Mps-214

MPS-214 is one of the active substances in the investigational cancer vaccine OSE2101 (TEDOPI). This article examines ongoing clinical trials evaluating OSE2101, which contains MPS-214, for treating various types of cancer including non-small cell lung cancer, ovarian cancer, and pancreatic cancer. The trials aim to assess the safety and efficacy of OSE2101 alone or in combination with other therapies as a potential new treatment option for cancer patients.

Table of Contents

What is MPS-214?

MPS-214 is one of the active substances in TEDOPI, an investigational cancer vaccine being developed by OSE Immunotherapeutics[1]. It is a synthetically manufactured peptide, which is a small protein fragment[2]. MPS-214 is part of a combination of 10 different peptides in TEDOPI designed to stimulate the immune system to fight cancer cells.

Role in TEDOPI Cancer Vaccine

TEDOPI is classified as a cancer vaccine, which means it is intended to help the body’s immune system recognize and attack cancer cells[1]. MPS-214, along with the other peptides in TEDOPI, is designed to target specific proteins found on cancer cells. By exposing the immune system to these peptides, the goal is to train it to identify and destroy cancer cells that express these proteins.

Conditions Treated

TEDOPI, which includes MPS-214, is being investigated for the treatment of several types of cancer:

  • Non-small cell lung cancer (NSCLC): This is the most common type of lung cancer, accounting for about 80-85% of all cases[1].
  • Ovarian cancer: Specifically, platinum-sensitive recurrent ovarian cancer[3].
  • Pancreatic cancer: Locally advanced or metastatic pancreatic ductal adenocarcinoma[4].

Clinical Trials

MPS-214, as part of TEDOPI, is currently being studied in several clinical trials:

  • ARTEMIA study: A phase 3 trial comparing TEDOPI to docetaxel in patients with HLA-A2 positive metastatic non-small cell lung cancer who have developed resistance to immune checkpoint inhibitors[1].
  • TEDOVA study: A phase 2 trial evaluating TEDOPI alone or in combination with pembrolizumab as a maintenance treatment for patients with platinum-sensitive recurrent ovarian cancer[3].
  • TEDOPAM study: A phase 2 trial assessing TEDOPI plus FOLFIRI chemotherapy as a maintenance treatment for patients with advanced pancreatic cancer after initial FOLFIRINOX treatment[4].

Administration

TEDOPI, containing MPS-214, is administered as an emulsion for injection[2]. In clinical trials, it is typically given through subcutaneous injection, which means it is injected just under the skin[1]. The exact dosing schedule may vary depending on the specific trial and condition being treated.

Potential Benefits

The potential benefits of TEDOPI, including MPS-214, are being evaluated in clinical trials. Researchers are looking at several outcomes, including:

  • Overall survival (OS): How long patients live after starting treatment[1].
  • Progression-free survival (PFS): How long patients live without their cancer getting worse[3].
  • Objective response rate (ORR): The percentage of patients whose tumors shrink or disappear with treatment[4].
  • Quality of life: How treatment affects patients’ overall well-being and daily functioning[3].

Safety Considerations

As with any investigational treatment, the safety of TEDOPI (including MPS-214) is being closely monitored in clinical trials. Some important safety considerations include:

  • TEDOPI is designed for patients with a specific genetic marker called HLA-A2[1]. Patients must be tested for this marker before receiving the vaccine.
  • Patients with certain autoimmune diseases or conditions that affect the immune system may not be eligible for treatment with TEDOPI[3].
  • As TEDOPI stimulates the immune system, there is a potential for immune-related side effects. These are being carefully evaluated in the clinical trials[4].
  • Women who are pregnant or breastfeeding are typically excluded from clinical trials of TEDOPI[3].

It’s important to note that as an investigational treatment, the full safety profile of TEDOPI and MPS-214 is still being determined through ongoing clinical research.

Trial Name Cancer Type Trial Phase Treatment Primary Endpoint
ARTEMIA Metastatic Non-Small Cell Lung Cancer Phase 3 OSE2101 vs docetaxel Overall Survival
OSE-279 Combination Advanced solid tumors, lymphomas, NSCLC Phase 1/2 OSE-279 +/- OSE2101 Safety, MTD, RP2D, ORR
TEDOVA Recurrent Ovarian Cancer Phase 2 OSE2101 +/- pembrolizumab vs best supportive care Progression-Free Survival
TEDOPAM Pancreatic Ductal Adenocarcinoma Phase 2 OSE2101 + FOLFIRI vs FOLFIRI Overall Survival at 12 months

Ongoing Clinical Trials on Mps-214

  • Study on Cemiplimab and OSE2101 for Maintenance Therapy in Patients with ctDNA Positive Non-Small Cell Lung Cancer (NSCLC)

    Recruiting

    2 1 1 1
    Investigated diseases:
    Italy
  • Study on Tedopi and Nivolumab for Patients with Advanced Non-Small Cell Lung Cancer After Initial Treatment

    Recruiting

    2 1 1 1
    Investigated diseases:
    France Italy Spain
  • Study Comparing OSE2101 and Docetaxel for Patients with Metastatic Non-Small Cell Lung Cancer After Immunotherapy Resistance

    Recruiting

    3 1 1 1
    Belgium France Germany Greece Hungary Italy +5
  • Study of OSE-279 and OSE2101 Drug Combination for Patients with Advanced Solid Tumors, Lymphomas, or Metastatic Non-Small Cell Lung Cancer

    Recruiting

    2 1 1
    Investigated diseases:
    Belgium France Spain
  • Study on Maintenance Therapy with OSE2101 and FOLFIRI for Patients with Advanced Pancreatic Cancer After Initial FOLFIRINOX Treatment

    Not yet recruiting

    2 1 1 1
    Investigated diseases:
    France
  • Study of OSE2101 vaccine alone or with pembrolizumab as maintenance therapy for patients with platinum-sensitive recurrent ovarian cancer after chemotherapy

    Not recruiting

    2 1 1 1
    Investigated diseases:
    Belgium France Germany

Glossary

  • OSE2101 (TEDOPI): An investigational cancer vaccine containing multiple active substances including MPS-214, being studied for treating various types of cancer.
  • HLA-A2: A specific type of human leukocyte antigen (HLA) that is required for eligibility in some of the clinical trials studying OSE2101.
  • Non-small cell lung cancer (NSCLC): A type of lung cancer being studied in clinical trials with OSE2101.
  • Overall Survival (OS): The length of time from the start of treatment or diagnosis that patients are still alive.
  • Progression-Free Survival (PFS): The length of time during and after treatment that a patient lives with cancer without it worsening.
  • RECIST: Response Evaluation Criteria in Solid Tumors, a set of rules used to measure how well a cancer patient responds to treatment.
  • Immune checkpoint inhibitor: A type of drug that blocks certain proteins made by immune system cells, such as PD-1, to help the immune system kill cancer cells.
  • ECOG Performance Status: A scale used to assess how a patient's disease is progressing and how it affects daily living abilities.
  • Metastatic cancer: Cancer that has spread from its original site to other parts of the body.
  • Platinum-based chemotherapy: A type of chemotherapy that contains platinum drugs like cisplatin or carboplatin, often used to treat various cancers.

References

  1. http://clinicaltrials.eu/trial/study-comparing-ose2101-and-docetaxel-for-patients-with-metastatic-non-small-cell-lung-cancer-after-immunotherapy-resistance/
  2. http://clinicaltrials.eu/trial/study-of-ose-279-and-ose2101-drug-combination-for-patients-with-advanced-solid-tumors-lymphomas-or-metastatic-non-small-cell-lung-cancer/
  3. http://clinicaltrials.eu/trial/study-of-maintenance-treatments-with-ose2101-and-pembrolizumab-for-patients-with-recurrent-ovarian-cancer-after-platinum-based-chemotherapy/
  4. http://clinicaltrials.eu/trial/study-on-maintenance-therapy-with-ose2101-and-folfiri-for-patients-with-advanced-pancreatic-cancer-after-initial-folfirinox-treatment/