RE: Modi 1 SCCH Neoadjuvent Cohort (30)3 Feb 2024 12:28
BOJO,
The neoadjuvant study gives Scancell anopportunity to understand exactly how Modi1 is performing at a molecular level, to see and provide hard evidence of the mechanism of action and to ensure that the vaccine is performing as expected in the following ways:-
1) It will tell them what sort of immune response each patient has generated - ie.exacly which epitopes have they responded to. How many patients have responded to all 3 peptides, just 2, 1 or zero? This will give them confidence that they have selected the best combination of vimentin and enolase peptides and that one isn't dominating the others.
2) What type of T cell response was generated in terms CD4/CD8 and were they actually killing tumour cells?
3) They will be looking at which patients responded the best and was there any common biomarker to identify them? Obviously the ability to predict responders would be very useful for future patient selction.
4) Perhaps most importantly they will be comparing the response of patients treated with Modi1 as a monotherapy with those treated with Modi1 in combination with checkpoint inhibitors.
In addition to safety, the whole point of a phase I/IIa trial is to learn how the drug performs in the human body, whether it merits further development and to inform the design of the next stage of trials. Obviously the results from the neoadjuvant study will be invaluable in helping to achieve this.
That's about the limit of my non-scientist understanding, but I'm sure Lindy would be more than happy to answer directly if you email her.