4.7 Letter

Clinical development of mRNA therapies against solid tumors

期刊

JOURNAL OF HEMATOLOGY & ONCOLOGY
卷 16, 期 1, 页码 -

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BMC
DOI: 10.1186/s13045-023-01457-x

关键词

Solid tumor; Messenger RNA; Clinical trial; Delivery system; Tumor antigen

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Based on a retrospective analysis of the Trialtrove database, it was found that the clinical development of mRNA therapies against solid tumors is still in its early stages. The delivery systems have evolved from dendritic cells to lipid-based platforms, and the encoding strategies have shifted from fixed tumor antigens to personalized neoantigens. Adjuvant or maintenance therapy, as well as combination treatment with checkpoint inhibitors, are the major clinical development orientations.
The mRNA-based therapeutics have become the hot spot of biopharmaceutical industries in recent years. The landscape of this area is expanding from infectious disease to cancer, which needs to be summarized to provide data supports for industries and research institutions. Based on the Trialtrove database, a total of 108 clinical trials from 1999 to 2021 were retrospectively analyzed. We have demonstrated that the clinical development of mRNA therapies against solid tumors is still at an early stage. There are evolutions in delivery systems from the dendritic cell to the lipid-based platform and in encoding strategies from the fixed tumor antigens to the personalized neoantigens. The adjuvant or maintenance therapy and the combination treatment with checkpoint inhibitors are becoming the major clinical development orientation.

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