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CIMAvax-EGF is a therapeutic cancer vaccine developed to treat non-small cell lung cancer (NSCLC). It consists of recombinant human epidermal growth factor (EGF) chemically conjugated to the P64 protein from *Neisseria meningitidis* and formulated with Montanide ISA 51 as an adjuvant. The vaccine works by inducing the patient's immune system to produce antibodies against EGF, thereby depleting circulating EGF levels in the blood. This prevents EGF from binding to its receptor (EGFR) on cancer cells, effectively "starving" them of a key growth and survival signal and inhibiting tumor proliferation. CIMAvax-EGF does not directly kill cancer cells but blocks their ability to grow by neutralizing an essential growth factor. It was developed at the Center for Molecular Immunology in Havana, Cuba, and is approved for use in Cuba as maintenance therapy for advanced NSCLC after chemotherapy.
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