OX40 Is a Potent Immune-Stimulating Target in Late-Stage Cancer Patients

被引:395
作者
Curti, Brendan D. [1 ]
Kovacsovics-Bankowski, Magdalena [1 ]
Morris, Nicholas [1 ]
Walker, Edwin [1 ]
Chisholm, Lana [1 ]
Floyd, Kevin [1 ]
Walker, Joshua [2 ]
Gonzalez, Iliana [1 ]
Meeuwsen, Tanisha [1 ]
Fox, Bernard A. [1 ]
Moudgil, Tarsem [1 ]
Miller, William [1 ]
Haley, Daniel [1 ]
Coffey, Todd [1 ]
Fisher, Brenda [1 ]
Delanty-Miller, Laurie [1 ]
Rymarchyk, Nicole [1 ]
Kelly, Tracy [1 ]
Crocenzi, Todd [1 ]
Bernstein, Eric [1 ]
Sanborn, Rachel [1 ]
Urba, Walter J. [1 ]
Weinberg, Andrew D. [1 ]
机构
[1] Providence Portland Med Ctr, Robert W Franz Canc Res Ctr, Earle A Chiles Res Inst, Portland, OR 97213 USA
[2] Oregon Hlth & Sci Univ, Vaccine & Gene Therapy Inst, Beaverton, OR USA
关键词
T-CELL RESPONSES; POLYCHROMATIC FLOW-CYTOMETRY; REGULATORY T; IN-VIVO; PHASE-I; RECEPTOR; BLOCKADE; ANTIBODY; MEMORY; EFFECTOR;
D O I
10.1158/0008-5472.CAN-12-4174
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
OX40 is a potent costimulatory receptor that can potentiate T-cell receptor signaling on the surface of T lymphocytes, leading to their activation by a specifically recognized antigen. In particular, OX40 engagement by ligands present on dendritic cells dramatically increases the proliferation, effector function, and survival of T cells. Preclinical studies have shown that OX40 agonists increase antitumor immunity and improve tumor-free survival. In this study, we performed a phase I clinical trial using a mouse monoclonal antibody (mAb) that agonizes human OX40 signaling in patients with advanced cancer. Patients treated with one course of the anti-OX40 mAb showed an acceptable toxicity profile and regression of at least one metastatic lesion in 12 of 30 patients. Mechanistically, this treatment increased T and B cell responses to reporter antigen immunizations, led to preferential upregulation of OX40 on CD4(+) FoxP3(+) regulatory T cells in tumor-infiltrating lymphocytes, and increased the antitumor reactivity of T and B cells in patients with melanoma. Our findings clinically validate OX40 as a potent immune-stimulating target for treatment in patients with cancer, providing a generalizable tool to favorably influence the antitumor properties of circulating T cells, B cells, and intratumoral regulatory T cells. (C) 2013 AACR.
引用
收藏
页码:7189 / 7198
页数:10
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