ATLANTA -- Use of the novel CD40 agonist APX005M with or without nivolumab (Opdivo) led to responses in more than half of patients with metastatic pancreatic cancer on first-line … 2018 Apr;67(4):639-652. doi: 10.1007/s00262-018-2115-2. John Schieszer. CD40 is expressed broadly in hematopoietic and nonhematopoietic tissues and regulates immunity (1) thus providing a tractable target pathway for cancer immunotherapy. 2021 Jan 20. doi: 10.1038/s41423-020-00613-4. J Immunol. Byrne KT, Leisenring NH, Bajor DL, Vonderheide RH. Epub 2020 Mar 12. CD40 is an upstream mechanism of activation. Would you like email updates of new search results? Mantovani A, Marchesi F, Jaillon S, Garlanda C, Allavena P. Cell Mol Immunol. Combined sublethal irradiation and agonist anti-CD40 enhance donor T cell accumulation and control of autochthonous murine pancreatic tumors. Although the results are early, we see encouraging signs that anti-CD40 immunotherapy, checkpoint inhibition and chemotherapy in combination could be an effective new approach to treat … T-cell-independent mechanisms are associated with macrophage activation and the destruction of PDA tumor stroma, supporting the concept that immune modulation of the tumor microenvironment represents a useful approach in cancer immunotherapy. Baohuoside I Inhibits the Proliferation of Pancreatic Cancer Cells via mTOR/S6K1-Caspases/Bcl2/Bax Apoptotic Signaling. K08 CA138907/CA/NCI NIH HHS/United States, R01 CA158186/CA/NCI NIH HHS/United States, R01 CA169123/CA/NCI NIH HHS/United States, P30 CA016520/CA/NCI NIH HHS/United States, T32 HL007775/HL/NHLBI NIH HHS/United States, NCI CPTC Antibody Characterization Program. CD40 Stimulation Obviates Innate Sensors and Drives T Cell Immunity in Cancer. A Phase I trial of CD40 immunotherapy in combination with gemcitabine demonstrated the combination was safe and achieves tumor responses in patients with pancreatic ductal adenocarcinoma. Findings suggest that CD40 agonists can mediate both T-cell-dependent and T-cell-independent immune mechanisms of tumor regression in mice and patients. Front Immunol. 2021 Jan 1;11(3):1493-1512. doi: 10.7150/thno.52614. eCollection 2019. CD40 immunotherapy for pancreatic cancer. John Schieszer. 2020 Aug 10;485:56-65. doi: 10.1016/j.canlet.2020.04.022. J Immunol. Pancreas cancer is classically a cold tumor and immunotherapy has had minimal efficacy for the treatment of this disease, unlike many others. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. J Hematol Oncol. Numerous agonist CD40 antibodies of varying formulations have been evaluated in the clinic and found to be tolerable and feasible. May 7, 2018. Epub 2016 May 23. In a recent study sponsored by the Parker Institute of Cancer Immunotherapy of gemcitabine and nab-paclitaxel chemotherapy plus CD40 mAb APX005M, with or without PD-1 … Epub 2018 Jan 13. Clipboard, Search History, and several other advanced features are temporarily unavailable. eCollection 2020. Online ahead of print. Tumor-associated myeloid cells: diversity and therapeutic targeting.  |  USA.gov. Understanding the immune landscape and tumor microenvironment of pancreatic cancer to improve immunotherapy. The former mechanism involves systemic activation of macrophages that infiltrate the tumor, become tumoricidal, and facilitate the depletion of tumor stroma. 2016 Jul 1;197(1):179-87. doi: 10.4049/jimmunol.1600146. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Pancreatic ductal adenocarcinoma (PDA) is a highly aggressive and lethal cancer which is poorly responsive to standard therapies. Tumor-Derived Myeloid Cell Chemoattractants and T Cell Exclusion in Pancreatic Cancer. Systemic treatments for metastatic cutaneous melanoma. doi: 10.1136/jitc-2020-000772. In a recent study of chemotherapy plus CD40 mAb, with or without PD-1 mAb, the objective response rate in patients with untreated, metastatic pancreatic cancer was >50%. J Immunother Cancer.  |  By blocking PD-1, this drug boosts the immune response against pancreatic cancer cells and can often shrink tumors. There is also an FDA-approved immunotherapy drug, Keytruda®, for pancreatic cancer patients with certain genetic … 2016 Jul 1;197(1):179-87. doi: 10.4049/jimmunol.1600146. CD40 agonists alter tumor stroma and show efficacy against pancreatic carcinoma in mice and humans. J Leukoc Biol. 2014;10(11):3354-68. doi: 10.4161/hv.34392. Pancreatic ductal adenocarcinoma (PDAC) is the most common type of pancreatic cancer, and it kills more Americans each year than any cancer type other than lung and colorectal. Epub 2016 Jun 9. NIH Keywords: The vaccine is made up of inactivated pancreatic cancer cells, … Read on to learn … Pancreatic cancer: role of the immune system in cancer progression and vaccine-based immunotherapy. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Side effects can … Boiling histotripsy and in-situ CD40 stimulation improve the checkpoint blockade therapy of poorly immunogenic tumors. In a recent study of chemotherapy plus CD40 mAb, with or without PD-1 mAb, the objective response rate in patients with untreated, metastatic pancreatic cancer was >50%. USA.gov. 2019 Dec 19;11:10609-10621. doi: 10.2147/CMAR.S228926. 2021 Jan 6;23(1):5. doi: 10.1186/s13075-020-02372-z. CD40 is a cell-surface member of the TNF (tumor necrosis factor) receptor superfamily. 2020 Jul;59(7):775-782. doi: 10.1002/mc.23179. The idea is that you need to stimulate the immune system to drive into the cancer … Mechanistically, the combination of chemotherapy followed by CD40 mAb functions as an in situ vaccine; in addition, destruction of stroma by CD40-activated macrophages may enhance chemotherapy … Shah A, Rauth S, Aithal A, Kaur S, Ganguly K, Orzechowski C, Varshney GC, Jain M, Batra SK. Mol Carcinog. Our thinking is to combine a checkpoint inhibitor with an anti-CD40 therapy in pancreatic cancer, lung cancer or other nonresponding tumors. Epub 2016 May 23. The interplay between innate and adaptive immunity in cancer shapes the productivity of cancer immunosurveillance. Although the PDA tumor microenvironment is considered especially immunosuppressive, recent data mostly from genetically engineered and other mouse models of the disease suggest that novel immunotherapeutic approaches hold promise. One is an experimental antibody that targets the CD40 protein and propels the immune … Conflict of interest The authors declare that they have no conflicts of interest to disclose. Science. In addition to standard-of-care chemotherapy, we attack the tumor with two different immunotherapy agents. Arthritis Res Ther. 2021 Jan 1;11(2):540-554. doi: 10.7150/thno.49517. While most vaccines are administered to prevent disease, this vaccine is used on patients already diagnosed with pancreatic cancer. Activating CD40 is “a key to initiating a T-cell response to tumors,” says Dr. Robert Vonderheide, MD, director of U Penn’s Abramson Cancer Center. 2019 Jul 12;12(1):76. doi: 10.1186/s13045-019-0760-3. 271 Background: Pancreatic cancer is well known for its aggressive clinical course and resistance to chemotherapy. Please enable it to take advantage of the complete set of features! Cell Rep. 2016 Jun 21;15(12):2719-32. doi: 10.1016/j.celrep.2016.05.058. COVID-19 is an emerging, rapidly evolving situation. Cancer Immunol Immunother. Cancer Lett. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error, CD40 agonists can mediate both T-cell-independent and T-cell-dependent immune mechanisms of tumor regression in pancreatic cancer. Singh MP, Sethuraman SN, Miller C, Malayer J, Ranjan A. Theranostics. 2020 Jul;8(2):e000772. Given the general expression profile and biological activities of CD40… Tumor immunity CD40 Pancreatic cancer Macrophages T cells CIMT 2012 This paper is a Focussed Research Review based on a presentation given at the 10th annual meeting of the association for cancer immunotherapy … Mechanistically, the combination of chemotherapy followed by CD40 mAb functions as an in situ vaccine; in addition, destruction of stroma by CD40-activated macrophages may enhance chemotherapy delivery. To date, the U.S. Food and Drug Administration (FDA) has not approved an immunotherapy for pancreatic cancer. CD40 immunotherapy for pancreatic cancer Pancreatic ductal adenocarcinoma (PDA) is a highly aggressive and lethal cancer which is poorly responsive to standard therapies. CD40 activation as potential tool in malignant neoplasms. CD40; cancer; immunotherapy; pancreatic cancer. The former mechanism involves systemic activation of … Antitumor activity with or without anti-CTLA4 monoclonal antibody (mAb) therapy has been observed in patients with melanoma, and major tumor regressions have been observed in patients with pancreatic cancer, mesothelioma, and other tumors in combination with chemotherapy. Tumor-associated macrophages in tumor metastasis: biological roles and clinical therapeutic applications. Ni F, Tang H, Wang C, Zhang H, Zheng C, Zhang N, Chen B, Sun L. Cancer Manag Res. A scientific priority going forward is to understand whether blockade of these inhibitory micro-environmental mechanisms will enable adequate priming of an adaptive immune response in concert with CD40 activation in PDA. CSF-1R-Dependent Lethal Hepatotoxicity When Agonistic CD40 Antibody Is Given before but Not after Chemotherapy. 39, 40 They play an … The Current Landscape of Antibody-based Therapies in Solid Malignancies. Lau SP, van Montfoort N, Kinderman P, Lukkes M, Klaase L, van Nimwegen M, van Gulijk M, Dumas J, Mustafa DAM, Lievense SLA, Groeneveldt C, Stadhouders R, Li Y, Stubbs A, Marijt KA, Vroman H, van der Burg SH, Aerts J, van Hall T, Dammeijer F, van Eijck CHJ. Natural killer cells have become an increasingly important target for cancer immunotherapy since they have demonstrated to mediate successful and efficient anti‐tumor responses. Although the results are early, we see encouraging signs that anti-CD40 immunotherapy, checkpoint inhibition, and chemotherapy in combination could be an effective new approach to treat … CD40/CD40L relevance for cancer immunotherapy The extraordinary ability of CD40/CD40L signaling to syn-chronize the innate, cellular and humoral branches of the immune response has inspired basic and clinical research for decades. Updated risk factors to inform early pancreatic cancer screening and identify high risk patients. Robert Vonderheide, M.D., D.Phil., a member of CRI’s Scientific Advisory Council, is leading a CRI clinical trial that is targeting the CD40 pathway in combination with chemotherapy and checkpoint …  |  Robert H Vonderheide Abramson Family Cancer Research Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, … Epub 2020 May 8. Eriksson E, Milenova I, Wenthe J, Ståhle M, Leja-Jarblad J, Ullenhag G, Dimberg A, Moreno R, Alemany R, Loskog A. Clin Cancer Res. eCollection 2021. Although the PDA … This site needs JavaScript to work properly. It may be … However, it’s the subject of a lot of research. NIH Pasquali S, Hadjinicolaou AV, Chiarion Sileni V, Rossi CR, Mocellin S. Cochrane Database Syst Rev. Hum Vaccin Immunother. HHS eCollection 2021. Would you like email updates of new search results? Despite the fact that it only accounts for about three percent of new cancer cases, it is responsible for more than seven percent of all cancer … 2020 Jul;108(1):363-376. doi: 10.1002/JLB.3MIR0320-475R.  |  Pancreatic ductal adenocarcinoma (PDAC) is the most common type of pancreatic cancer, and it kills more Americans each year than any cancer type other than lung and colorectal. Please enable it to take advantage of the complete set of features! Beatty GL, Chiorean EG, Fishman MP, Saboury B, Teitelbaum UR, Sun W, Huhn RD, Song W, Li D, Sharp LL, Torigian DA, O'Dwyer PJ, Vonderheide RH. Administration is associated with mild to moderate (but transient) cytokine release syndrome, readily managed in the outpatient setting. This drug is given as an intravenous (IV) infusion every 2 or 3 weeks. In combination with chemotherapy, CD40 agonists can also activate T-cell immunity and mediate major tumor regression; however, anti-tumor T-cell responses can be inhibited by suppressive elements in the tumor microenvironment. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2018 Feb 6;2(2):CD011123. Here, we describe both laboratory and clinical efforts to target the CD40 pathway for immunotherapy in PDA. Attention has largely focused on … CD40 agonists can mediate both T-cell-independent and T-cell-dependent immune mechanisms of tumor regression in pancreatic cancer. COVID-19 is an emerging, rapidly evolving situation. Epub 2017 May 23. 2011 Mar 25;331(6024):1612-6. doi: 10.1126/science.1198443. Theranostics. AACR 2019: CD40 combination therapy can shrink pancreatic tumours 3 Apr 2019 A new combination of immunotherapy and chemotherapy for pancreatic cancer caused tumours to shrink in … SEA-CD40 is an agent, which is going to try and stimulate the immune system.  |  An experimental antibody targeting CD40, used in combination with a checkpoint inhibitor and chemotherapy, demonstrated good antitumor activity and manageable side effects in … Ward-Kavanagh LK, Kokolus KM, Cooper TK, Lukacher AE, Schell TD. “We think this is an important finding both for pancreatic cancer research and cancer immunotherapy overall,” says Vinod Balachandran, a surgeon-scientist affiliated with the David M. Rubenstein Center for Pancreatic Cancer Research and a member of the Parker Institute for Cancer Immunotherapy… R01 CA229803/CA/NCI NIH HHS/United States, P01 CA210944/CA/NCI NIH HHS/United States, P30 CA016520/CA/NCI NIH HHS/United States, NCI CPTC Antibody Characterization Program. 2017 Oct 1;23(19):5846-5857. doi: 10.1158/1078-0432.CCR-17-0285. Dendritic cell vaccination and CD40-agonist combination therapy licenses T cell-dependent antitumor immunity in a pancreatic carcinoma murine model. Epub 2020 Apr 9. Despite the fact that it only accounts for about three percent of new cancer cases , it is responsible for more than seven percent of all cancer … HHS  |  In clinical trials, they are usually given with other treatments, such as chemotherapy. Upon activation, CD40 can license dendritic cells to promote antitumor T cell activation and re-educate macrophages to destroy tumor stroma. Byrne KT, Leisenring NH, Bajor DL, Vonderheide RH. Evidence to date suggests that CD40 activation is a critical and nonredundant mechanism to convert so-called cold tumors to hot ones (with prominent tumor infiltration of T cells), sensitizing them to checkpoint inhibition. doi: 10.1002/14651858.CD011123.pub2. See this image and copyright information in PMC. CSF-1R-Dependent Lethal Hepatotoxicity When Agonistic CD40 Antibody Is Given before but Not after Chemotherapy. 2020 Nov 10;11:605619. doi: 10.3389/fimmu.2020.605619. Ottaiano A, Pisano C, De Chiara A, Ascierto PA, Botti G, Barletta E, Apice G, Gridelli C, Iaffaioli VR. Anti-CD40 antibody KPL-404 inhibits T cell-mediated activation of B cells from healthy donors and autoimmune patients. Shaping the Tumor Stroma and Sparking Immune Activation by CD40 and 4-1BB Signaling Induced by an Armed Oncolytic Virus. 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