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Ann: AGM Presentation, page-158

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    oooh... I think you're referring to this, which has been in planning for at least 12 months, but I don't think I've heard LC talk about it:
    Neo-POLEM - GI Cancer
    Neo-POLEM | Southampton Clinical Trials Unit | University of Southampton
    https://hotcopper.com.au/data/attachments/5785/5785976-53c1e74c885cab21a70c0e6ce0be021c.jpg

    It's worth repeating the last line in the description, "Following treatment patients will undergo standard care surgery and following this will be followed up for a maximum of two years." IMU announced a similar trial for HER-Vaxx but it never eventuated and now they're doing it in MSI high colorectal cancer, presumably in lieu of pre-treatment with chemo. This trial should be very interesting given the impact of chemo on a patient followed by what I imagine is quite traumatic surgery. Theoretically, the safety of PD1-Vaxx should leave a patient's immune system in better shape post treatment, not to mention the mechanism of action of PD1-Vaxx resulting in a vaccination which should result in the patient effectively continuing to receive treatment post-surgery courtesy of their B Cells. I presume the side effects of Chemo and Keytruda prevent treatment for some time after surgery.

    Also, worth noting Keytruda has had a phase 3 trial against the same indication:
    Pembrolizumab in Microsatellite-Instability–High Advanced Colorectal Cancer | NEJM

    Thought bubble for the day: I wonder if we're close to a point where the B Cell drugs, because of the respective mutations they target, can leverage off trial results of the equivalent monoclonal antibody drug? Happy to hear anyone's thoughts if that's even a possibility?
 
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