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Updated: May 31, 2026

Preparation, Characteristics, Toxicity, and Efficacy Evaluation of the Nasal Self-Assembled Nanoemulsion Tumor Vaccine In Vitro and In Vivo
Published on: September 28, 2022
Non-small-cell lung carcinoma vaccines in clinical trials
Antonio Rossi1, Paolo Maione, Clorinda Schettino
1Division of Medical Oncology, S.G. Moscati Hospital, Avellino, Italy.
Abstract:
Non-small-cell lung cancer (NSCLC) is not considered to be immunogenic, but it may provide an accessible target for the properly primed immune system. Identifying lung tumor antigens and presenting them in the optimal context may enable the immune system to generate anti-lung tumor effector cells, which are usually absent. Despite encouraging preclinical and Phase I-II data, no specific active cancer vaccine has been approved for NSCLC therapy to date. Patient selection and measurable immune response methodology assessment could explain these negative results. Vaccine therapy has recently been re-emerging as a potential approach. This article discusses the Phase I, II and III trials investigating the most promising vaccines in the treatment of patients affected by any stage of NSCLC, thus providing a perspective on the future of this approach in this setting.
Insights
Cancer vaccines for non-small-cell lung cancer (NSCLC) show promise by targeting tumor antigens. Despite past setbacks, ongoing clinical trials are re-evaluating vaccine therapy for NSCLC treatment.
Area of Science:
- Oncology
- Immunology
- Vaccinology
Background:
- Non-small-cell lung cancer (NSCLC) is generally considered non-immunogenic.
- However, NSCLC may present a targetable vulnerability for a stimulated immune system.
- Generating effective anti-tumor immune responses in NSCLC patients has been a significant challenge.
Purpose of the Study:
- To review Phase I, II, and III clinical trials of cancer vaccines for NSCLC.
- To assess the potential of vaccine therapy in NSCLC treatment.
- To provide an outlook on the future of NSCLC vaccine strategies.
Main Methods:
- Review of published and ongoing clinical trials (Phase I-III) for NSCLC vaccines.
- Analysis of preclinical and early-phase clinical data.
- Discussion of patient selection and immune response assessment methodologies.
Main Results:
- No specific active cancer vaccine has been approved for NSCLC to date, despite promising early data.
- Previous trial failures may be attributed to patient selection and immune assessment issues.
- Vaccine therapy is re-emerging as a viable therapeutic avenue.
Conclusions:
- Cancer vaccines represent a potential future approach for NSCLC treatment.
- Further research and optimized trial designs are crucial for vaccine development in NSCLC.
- Identifying lung tumor antigens and optimal antigen presentation are key for effective immune priming.
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