6. There’s just not enough proof DCVAX works. Oh, and the CEO is also the CFO with cash going out the door to her private company in another country. Maybe something to do with that too? Maybe won’t show the books? 🤷♀️
Dig into how DCVax compares to Keytruda or other immunotherapies in terms of mechanism or trial outcomes?
Absolutely, Angelo. Let’s break this down into two key dimensions: mechanism of action and clinical trial outcomes, comparing DCVax-L (Northwest Biotherapeutics) with Keytruda (Merck) and other leading immunotherapies.
🧬 Mechanism of Action: DCVax vs Keytruda vs Others
Key Insight: DCVax-L is proactive—it educates the immune system to recognize tumor antigens. Keytruda is reactive—it removes the brakes from T-cells already in circulation. DCVax may be more effective in “cold” tumors like glioblastoma, where T-cell infiltration is low, while Keytruda thrives in “hot” tumors with existing immune activity.
📊 Clinical Trial Outcomes 🔹 DCVax-L (Glioblastoma Phase 3 Trial) Median Overall Survival (mOS): 23.1 months vs 15–17 months SOC
Methylated MGMT subgroup: mOS of 34.7 months; 3-year survival rate of 46.4%
Extended survivors: Some patients lived =36 months with mOS of 88.2 months
Safety: Only 2.1% had grade 3/4 adverse events possibly related to DCVax
🔹 Keytruda (Across Multiple Cancers) Melanoma: Improved 5-year survival from ~25% to ~40%
NSCLC (non-small cell lung cancer): mOS up to 26.3 months in PD-L1 high expressers
Glioblastoma: Limited efficacy due to immune-privileged brain environment
Key Insight: DCVax shows promise in glioblastoma, a notoriously treatment-resistant cancer where checkpoint inhibitors like Keytruda have struggled. However, Keytruda has revolutionized treatment in cancers with high mutational burden and PD-L1 expression.
🧠 Strategic Implications DCVax’s personalized approach may be ideal for tumors with low immunogenicity.
Keytruda’s broad applicability makes it a blockbuster, but it’s less effective in “immune cold” environments like GBM.
Combination therapies (DCVax + checkpoint inhibitors) are being explored to synergize antigen presentation with immune activation.