The idea that a vaccine might prevent or treat an MPN seemed like a pipe dream just a few years ago. Today, MPNRF proudly funds the first US clinical trial to test a vaccine that could reverse the effects of a mutation associated with MPNs, specifically the calreticulin (CALR) mutation.
Through a 2022 Thrive Initiative award, Marina Kremyanskaya MD, PhD, and Cansu Cimen Bozkus, PhD, both from the Icahn School of Medicine at Mount Sinai in New York City, aim to harness the human immune system to target mutant CALR MPNs. The project is a phase 1 trial, representing initial testing for the safety and efficacy of a specific vaccine. MPNRF's 2015 MPN Challenge award supported research leading to this clinical study.
Mutations in the CALR gene are believed to be the genetic driver in 30-35% of people living with essential thrombocythemia (ET) and myelofibrosis (MF). All CALR mutations lead to an altered protein with a unique and identical ending. This altered protein can be recognized as foreign by the immune system and is therefore an ideal immunotherapy target, since it is not found on normal tissues.