The NeOncoFRAx Pipeline

At NeOncoFRAx, our pipeline transforms scientific discovery into clinical care—one patient at a time. Through a fully integrated academic collaboration with Erasmus MC, we bring together surgeons, immunologists, bioinformaticians, chemists, and clinical researchers to design and deliver personalized cancer vaccines within a matter of months. This end-to-end approach ensures scientific rigor, fast decision-making, and seamless translation from bench to bedside.

NeOncoFRAx

How We Build a Personalized Cancer Vaccine

1

Tumor and Blood Collection

The process begins during routine surgery, when a section of the tumor and a blood sample are collected for molecular and immunological analysis.

2

DNA and RNA Sequencing

These samples undergo next-generation sequencing to identify mutations unique to the cancer.

3

Neoantigen Prediction

Our bioinformatics team analyzes sequence data using a multi-layered algorithm. Peptides are scored and prioritized based on MHC binding affinity, transcript expression, variant frequency, and predicted immunogenicity.

4

Peptide Synthesis

The top-ranked neoantigens are synthesized into peptides through academic or partnered facilities under GMP-adjacent quality controls. (Note: In-house synthesis is a key ambition in progress.)

5

Vaccine Formulation

Peptides are combined with clinically validated immune-stimulating components, which may include dendritic cell loading, to create a patient-specific vaccine batch.

6

Delivery and Monitoring

Patients receive their personalized vaccine under the supervision of a medical professional. Immune responses are tracked longitudinally through blood-based profiling to assess safety, feasibility, and activation of tumor-reactive T cells.

NeOncoFRAx

Clinical Progress

  • Proof-of-concept study (Pre-Clinical; Completed) — Study validating workflows for tumor sampling, sequencing, and neoantigen prediction in resected pancreatic cancer using proprietary pancreatic cancer biobank data.
  • Pilot immunogenicity study (Pre-Clinical; Completed) — Pilot study assessing the immunogenicity of prioritized peptides and early-stage feasibility of personalized vaccine delivery using proprietary pancreatic cancer biobank data.
  • Feasibility trial (Clinical; Recruiting) — Clinical feasibility trial evaluating the safety, workflow integration, and immunological activity of personalized peptide vaccination in patients with resected PDAC. Note: This trial does not yet include administration of a full therapeutic vaccine product.
  • First in-human trial (Clinical; Pending) – First in-human non-randomized clinical trial including the administration of our peptide neoantigen-based cancer vaccine.
NeOncoFRAx