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This is a **combination regimen** consisting of two synthetic long peptide vaccines (ISA101 and ISA101b), carboplatin (a platinum-based chemotherapy agent), and paclitaxel (a microtubule inhibitor chemotherapeutic), under clinical investigation primarily for **HPV16-positive advanced or recurrent cervical cancer**. ISA101 and ISA101b are therapeutic vaccines composed of synthetic peptides from HPV16 E6 and E7 oncoproteins, designed to elicit a T-cell–mediated immune response against HPV-induced lesions. Carboplatin induces DNA crosslinking to inhibit tumor cell replication, while paclitaxel stabilizes microtubules, inhibiting cell division. The combination aims to leverage vaccine-driven HPV-specific immune activity synergistically with chemotherapy-induced tumor cell killing. Primary developer is ISA Pharmaceuticals, with ISA101 trials in combination with carboplatin and paclitaxel in cervical cancer.
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