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A combination investigational cancer vaccine regimen consisting of autologous dendritic cells (DCs) pulsed with defined tumor-associated antigen peptides, administered together with the toll-like receptor 3 agonist poly-ICLC (stabilized polyinosinic-polycytidylic acid with poly-L-lysine and carboxymethylcellulose). The DC component presents class I–restricted peptides to prime tumor-specific CD8 T cells, while poly-ICLC acts as an immune adjuvant to enhance DC activation and type I interferon–driven innate and adaptive responses. In a phase I study in HLA-A2 positive pancreatic adenocarcinoma, DCs were pulsed with peptides from hTERT, CEA, and survivin; the regimen was safe and induced measurable antigen-specific T cells, with some patients achieving stable disease.[3][1][2]
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