Irina Redchenko
Head of Prostate Cancer Vaccine Programme
My research interests lie in the field of tumour immunology and immunotherapy. My professional career to date has been dedicated to preclinical and clinical development of cancer vaccines in both academia and industry. I joined the Jenner Institute to initiate a Cancer Vaccine Programme in 2012. Cancer vaccines face the challenge of breaking immunological tolerance to self-antigens that often are the only targets available for vaccine-targeted immune response. A heterologous viral vectored vaccination platform developed by the Jenner researches has proved to be highly efficient in an induction of potent poly-functional protective immune responses against infectious agents. My team have adapted this vaccination strategy based on two replication-deficient viruses, chimpanzee adenovirus (ChAdOx1) and modified vaccinia virus Ankara (MVA), targeting a panel of prostate-associated proteins including the oncofetal tumour antigen 5T4 and evaluated this vaccination platform alone and in combination with checkpoint inhibitors and agonistic mAbs in mouse tumour models. The potent antigen-specific tumour-protective T cell immune responses have been elicited to some of the self-antigens tested.
Our preclinical findings strongly supported the clinical investigation of the heterologous ChAdOx1-MVA 5T4 immunisation regimen in the first-in-human trial, VANCE, which was completed in 2018.
Based on the encouraging safety and exceptional immunogenicity data of the VANCE study and on the preclinical results obtained combining the ChAdOx1-MVA 5T4 vaccine with anti-PD-1 mAb, we have started the phase I/II trial, ADVANCE, to enrol patients patients with advanced metastatic prostate cancer to assess the efficacy of ChAdOx1-MVA 5T4 vaccine in combination with PD-1 checkpoint blockade. Recruitment to the trial has been completed. An interim data analysis demonstrated that 22% of patients achieved a 50% or greater reduction in PSA. level compared to the baseline. This compares favourably to the 9% response rate observed in the previous anti-PD-1 monotherapy study, KEYNOTE-199, which evaluated over 200 patients metastatic prostate cancer patients with similar baseline PSA levels.
Recent publications
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Safety and immunogenicity of novel 5T4 viral vectored vaccination regimens in early stage prostate cancer: a phase I clinical trial
Journal article
Cappuccini F. et al, (2020), Journal for ImmunoTherapy of Cancer, 8, e000928 - e000928
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5T4 oncofoetal glycoprotein: an old target for a novel prostate cancer immunotherapy
Journal article
Cappuccini F. et al, (2017), Oncotarget, 8, 47474 - 47489
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Immunogenicity and efficacy of the novel cancer vaccine based on simian adenovirus and MVA vectors alone and in combination with PD-1 mAb in a mouse model of prostate cancer
Journal article
Cappuccini F. et al, (2016), Cancer Immunology, Immunotherapy, 65, 701 - 713
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The Human Vaccines Project: A roadmap for cancer vaccine development
Journal article
Romero P. et al, (2016), Science Translational Medicine, 8
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Vaccination of colorectal cancer patients with TroVax given alongside chemotherapy (5-fluorouracil, leukovorin and irinotecan) is safe and induces potent immune responses
Journal article
Harrop R. et al, (2008), Cancer Immunology, Immunotherapy, 57, 977 - 986