Mayo Clinic TPIV200 Folate-Receptor-Alpha Peptide Vaccine Randomized Phase 2 (ASCO Abstract 536): One-Third Dose Matches Full Dose, Cyclophosphamide Adds Nothing
Mayo's randomized Phase 2 trial across 11 sites tested low-dose (825 μg) against high-dose (2.5 mg) TPIV200, a multi-epitope folate-receptor-alpha peptide vaccine adjuvanted with GM-CSF, with or without cyclophosphamide pretreatment in early-stage triple-negative breast cancer. The low dose matched the full dose on immunogenicity, cyclophosphamide pretreatment had no impact, and vaccination induced persistent polyepitope immunity. Kathryn Ruddy, Keith Knutson, and Saranya Chumsri presented the data June 1.