A First-In-Human Trial of pTTL in Advanced Colorectal Cancer
Neogap Therapeutics' Phase 1/2 first-in-human study of pTTL is now active-not-recruiting, so enrollment is closed and safety/tolerability data in stage IV colorectal cancer are the near-term readout. pTTL is a fully autologous ATMP: tumor-draining lymph node T cells are expanded ex vivo with recombinant neoantigen proteins (NAG) built from mutations selected by Neogap's in-house PIOR software after tumor NGS, then administered as a single IV dose. The trial is an early test of whether neoantigen-stimulated autologous T cells—rather than a vaccine—can deliver on personalization in CRC, with every product manufactured for one individual patient.