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Gemogenovatucel-T (Vigil): bi-shRNA plasmid-based targeted immunotherapy
John Nemunaitis1, Laura Stanbery1, Adam Walter1
1Gradalis, Inc, Dallas, TX 75006, USA.
Vigil, a novel immunotherapy, targets cancer neoantigens and enhances immune response by reducing immunosuppressive factors. Clinical trials show its potential for systemic anticancer activity and regulatory approval.
Area of Science:
- Oncology
- Immunotherapy
- Cancer Research
Background:
- Vigil (gemogenovatucel-T) is a targeted immunotherapy.
- It is designed for systemic anticancer activity.
- Historical evidence supports its concept and design.
Purpose of the Study:
- To review the development and clinical applications of Vigil.
- To assess the safety and efficacy of Vigil in a Phase IIB trial.
- To support advancement to confirmatory clinical trials.
Main Methods:
- Harvest of autologous malignant tissue for neoantigen targeting.
- Transfection with a plasmid containing human GMCSF DNA and bi-shRNAfurin.
- A two-day process to create a permissive immune system training environment.
Main Results:
- Vigil demonstrated preclinical and clinical systemic anticancer activity.
- The Phase IIB trial assessed safety and efficacy.
- Results support further clinical development.
Conclusions:
- Vigil is a unique triple-function targeted immunotherapy.
- Its design enhances anticancer immune response and reduces cancer-mediated inhibition.
- Further trials are justified for regulatory approval.
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