Evidence map›Paper›PMID 42458705›Full record

ArticleCancer discovery2026

First-in-human testing of a mutant KRAS vaccine for pancreatic cancer interception in high-risk cohorts.

S Daniel Haldar, Amanda L Huff, Hejia Henry Wang, Zirui Zhu, Maureen Berg, Jiayun Lu, Nancy Sun, Elizabeth Abou Diwan, Hassan Sinan, Christopher J Thoburn and 18 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancer discovery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05013216 (Mutant KRAS -Targeted Long Peptide Vaccine for Patients at High Risk of Developing Pancreatic Cancer), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05013216 phase1recruitingnot on this map

Mutant KRAS -Targeted Long Peptide Vaccine for Patients at High Risk of Developing Pancreatic Cancer

TypeinterventionalSponsorSidney Kimmel Comprehensive Cancer Center at Johns HopkinsRan2022 to 2031Enrolled37ConditionsHigh Risk Cancer, Pancreatic CancerArmsCohort A: Patients at high risk of developing pancreatic cancer., Cohort B: Patients must have evidence of a pancreatic cystic neoplasm
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Precision Cancer Prevention - Research Promise and Education Needs.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  2. Article
  3. An early shot at stopping PDAC.Nature reviews. Cancer · 2026
    Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

S Daniel HaldarThe University of Texas MD Anderson Cancer Center Houston, TX United States.ORCID 0000-0002-2346-0566
Amanda L HuffJohns Hopkins Medicine Baltimore United States.ORCID 0000-0002-8423-8985
Hejia Henry WangJohns Hopkins Medicine Baltimore, Maryland United States.ORCID 0000-0003-1836-7567
Zirui ZhuJohns Hopkins Medicine Baltimore, Maryland United States.ORCID 0009-0000-8849-1585
Maureen BergJohns Hopkins Medicine Baltimore, MD United States.ORCID 0009-0004-5319-3309
Jiayun LuJohns Hopkins University United States.ORCID 0000-0002-5592-6658
Nancy SunJohns Hopkins Medicine Baltimore, MD United States.ORCID 0009-0003-7645-8093
Elizabeth Abou DiwanJohns Hopkins School of Medicine Baltimore, MD United States.ORCID 0009-0007-4264-9982
Hassan SinanIcahn School of Medicine at Mount Sinai New York United States.ORCID 0009-0000-4402-3499
Christopher J ThoburnJohns Hopkins Medicine Baltimore, MD United States.ORCID 0000-0001-7743-9183
Matthew Z GuoJohns Hopkins Medicine Baltimore United States.ORCID 0000-0003-4741-7463
Takeichi YoshidaThe Johns Hopkins Medical Institutions Baltimore, MD United States.ORCID 0000-0003-0717-943X
Linda C ChuJohns Hopkins University Baltimore, MD United States.ORCID 0000-0001-9729-2756
Anna K FergusonJohns Hopkins University Baltimore, MD United States.ORCID 0000-0003-2739-8445
Dimitrios N SidiropoulosJohns Hopkins Medicine Baltimore United States.ORCID 0000-0001-5716-3917
Luciane T KagoharaJohns Hopkins University Baltimore, MD United States.ORCID 0000-0003-1706-0950
Won Jin HoJohns Hopkins University Baltimore, MD United States.ORCID 0000-0003-2644-5086
Katherine M BeverSidney Kimmel Comprehensive Cancer Center Baltimore, Maryland United States.ORCID 0000-0001-5230-4661
Marina BarettiJohns Hopkins Medicine Baltimore, MD United States.ORCID 0000-0003-0125-2405
Mark YarchoanJohns Hopkins Medicine Baltimore, MD United States.ORCID 0000-0003-4401-0748
Daniel A LaheruSidney Kimmel Comprehensive Cancer Center Baltimore, MD United States.ORCID 0000-0001-6646-0200
Julie M NaurothJohns Hopkins University Baltimore, MD United States.ORCID 0009-0009-8382-6409
Amy M ThomasJohns Hopkins Medicine Baltimore, MD United States.ORCID 0009-0008-6405-9796
Hao WangJohns Hopkins Medicine Baltimore United States.ORCID 0000-0001-6489-6940
Nilofer Saba AzadJohns Hopkins University Baltimore, Maryland United States.ORCID 0000-0002-9613-3988
Michael G GogginsJohns Hopkins University Baltimore, MD United States.ORCID 0000-0002-4286-2296
Elizabeth M JaffeeJohns Hopkins University Baltimore, MD United States.ORCID 0000-0003-3841-6549
Neeha ZaidiJohns Hopkins Medicine Baltimore, Maryland United States.ORCID 0000-0002-0094-0049

Funding

ONCOLOGY: CHEMOTHERAPY, IMMUNOLOGY, BIOLOGYT32CA009071 · NCI · JOHNS HOPKINS UNIVERSITY · PI Mary Y Armanios, Nilofer S. Azad · 1985 to 2026
$12.8M
Transforming Human Pancreatic Cancer Into An Immunologic DiseaseP01CA247886 · NCI · JOHNS HOPKINS UNIVERSITY · PI ANDERS, ROBERT A. · 2021 to 2025
$12.7M
Using markers to improve pancreatic cancer screening and surveillance: a multi-center studyU01CA210170 · NCI · JOHNS HOPKINS UNIVERSITY · PI Michael G. Goggins · 2016 to 2026
$9.3M
Mutant KRAS targeted vaccines for the interception of pancreatic cancer developmentR37CA292056 · NCI · JOHNS HOPKINS UNIVERSITY · PI Neeha Zaidi · 2024 to 2026
$2.0M
Neoantigen-Targeted Vaccines in Combination with Immune Checkpoint Inhibitors for Pancreatic CancerK08CA248624 · NCI · JOHNS HOPKINS UNIVERSITY · PI ZAIDI, NEEHA · 2021 to 2025
$1.1M
NCI NIH HHS K08 CA248624NCI NIH HHS P01 CA247886NCI NIH HHS R37 CA292056NCI NIH HHS T32 CA009071NCI NIH HHS U01 CA210170
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) arises from precursor lesions over a decade-plus, offering a window for interception in high-risk individuals, but current surveillance detects a minority of precursors. Mutant KRAS (mKRAS) is present in most PDACs and their precursors, making it an appealing target for immune-based interception. We conducted a phase I, first-in-human study of a peptide vaccine targeting six common KRAS mutations (mKRAS-VAX) in 20 individuals with hereditary PDAC predisposition and a radiographic pancreatic abnormality (NCT05013216) to assess safety, immunogenicity, and T cell persistence. Adverse events were grade 1-2. Vaccination elicited a significant mKRAS-specific T cell response in 18/20 participants (90%). Longitudinal TCR sequencing demonstrated persistence of vaccine-induced mKRAS-specific clonotypes for up to 2 years. Over a median follow-up of 16.5 months, no participants developed PDAC. These findings demonstrate that mKRAS-VAX is safe and generates durable T cell responses, which support the advancement of mKRAS-targeted vaccination for PDAC interception.

Identifiers

PMID42458705
PMCPMC13450700

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.