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This investigational peptide vaccine was developed by Radboud University Nijmegen Medical Centre for the treatment of acute myeloid leukemia (AML) and multiple myeloma (MM). The vaccine is composed of HLA-A*0201-restricted peptides derived from three tumor-associated antigens: Wilms Tumor protein (WT1), Proteinase 3 (PR3), and Mucin 1 (MUC1). It also includes the pan HLA-DR T helper cell epitope (PADRE) to provide CD4+ T cell help. To enhance the immune response, the peptides were formulated with the adjuvants Montanide ISA51 and the TLR9 agonist CpG7909. The vaccine was designed to induce tumor-specific CD8+ T cell responses capable of lysing cancer cells. However, clinical trial results were disappointing, showing no clinical responses and a significant decline in vaccine-specific CD8+ T cells, leading to the conclusion that this specific combination of peptides and adjuvants might be detrimental to the immune response.
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