Nature Medicine Publishes Interim Results from Gritstone bio’s Phase 1/2 Study of “Off-the-Shelf” Neoantigen Vaccine Platform (SLATE)
-- Paper details vaccine design optimization process of Gritstone’s “off-the-shelf” or shared neoantigen vaccine platform, SLATE --
-- Discovery of a novel immunodominance hierarchy of tumor neoantigens (including KRAS) enabled the development of a more potent, KRAS-specific vaccine candidate (SLATE-KRAS) being studied by
-- Publication underscores the important role of antigen selection and cassette design in the development of neoantigen-directed immunotherapy --
“The publication of these findings in Nature Medicine highlights the promise of our ‘off-the-shelf’ or shared neoantigen approach in solid tumors, one of the many elements embedded within our mission to develop the world’s most potent vaccines,” said
“This important publication underscores that a deep understanding of the mechanism and performance of therapeutic neoantigens in humans is likely critical for success in the promising field of neoantigen-directed immunotherapy. It also demonstrates our ability to select tumor antigens and optimize cassette design to elicit a potent antigen-specific immune response,” said
Results from the SLATE 1/2 Study
The data published in Nature Medicine report the interim safety, tolerability and immunogenicity results from the Phase 1 portion of the Phase 1/2 clinical trial (NCT03953235) assessing the off-the-shelf vaccine SLATEv1 in patients with advanced/metastatic solid tumors. SLATEv1 utilizes a heterologous ChAd68 followed by samRNA-based vaccine regimen encoding 20 shared neoantigens targeting multiple recurrent mutations in several oncogenes, including KRAS, TP53, BRAF and CTNNB1. Neoantigens were identified using Gritstone bio’s proprietary neoantigen prediction platform, EDGETM, and selected based on shared mutation and matched HLA frequencies in patient populations with solid tumors. Biased T cell responses toward HLA-matched TP53 neoantigens encoded in the vaccine relative to KRAS neoantigens expressed by the patients’ tumors, indicated a previously unknown hierarchy of neoantigen immunodominance that may impact the therapeutic efficacy of multi-epitope shared neoantigen vaccines. These data led to the development of SLATE-KRAS, a vaccine focused on KRAS-derived neoantigens that subsequently was evaluated in the Phase 2 portion of the clinical study. Initial Phase 2 data suggesting an increased vaccine induced T cell response were presented in
To view all of Gritstone bio’s scientific publications, visit gritstonebio.com/publications.
About SLATE (“off-the-shelf” neoantigen vaccine program)
Gritstone’s neoantigen-based vaccine programs, GRANITE (personalized) and SLATE (“off-the-shelf) are engineered to elicit a significant T cell response for patients with solid tumors. Like GRANITE, SLATE uses Gritstone’s proprietary epitope identification platform (EDGE™) and vaccine vectors (Chimpanzee Adenovirus and self-amplifying mRNA) to deliver each patient a set of neoantigens that are predicted to drive a T cell response. Unlike GRANITE, SLATE delivers a set of neoantigens that are shared across a subset of cancer patients based on common gene mutations, such as KRAS mutations. In Phase 1/2 study, SLATE-KRAS demonstrated positive results in patients with late-line non-small cell lung cancer and microsatellite stable colorectal cancer. With these results, Gritstone believes the SLATE platform is ready for ‘plug and play’ application across solid tumor indications and shared tumor neoantigen classes.
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