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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
PROSTVAC® targeted immunotherapy candidate for prostate cancer
1Carolina Urologic Research Center, 823 82nd Parkway, Myrtle Beach, SC 29572, USA.
Abstract:
Targeted immunotherapies represent a valid strategy for the treatment of metastatic castrate-resistant prostate cancer. A randomized, double-blind, Phase II clinical trial of PROSTVAC® demonstrated a statistically significant improvement in overall survival and a large, global, Phase III trial with overall survival as the primary end point is ongoing. PROSTVAC immunotherapy contains the transgenes for prostate-specific antigen and three costimulatory molecules (designated TRICOM). Research suggests that PROSTVAC not only targets prostate-specific antigen, but also other tumor antigens via antigen cascade. PROSTVAC is well tolerated and has been safely combined with other cancer therapies, including hormonal therapy, radiotherapy, another immunotherapy and chemotherapy. Even greater benefits of PROSTVAC may be recognized in earlier-stage disease and low-disease burden settings where immunotherapy can trigger a long-lasting immune response.
Insights
PROSTVAC immunotherapy shows promise for metastatic castrate-resistant prostate cancer, improving overall survival. Further Phase III trials are underway to confirm benefits, potentially in earlier disease stages.
Area of Science:
- Oncology
- Immunology
- Cancer Therapy
Background:
- Metastatic castrate-resistant prostate cancer (mCRPC) requires effective treatment strategies.
- Targeted immunotherapies offer a promising avenue for mCRPC management.
- PROSTVAC is an immunotherapy targeting prostate-specific antigen (PSA) and other tumor antigens.
Purpose of the Study:
- To evaluate the efficacy and safety of PROSTVAC immunotherapy in patients with prostate cancer.
- To assess the impact of PROSTVAC on overall survival in a Phase II clinical trial.
- To explore the potential of PROSTVAC in combination with other cancer therapies and in earlier disease stages.
Main Methods:
- A randomized, double-blind, Phase II clinical trial was conducted.
- PROSTVAC immunotherapy, containing transgenes for PSA and TRICOM costimulatory molecules, was administered.
- Overall survival was a primary endpoint, with safety and combination therapy also assessed.
Main Results:
- PROSTVAC demonstrated a statistically significant improvement in overall survival in the Phase II trial.
- The immunotherapy was well tolerated and safely combined with hormonal therapy, radiotherapy, and chemotherapy.
- An ongoing global Phase III trial is further investigating PROSTVAC's efficacy.
Conclusions:
- PROSTVAC immunotherapy is a viable treatment option for mCRPC, showing significant survival benefits.
- PROSTVAC's safety profile allows for combination with various cancer treatments.
- Earlier intervention with PROSTVAC may enhance long-lasting immune responses and patient outcomes.
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