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Chi et al. J Cancer Metastasis Treat 2020;6:43  I  http://dx.doi.org/10.20517/2394-4722.2020.90                             Page 7 of 17

               Table 2. Ongoing clinical trials investigating vaccines
                                                                       Treatment              Clinicaltrials.gov
                Study drug               Combination        Study phase             Sponsor
                                                                        setting                  identifier
                Whole cell vaccines
                 GVAX            Nivolumab, Urelumab        I/II      Neoadjuvant  Johns Hopkins  NCT02451982
                 (+cyclophosphamide)                                  and Adjuvant
                                                                      Treatment
                                 Nivolumab + SBRT           II        Neoadjuvant Johns Hopkins  NCT03161379
                                 Ipilimumab, nivolumab, CRS-207  II   Second line  Johns Hopkins  NCT03190265
                                 Pembrolizumab + SBRT       II        First line  Johns Hopkins  NCT02648282
                                 Pembrolizumab, IMC-CS4     early phase I First line  Johns Hopkins  NCT03153410
                 Algenpantucel-L  None                      n/a       Any       NewLink Genetics   NCT03165188
                                                                                Corporation
                Bacterial-based vaccines
                 Listeria based vaccine  Ipilimumab, nivolumab with or without  II  Second line  Johns Hopkins  NCT03190265
                 CRS-207         GVAX + cyclophasphamide
                                 Epacadostat, pembrolizumab ± GVAX   II  Second line  Johns Hopkins  NCT03006302
                                 and cyclophosphamide
                Yeast-based vaccines
                 GI-4000         Aldoxorubicin, cyclophosphamide,   I/II  Second line  NantKwest, Inc.  NCT03387098
                                 oxaliplatin, capecitabine, fluorouracil,
                                 leucovorin, lovaza, nab-paclitaxel,
                                 bevacizumab, avelumab, ALT-803, aNK,
                                 ETBx-011, SBRT
                                 Cyclophosphamide, oxaliplatin,   I/II  Second line  NantKwest, Inc.  NCT03329248
                                 capecitabine, fluorouracil, leucovorin,
                                 nab-paclitaxel, bevacizumab, avelumab,
                                 ALT-803, aNK, ETBx-011, SBRT
                                 Cyclophosphamide, oxaliplatin,   I/II  Second line  NantKwest, Inc.  NCT03136406
                                 capecitabine, fluorouracil, leucovorin,
                                 nab-paclitaxel, bevacizumab, avelumab,
                                 ALT-803, aNK and ETBx-011
                 YE-NEO-001      None                       I         First line  NantBioScience, Inc. NCT03552718
                Viral vector-based vaccines
                 Ankara Vaccine   Pembrolizumab             I         Second line  City of Hope   NCT02432963
                 Expressing p53                                                 Medical Center
                Peptide vaccines
                 Personalized    Adjuvant chemotherapy + Polyinosinic- I  First line  Washington   NCT03956056
                 mesothelin epitopes  polycytidylic acid, and poly-L-lysine     University School of
                                 (poly-ICLC)                                    Medicine
                 KRAS peptide vaccine  ipilimumab, nivolumab   I      First line  Johns Hopkins  NCT04117087
                 iNeo-Vac-P01    GMCSF                      I         Second line  Zhejiang Provincial   NCT03645148
                                                                                People’s Hospital
                 Personalized    Adjuvant chemotherapy      I         First line  Changhai Hospital  NCT03558945
                 neoantigen vaccine
                DNA based vaccines
                 Personalized                               I                   Washington     NCT03122106
                 neoantigen DNA                                                 University School of
                 vaccine                                                        Medicine
                Dandritic cell-based vaccines
                 Autologous DC   None                       I         First line  Baylor College of   NCT04157127
                 vaccine                                                        Medicine
                 mDC3/8-KRAS     None                       I         Any       University of   NCT03592888
                 Vaccine                                                        Pennsylvania

               displayed on the cell surface by major histocompatibility complex (MHC) and are recognized by T cells as
               foreign antigens . This distinguishing feature of a malignant cell from a normal cell can provide a method
                             [63]
               of targeting the tumor cells while sparing the normal cells by the immune system.

               Antigens expressed by PDAC cells can be grouped into two categories: tumor-specific antigens (TSA),
               which are only expressed by the tumor cells, and tumor-associated antigens (TAA), which are mostly
                                                                           [64]
               restricted to malignant cells with limited expression on normal cells . TSAs are neoantigens unique to
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