-exome sequencing data of tumor tissue, transcriptome sequencing data, and whole-exome sequencing data of peripheral blood; 4. Patients with pathologically confirmed, clinically diagnosed Stage III resectable colorectal cancer or non-small cell lung cancer; 5. Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1; 6. Underwent radical resection of lesions; 7. Received postoperative adjuvant therapy in accordance with standard guideline-recommended regimens, completed the full guideline-recommended treatment cycles, and no new lesions were detected on imaging examinations; 8. Complete imaging records must be available within 1 week prior to initiation of personalized immunotherapy, including but not limited to whole-body PET-CT and brain MRI. If whole-body PET-CT is not feasible, chest CT, contrast-enhanced abdominal CT, or bone ECT is required; 9. Adequate organ and bone marrow function: * White blood cell count ≥ 3,500/mcL * Absolute lymphocyte count \> 800/mcL * Absolute neutrophil count \> 1,500/mcL * Platelet count \> 100,000/mcL * Hemoglobin \> 10.0 g/dL * Total serum bilirubin \< 1.5 × upper limit of normal (ULN) * AST/ALT \< 2.0 × ULN * Serum creatinine \< 1.5 × ULN 10. For pregnant or lactating women: female subjects of childbearing potential must have a negative pregnancy test within 7 days before enrollment, have no childbearing plan in the near term, and be willing to use effective contraceptive measures (contraception or other birth control methods) before and during the study; 11. Male patients willing to use appropriate contraceptive measures; 12. Able to comply with the study protocol and follow-up procedures. Exclusion Criteria: 1. Poor general condition unsuitable for surgery or postoperative adjuvant therapy; 2. New lesions detected on imaging after completion of postoperative adjuvant therapy; 3. Received immunotherapy or other investigational medicinal products prior to surgery; 4. Presence of other malignancies, except for cured basal cell carcinoma, thyroid carcinoma, cervical dysplasia, etc., and those who have been disease-free for more than 5 years and are considered at low risk of recurrence by the investigator; 5. No actionable neoantigens identified for personalized immunotherapy after analysis of sequencing data; 6. Prior history of bone marrow transplantation or stem cell transplantation; 7. Concomitant use of any other anti-tumor drugs, anti-tumor therapies in other clinical trials, immunosuppressive agents, or long-term systemic glucocorticoids; 8. Received any other vaccination within 4 weeks before treatment; Infection with HIV, HCV, or HBV; severe asthma; autoimmune disease or immunodeficiency; or immunosuppressed status (excluding vitiligo, type 1 diabetes, autoimmune hypothyroidism requiring hormonal therapy, and psoriasis not requiring systemic treatment); 9. Uncontrolled comorbidities including but not limited to active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia; 10. Herpes virus infection (except those with scab formation for more than 4 weeks); 11. Respiratory viral infection (except those recovered for more than 4 weeks); 12. Severe coronary artery disease or cerebrovascular disease, or other diseases deemed ineligible by the investigator; 13. Drug abuse, or clinical, psychological, or social factors that would compromise informed consent or compliance with the study; 14. History of severe allergy to food, drugs, or vaccines, or potential allergy to immunotherapy as judged by the investigator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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2nd Affiliated Hospital, School of Medicine, Zhejiang University, China
Hangzhou, Zhejiang, 310009, China
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