OncoMimic peptide-based immunotherapy EO2401 induces shared T cell clusters in patients with adrenal cancer
18 affiliations
- 1Division of Medical Oncology, University Hospital Basel, Basel, Switzerland
- 2Laboratory of Translational Immuno-Oncology, Department of Biomedicine, University and University Hospital Basel, Basel, Switzerland
- 3Department of Internal Medicine IV, Oncology/Hematology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany
- 4Enterome SA, Paris, France
- 5Laboratory of Cancer Immunology, Department of Biomedicine, University Hospital and University of Basel, Basel, Switzerland
- 6Università degli Studi di Brescia, Azienda Ospedaliera Spedali Civili, Brescia, Italy
- 7Department of Medical Oncology, Amsterdam UMC, Cancer Centre Amsterdam, Amsterdam, The Netherlands
- 8Endocrine Oncology, Gustave Roussy, Villejuif, France
- 9Internal Medicine, University Hospital Würzburg, Würzburg, Germany
- 10Vall d’Hebron University Hospital and Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain
- 11Stanford Cancer Institute, Stanford University School of Medicine, Stanford, CA USA
- 12Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Karolinska University Hospital Solna, Stockholm, Sweden
- 13Medical Oncology, Rigshospitalet/University Hospital, Copenhagen, Denmark
- 14Medicine IV Endocrine Oncology, Ludwig Maximilians University of Munich, München, Germany
- 15Medical Oncology, Centre Léon Bérard, Lyon, France
- 16University Hospital Lille - Hôpital Claude Huriez, Lille, France
- 17Hospital Nord, Marseille, France
- 18Collaborative Research Institute Intelligent Oncology (CRIION), Freiburg, Germany
Abstract
Background: Patients with advanced malignant adrenal tumors face poor prognoses with limited treatment options. Emerging data suggest that these rare tumors exhibit immunogenicity, potentially benefiting from intensified immunotherapy.
Methods: The SPENCER trial (NCT04187404) evaluates EO2401, an off-the-shelf in vivo peptide immunotherapy containing three synthetic HLA-A*02 restricted-peptides called OncoMimic and derived from human gut commensals that exhibit molecular mimicry to tumor-associated antigens (BIRC5, FOXM1, IL13RA2) combined with nivolumab in patients with locally advanced or metastatic adrenocortical carcinoma (ACC) or malignant pheochromocytoma/ paraganglioma (PPGL). We performed T cell receptor (TCR) repertoire sequencing to profile the TCR architecture in ACC and characterize vaccination imprints.
Results: Here we show that ACC patients are characterized by a restricted peripheral T cell richness. EO2401 does not expand highly shared TCR clones across patients but diversifies pre-existing T cell clusters. These clusters are not converging on known neoantigen-specific TCRs but exhibit generation probabilities characteristic of public clones some of which being shared across patients.
Conclusions: These findings suggest that EO2401-based peptide immunotherapy combined with checkpoint inhibition can broaden and activate public, pre-existing T cell clusters, potentially enhancing tumor-specific immune responses.
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BibTeX
@article{schultheiß2026oncomimic,
title = {{OncoMimic peptide-based immunotherapy EO2401 induces shared T cell clusters in patients with adrenal cancer}},
author = {Christoph Schultheiß and Brenda Besemer and Edith Willscher and Lisa Paschold and Tifanny Mersceman and Alice Talpin and Clara Serger and Alfred Zippelius and Alfredo Berruti and Salvatore Grisanti and Catharina Willemien Menke-van der Houven van Oordt and Eric Baudin and Laura-Sophie Landwehr and Jaume Capdevila and Vivek Subbiah and Dan Granberg and Kirsten Gedske Daugaard and Alexandra Triebig and Thibault Gauduchon and Christine Do Cao and Marie-Eve Garcia and Joao Magalhaes and Laurent Chêne and Mascha Binder},
journal = {Communications Medicine},
year = {2026},
month = jul,
doi = {10.1038/s43856-026-01755-8},
url = {https://doi.org/10.1038/s43856-026-01755-8},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - OncoMimic peptide-based immunotherapy EO2401 induces shared T cell clusters in patients with adrenal cancer
AU - Christoph Schultheiß
AU - Brenda Besemer
AU - Edith Willscher
AU - Lisa Paschold
AU - Tifanny Mersceman
AU - Alice Talpin
AU - Clara Serger
AU - Alfred Zippelius
AU - Alfredo Berruti
AU - Salvatore Grisanti
AU - Catharina Willemien Menke-van der Houven van Oordt
AU - Eric Baudin
AU - Laura-Sophie Landwehr
AU - Jaume Capdevila
AU - Vivek Subbiah
AU - Dan Granberg
AU - Kirsten Gedske Daugaard
AU - Alexandra Triebig
AU - Thibault Gauduchon
AU - Christine Do Cao
AU - Marie-Eve Garcia
AU - Joao Magalhaes
AU - Laurent Chêne
AU - Mascha Binder
PY - 2026
DA - 2026/07/06
JO - Communications Medicine
DO - 10.1038/s43856-026-01755-8
UR - https://doi.org/10.1038/s43856-026-01755-8
AB - Background: Patients with advanced malignant adrenal tumors face poor prognoses with limited treatment options. Emerging data suggest that these rare tumors exhibit immunogenicity, potentially benefiting from intensified immunotherapy. Methods: The SPENCER trial (NCT04187404) evaluates EO2401, an off-the-shelf in vivo peptide immunotherapy containing three synthetic HLA-A*02 restricted-peptides called OncoMimic and derived from human gut commensals that exhibit molecular mimicry to tumor-associated antigens (BIRC5, FOXM1, IL13RA2) combined with nivolumab in patients with locally advanced or metastatic adrenocortical carcinoma (ACC) or malignant pheochromocytoma/ paraganglioma (PPGL). We performed T cell receptor (TCR) repertoire sequencing to profile the TCR architecture in ACC and characterize vaccination imprints. Results: Here we show that ACC patients are characterized by a restricted peripheral T cell richness. EO2401 does not expand highly shared TCR clones across patients but diversifies pre-existing T cell clusters. These clusters are not converging on known neoantigen-specific TCRs but exhibit generation probabilities characteristic of public clones some of which being shared across patients. Conclusions: These findings suggest that EO2401-based peptide immunotherapy combined with checkpoint inhibition can broaden and activate public, pre-existing T cell clusters, potentially enhancing tumor-specific immune responses.
SN - 2730-664X
ER -