Article
Author: Lootens, Nele ; Billiet, Lore ; Vandekerckhove, Bart ; Roelandt, Ria ; Menten, Björn ; Vantomme, Lies ; Pille, Melissa ; Bonte, Sarah ; Dhondt, Annemieke ; De Munter, Stijn ; Deseins, Lucas ; Van Houtte, Eva ; Vanommeslaeghe, Floris ; Impens, Francis ; Leclercq, Georges ; Vermijlen, David ; Taghon, Tom ; Goetgeluk, Glenn ; Van Lint, Sandra ; Weening, Karin ; Eekhout, Thomas ; Verstraete, Tasja ; Théry, Fabien ; Kerre, Tessa ; Van Dorpe, Jo ; Vandamme, Niels ; Pascal, Eva ; Brusseel, Marieke ; De Smet, Saskia ; De Cock, Laurenz ; Devreker, Pam ; Surmont, Veerle ; Buyle, Jolien ; Mayer, Rupert L ; Ferdinande, Liesbeth ; De Ryck, Frederic ; Heyns, Kelly ; Vermaelen, Karim ; Verdonckt, Maarten ; Ingels, Joline ; Stevens, Dieter ; Sanchez, Guillem Sanchez ; Desender, Liesbeth ; Jansen, Hanne ; Vermassen, Frank
Non-small cell lung cancer (NSCLC) is known for high relapse rates despite resection in early stages. Here, we present the results of a phase I clinical trial in which a dendritic cell (DC) vaccine targeting patient-individual neoantigens is evaluated in patients with resected NSCLC. Vaccine manufacturing is feasible in six of 10 enrolled patients. Toxicity is limited to grade 1-2 adverse events. Systemic T cell responses are observed in five out of six vaccinated patients, with T cell responses remaining detectable up to 19 months post vaccination. Single-cell analysis indicates that the responsive T cell population is polyclonal and exhibits the near-entire spectrum of T cell differentiation states, including a naive-like state, but excluding exhausted cell states. Three of six vaccinated patients experience disease recurrence during the follow-up period of 2 years. Collectively, these data support the feasibility, safety, and immunogenicity of this treatment in resected NSCLC.