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mRNA COVID Vaccination Linked to Longer Survival With Cancer Immunotherapy, Data Presented at ESMO

Randomized Phase III trials are being organized after lab studies suggested mRNA vaccination can prime tumors for checkpoint inhibitors.

Overview

  • A retrospective MD Anderson analysis of more than 1,000 patients found those who received an mRNA COVID shot within 100 days of starting immune checkpoint therapy lived substantially longer.
  • In advanced non‑small cell lung cancer, median survival was 37.3 months for 180 vaccinated patients versus 20.6 months for 704 unvaccinated patients.
  • Among metastatic melanoma patients, median survival was 26.7 months without vaccination and was not yet reached in the 43 who were vaccinated within the window.
  • The association appeared specific to mRNA vaccines, as flu and pneumonia shots were not linked to improved longevity in the cohorts analyzed.
  • Preclinical and immune‑profiling work indicated mRNA vaccination activates antigen‑presenting cells and increases tumor PD‑L1, supporting synergy with checkpoint inhibitors; investigators disclosed related mRNA vaccine patents licensed to iOncologi and are planning multi‑center trials through OneFlorida+.