Two or more peptides or polypeptides and an
adjuvant for use in a method of inducing a
tumor specific immune response, wherein the peptides or polypeptides have been identified by a method comprising: identifying a plurality of neoantigenic peptides for preparing a subject-specific immunogenic composition, each neoantigenic
peptide comprising a tumor-specific neoepitope comprising a tumor-
specific mutation, the method comprising: a. identifying a plurality of subject-specific tumor mutations in expressed genes of a subject having
cancer by whole
genome or whole
exome nucleic acid sequencing of tumor and
normal tissue samples from the subject, wherein the mutations are present in the
genome of
cancer cells of the subject but not in
normal tissue from the subject; b. wherein when a
mutation identified in step (a) is a
point mutation: i. identifying a
mutant peptide having the
mutation identified in step (a), wherein said
mutant peptide comprises a tumor-specific neoepitope which binds to a class I HLA
protein with a greater affinity than a wild -type peptide; and has an IC50 less than 500 nm; c. wherein when a
mutation identified in step (a) is a splice-site, frameshift, read-through or
gene-fusion mutation: i. identifying a
mutant polypeptide encoded by the mutation identified in step (a), wherein said mutant polypeptide comprises a tumor-specific neoepitope which binds to a class I HLA
protein.