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Synthetic long peptide personalized cancer vaccine

Phase 1

Muscle-Invasive Bladder Carcinoma | Monoclonal antibody | Oncology |Natera, Inc.|Last Updated: Jan 13, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment32
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06529822Personalized Cancer Vaccine (PCV) Strategy in Patients With Solid Tumors and Molecular Residual DiseasePHASE1 RECRUITING 32Mar 20, 2025Mar 31, 2033Jan 13, 20261 United States
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Study Endpoints
Primary Endpoints
Safety as measured by treatment-emergent adverse events (TEAEs)
From 1st vaccine dose through 30 days following last dose of vaccine (estimated to be 13 months)
Safety as measured by treatment-related adverse events (TRAEs)
From 1st vaccine dose through 30 days following last dose of vaccine (estimated to be 13 months)

-At least possibly related to vaccine therapy

Safety as measured by serious adverse events (SAEs)
From 1st vaccine dose through 30 days following last dose of vaccine (estimated to be 13 months)

As defined in 21 CFR 312.32: Definition: an adverse event is considered "serious" if, in the view of the investigator, it results in any of the following outcomes: * Death * A life-threatening adverse event * Inpatient hospitalization or prolongation of existing hospitalization * A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions * A congenital anomaly/birth defect * Any other important medical event that does not fit the criteria above but, based upon appropriate medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent one of the outcomes listed above

Feasibility as measured by the success of enrolling patients with molecular residual disease
Through 30 months

The trial will be feasible if 8 patients with molecular residual disease are enrolled in 30 months

Feasibility as measured by the expected time frame for vaccine creation
Through 24 weeks

The trial will be feasible if the vaccine is created within 24 weeks from signing of treatment consent to vaccine availability.

Feasibility as measured by the rate of successful vaccine delivery
Through 1st vaccine dose (estimated to be 24 weeks)

The trial will be feasible if at least 50% of patients receive the vaccine

Secondary Endpoints
Immune response as measured by ELISPOT analysis
Through 2 years after completion of treatment (estimated to be 2.5 years)
Molecular residual disease as evaluated by ctDNA clearance using the Signatera assay
Through completion of follow-up (estimated to be 66 months)
Recurrence-free survival (RFS)
Through completion of follow-up (estimated to be 66 months)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1: Muscle Invasive Bladder Cancer (PCV)EXPERIMENTALThe schedule for vaccination will be Days 1, 4, 8, 15, 29, 57, 85, 113, 141, and 169. All study injections will be given intramuscularly and co-administered with poly-ICLC by a trained healthcare provider.
Cohort 2: Gastroesophageal Adenocarcinoma (GEC)EXPERIMENTALThe schedule for vaccination will be Days 1, 4, 8, 15, 29, 57, 85, 113, 141, and 169. All study injections will be given intramuscularly and co-administered with poly-ICLC by a trained healthcare provider.
Interventions
NameTypeDescription
Synthetic long peptide personalized cancer vaccineBIOLOGICALNeoantigen vaccines will be provided on a patient-specific basis
Poly ICLCDRUGPoly-ICLC will be supplied by Oncovir, Inc.
Signatera assayDEVICESignatera is a clinically validated, personalized, tumor-informed, multiplex-PCR and next-generation sequencing (NGS) based clinical trial assay targeting 16 tumor-specific mutations. It is intended for the detection of ctDNA isolated from anticoagulated peripheral whole blood from post-surgical patients previously diagnosed with localized or advanced solid tumors to aid physician assessment and treatment decision-making, together with other clinical factors
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria Cohort #1: * Age ≥ 18 years. * ECOG performance status ≤ 2 (Karnofsky ≥ 60%). * Histologically confirmed muscle-invasive bladder cancer (MIBC) or upper tract urothelial carcinoma (renal pelvis and/or ureter). * Patients with carcinomas showing mixed histologies are required to ha...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06529822primaryCompletionDate: changed
LOWMay 24, 2026NCT06529822studyFirstPostDate: changed