1. Research Saves Lives
Nina Bhardwaj and Matthew Galsky

A Personalized Vaccine for Bladder Cancer

A Personalized Vaccine for Bladder Cancer

Researchers at the Icahn School of Medicine at Mount Sinai have reached a new milestone: showing that their custom-made cancer vaccine, in combination with an immune checkpoint inhibitor, is safe and can spark strong immune responses in people with bladder cancer. This Phase 1 study, led by Nina Bhardwaj, MD, PhD, and Matthew Galsky, MD, was published in Nature Cancer and adds to growing evidence that personalized vaccines could make existing cancer treatments more safe and effective. 

Mount Sinai’s experimental vaccine, called PGV001, is designed to target the unique mutations in each patient’s tumor. Using advanced tumor sequencing and a computational platform developed by Mount Sinai experts, researchers pinpointed which tumor changes, known as neoantigens, are most likely to alert the immune system. They then created a custom vaccine using lab-made peptides based on these markers. Administered with treatments like the immunotherapy drug atezolizumab, PGV001 helps train the body’s defenses to attack cancer cells while leaving healthy cells alone. 

"Our findings move the field forward by showing how personalized vaccines like PGV001 can work in bladder cancer," says Dr. Bhardwaj. "We’ve proven these custom vaccines can consistently activate the immune system in powerful, cancer-fighting ways." 

Building on the success of PGV001 in eliciting immune responses across multiple cancer types, the personalized vaccine is now demonstrating encouraging results in bladder cancer and shows potential for broader applications. Motivated by these promising early findings, the Mount Sinai team is working to accelerate the vaccine’s development, expand its accessibility, and test new combinations to help even more patients. This individualized approach offers renewed hope for patients, particularly those whose tumors are resistant to existing therapies. In the latest trial, 10 patients with bladder cancer received their own personalized version of PGV001, along with atezolizumab. Each vaccine was carefully crafted to match the patient’s specific tumor mutations and maximize the immune response. 

"This study adds to growing evidence that combining personalized vaccines with immunotherapy could help many more patients benefit," says Dr. Galsky. "It also lays the groundwork for larger trials that are now underway." Bladder cancer responds well to immune-based treatments, but not everyone benefits equally. According to the American Cancer Society, about 84,870 new cases and 17,420 deaths from bladder cancer are expected in the United States this year. 

A collaborative team at Mount Sinai, bringing together experts in immunology, oncology, genetics, and pathology, drove the study. Contributors included Mansi Saxena, PhD, Jonathan Anker MD, PhD, Julia KodyshAnna Kaminska, PhD, and more. The National Cancer Institute of the National Institutes of Health, the Cancer Research Institute, the Parker Institute of Cancer Immunotherapy, and industry partners supported the study.  

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