CD40 agonist antibodies in cancer immunotherapy
Abstract
CD40 is a cell-surface member of the TNF (tumor necrosis factor) receptor superfamily. Upon activation, CD40 can license dendritic cells to promote antitumor T cell activation and re-educate macrophages to destroy tumor stroma. Numerous agonist CD40 antibodies of varying formulations have been evaluated in the clinic and found to be tolerable and feasible. Administration is associated with mild to moderate (but transient) cytokine release syndrome, readily managed in the outpatient setting. 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. 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%. 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. 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.
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CD11b/CD18 agonists developed in PDAC models have shown promising preclinical data and are being tested in the clinic.
“novel agonists developed in PDAC models to target the CD11b/CD18 receptor present on most tumor-infiltrating myeloid subsets have shown promising pre-clinical data, currently being tested in the clinic181,182”
From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [182]
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- Authors
- Vonderheide, R. H.
- Affiliations
- Abramson Cancer Center (US)
- Corresponding author
- Vonderheide, Robert H.
- Venue
- Annual Review of Medicine
- Publisher
- Annual Reviews
- Published
- 2020-01-27
- Volume
- 71
- Issue
- 1
- Pages
- 47-58
- ISSN
- 0066-4219 (ISSN-L)
- 1545-326X
- OpenAlex
- W2967833499
- Cited by
- 544
- References
- 62
- Citations by year
- 2026: 53 · 2025: 74 · 2024: 96 · 2023: 96 · 2022: 83 · 2021: 84 · 2020: 55 · 2019: 3
- FWCI
- 5.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Parker Institute for Cancer Immunotherapy
- National Institutes of Health (CA016520, CA210944)
- National Cancer Institute (R01CA229803, P30CA016520, P01CA210944)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- CD40 agonist antibody, cancer immunotherapy, TNF receptor superfamily, dendritic cell activation, macrophage reprogramming, tumor stroma, cytokine release syndrome, melanoma, pancreatic cancer, mesothelioma, in situ vaccine, cold-to-hot tumor conversion, tumor immune microenvironment
- MeSH terms
- Animals, Antibodies, Monoclonal, Humans, Immunotherapy, Lymphocyte Activation, Melanoma, Pancreatic Neoplasms, Prognosis, Skin Neoplasms, Survival Rate, Treatment Outcome, Risk Assessment, Disease-Free Survival, CD40 Antigens, Mice
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