lab coat in an MSK lab

MSK Precision Immuno-Oncology

Leadership in the New Frontier for Fighting Cancer

For more than a century, Memorial Sloan Kettering Cancer Center (MSK) has been at the forefront of discovering smarter, more precise ways to treat cancer. Today, our scientists and doctors are transforming cancer care through precision immuno-oncology — tailoring immunotherapy treatments to the unique biology of each patient's cancer. 

From the first discoveries in cancer immunology to today’s cutting-edge clinical trials, MSK continues to set the standard — developing treatments that not only extend lives but improve quality of life. The result is a future where cancer care is increasingly personalized, powerful, and precise.

If the first era of immunotherapy was about proving that the immune system can be a powerful weapon against cancer, this new era aims to make that armament more precise and durable, and available to far more people.

A key focus at MSK is understanding not just how these therapies work, but how to identify in advance which patients are most likely to benefit — so no patient receives a treatment that won't help them, and no patient who could benefit is denied access.
Vinod Balachandran, MD
Director, The Olayan Center for Cancer Vaccines

The Next Cure for Cancer May Already Be Inside You

Your immune system is the most powerful cancer-fighting force in existence. It can recognize threats, remember them, and destroy them — including cancer. The challenge has never been whether the immune system can beat cancer. The challenge is giving it the right training, with the right tools.

To address this, MSK is pioneering a new generation of precision treatments — personalized cancer vaccines, next-generation cellular therapies, AI-powered immunotherapy — that are proving that cancers once considered untreatable can be stopped. Early results in diseases like pancreatic cancer, one of the most lethal cancers known, are offering something that felt impossible just a few years ago: real hope.

But most patients with the toughest cancers — pancreatic cancer, aggressive solid tumors, cancers that don’t respond to anything else — cannot access them today.

That is where MSK’s Precision Project comes in.

Through our scientific programs, like the Immuno-Oncology Program, led by Dr. Andy Minn, and our research centers, including The Olayan Center for Cancer Vaccines, co-led by Drs. Vinod Balachandran and Benjamin Greenbaum, MSK researchers are making the discoveries, building the infrastructure, forging the partnerships, and developing the AI-powered systems needed to bring these treatments to far more patients, far faster — especially those facing the cancers that have resisted everything else.

This is not a distant vision. It is work underway right now. And it may represent the single greatest opportunity to improve outcomes for cancer patients in our lifetime.

The Precision Project: Expanding Cancer Vaccine Access to the Patients Who Need It Most

For all the promise of precision cancer vaccines and AI-powered immunotherapy, a critical question remains: how do we get these treatments to every patient who needs them?

This is the problem MSK will tackle head-on.

The Precision Project is our bold initiative to transform the way precision cancer vaccines are discovered, manufactured, and delivered. By uniting world-class cancer researchers, artificial intelligence leaders, and cross-sector partners, the Precision Project will build an engine for precision cancer vaccine innovation — one that learns continuously, shares knowledge openly, and unlocks access for patients with the deadliest cancers.

At its core, The Precision Project is powered by a simple but profound insight: every cancer has a unique biological fingerprint. AI can read that fingerprint. And RNA vaccine technology — the same revolutionary platform behind the COVID-19 vaccines — can use it to powerfully train each patient's immune system to find and destroy their specific cancer.

The science is ready. The technology exists. What's been missing is the coordinated will and infrastructure to scale it. That's what we're building at MSK.

Cancer Vaccines: The Most Personal Medicine Ever Made

Imagine a treatment designed specifically for your cancer — not your cancer type, but the precise biological makeup of the tumor inside your body. That is what precision cancer vaccines do.

Using breakthrough RNA technology and AI-powered analysis, MSK researchers are developing vaccines that train each patient's immune system to recognize the unique signals on their own cancer cells — and eliminate them. Early results, including in pancreatic cancer, one of the deadliest cancers we face, have been genuinely extraordinary.

Memorial Sloan Kettering scientist smiling in lab with female assistant.
The History and Future of Cancer Vaccines at MSK

Dr. David Scheinberg, a leader of immunotherapy drug development at MSK, says an improved understanding of immune function combined with advances in clinical applications has created a new optimism about cancer vaccines.

MSK physician-scientist Vinod Balachandran.
In Early-Phase Pancreatic Cancer Clinical Trial, Investigational mRNA Vaccine Induces Sustained Immune Activity in Small Patient Group
James, MSK patient
Cancer Vaccine Could Prevent Neuroblastoma From Returning After Antibody Treatment
Pictured in her office, MSK medical oncologist Dr. Eileen O’Reilly researched a new vaccine to treat some colorectal cancers.
Vaccine Targeting KRAS in Pancreatic and Colorectal Cancer Shows Promise

Engineering the Immune System: Next-Generation Cellular Therapies

MSK scientists are at the forefront of new cellular therapies that reprogram a patient’s own immune cells to recognize and destroy cancer.

Video | 2:47 Watch How CAR T Cell Therapy Eliminated a Patient’s Rare Blood Disease

Every cancer breakthrough begins years before it offers patients new hope. Our series Saved by Science takes you inside MSK's world-class research labs, where you'll see patients meet the scientists whose discoveries not only changed their lives but are transforming cancer care for patients around the world.

I reached a point where it was getting increasingly more and more difficult to enjoy the things that I normally enjoy.

Maureen had two stem cell transplants that put her into remission for only a short period of time.

I was very excited to tell her that indeed, there was one more option.

CAR T cells are when we take out patients’ T cells from their own body, and then they are trained in a lab to really knock out patients’ cancers.

I was like, OK, if Dr. Landau says this is the thing to do, I'm doing it.

I had no concept whatsoever that such a fast response was even possible.

Took your trip?

I was doing all the hiking that I never thought I would do there.

It will bring me great joy to show you the lab where CAR T cells started at MSK.

I’ve been lucky enough to inherit this space and there’s a lot of history here. Kind of where it all began. It’s very exciting, so let me show you around.

This laboratory is where it all began. It’s where a lot of the earliest experiments in CAR T cells took place. This room.

Each of these little dots represents a CAR T cell. And you had excellent CAR T cells.

Well, yeah.

We see people like Maureen who had really excellent results.

And so we're trying to take the same thing that Maureen was able to benefit from and bring it to everybody.

This is hundreds of millions of T cells floating around in there.

And we can take a look, we can look through the microscope and we can actually see them.

So those little bubble-like things...

Those little bubble-like things. Those are CAR T cells. Those have been changed, they’ve been modified so that they’re cancer fighters.

Really, it's those cells that come into this bag and into you and really made you so well today.

And all the work that goes on behind that. All the people like you guys that make it happen. It's incredible.

It was amazing being here in the lab and to see what’s actually going on behind the scenes.

We need the research. That's the roots of where I am today.

Pattie Fuller, MSK patient
New Treatment for Metastatic (Stage 4) Melanoma: TIL Immunotherapy 
Laboratory research is critical for developing new blood cancer treatments.
A New Cellular Immunotherapy Approach May Offer Treatment for AML and MDS 
MSK physician-scientist Dr. Christopher Klebanoff
Why Does CAR T Cell Therapy Fail? MSK Research Points to FAS-L Proteins
Dr. Miguel-Angel Perales is Chief of the Adult Bone Marrow Transplant Service at MSK.
Reasons Why MSK Is a Leader in Stem Cell and Bone Marrow Transplants

Dr. Miguel-Angel Perales is Chief of the Adult Bone Marrow Transplant Service at MSK.

Dr. Prasad Adusumilli has developed new techniques to increase the effectiveness of CAR T cell therapy against solid tumors. He is leading a clinical trial to treat patients with pleural cancers that affect the area outside the lungs in the chest cavity.
How MSK Is Teaching CAR T Cells To Attack Solid Tumors
MSK hematologist-oncologist Dr. Jae Park
New CAR T Cell Clinical Trial for Acute Myeloid Leukemia Is First of Its Kind
Physician-scientist Dr. Karlo Perica
New MSK Research a Step Toward Off-the-Shelf CAR T Cell Therapy for Cancer

Personalizing Treatment With Precision Science

MSK is developing tools that help predict which therapies will work best for patients, based on understanding their cancer at the molecular level.

MSK computational oncologist Dr. Benjamin Greenbaum is leading research that sheds light on the innate immune system and how it affects cancer cells as they evolve.
New Research Helps Model How the Immune System Shapes Cancer Development
High numbers of regulatory T cells (red) — interacting with antigen-presenting cells (blue).
MSK Researchers Solve a Key Colorectal Cancer Mystery
Dr. Luc Morris, a surgeon and research lab director at MSK.
New AI Tool Uses Routine Blood Tests To Predict Immunotherapy Response for Many Cancers

In the News

from Scientific American, by Tavis Coburn
Personalized mRNA vaccines will revolutionize cancer treatment

Scientific American (Nov. 2025)

Barbara Brigham, MSK patient
Vaccine targeting pancreatic cancer shows promise in new study of clinical trial

CBS News (Feb. 2025)

From NBC News: Maureen Sideris, of Dutchess County, N.Y., has been in remission for two years. Sideris was able to avoid surgery for cancer of her esophagus.
For some cancer patients, immunotherapy may be way to skip surgery and chemo

NBC News (April 2025)

The Urgency Is Now

Cancer does not wait. And neither does MSK.

The convergence of AI, RNA medicine, and decades of immuno-oncology research has created a genuine, time-limited opportunity to change the trajectory of cancer care. At MSK, we are not standing at the edge of this moment watching it unfold. We are in the middle of it, building the tools, training the systems, and forging the partnerships that will determine how quickly these treatments reach the patients who need them most.

If you or someone you love is facing a cancer that has not responded to other treatments, we want you to know: this work is for you. The Precision Project exists because we refuse to accept that the most exciting treatments in cancer medicine should only be available to a few.

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