RE: Thought on Evaxion personalised vaccine results18 Oct 2025 16:40
Was thinking more about this on my weekend run this afternoon.
It's difficult to make any accurate deductions without knowing how many patients were considered and subsequently rejected at 12 weeks. Evaxion haven't published that data, or at least I can't trace it down!
If they initially recruited 75 and rejected 59 at 12 weeks, then, IMO, the trial is worthless, as it is such a honed subset that you would expect fantastic results just on CI. It might be useful for validating their AI, but as a commercially viable drug it has no value.
So let's be generous and assume they actually recruited half the 75, so 32, and let's again be generous and assume that of the 16 rejected, half had passed away and half had progressed beyond eligibility. The only ‘fair’ way to compare to scib1/iscib1+ is to include those that progressed, so an extra 8 patients. That would take the actual ORR to 12/20 (60%) rather than 12/16 (75%).
I really can't see this as any meaningful competition to iscib1+