Article Synopsis

  • The study investigates the safety and effectiveness of an experimental treatment called 2141-V11, an anti-CD40 antibody, in patients with metastatic cancer.
  • It found that the treatment was well tolerated by patients, with no serious side effects, and resulted in tumor reduction in half of the patients, including complete remission in two cases.
  • The therapy appears to enhance immune responses by promoting the formation of specialized immune structures and activating T cells, leading to both localized and systemic antitumor effects.

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Article Abstract

CD40 agonism enhances antitumor immunity but is limited by systemic toxicity and poor efficacy. Here, we present a phase 1 study (NCT04059588) of intratumoral (i.t.) 2141-V11, an Fc-engineered anti-CD40 agonistic antibody with enhanced binding to the inhibitory receptor FcγRIIB. Among 12 metastatic cancer patients, 2141-V11 was well tolerated without dose-limiting toxicities. Six patients experienced tumor reduction, including two complete responses in melanoma and breast cancer. 2141-V11 induced regression in injected and non-injected lesions, correlating with systemic CD8 T cell activation and mature tertiary lymphoid structures (TLSs) in complete responders. In CD40/FcγRs humanized mice bearing orthotopic tumors, i.t. 2141-V11 promoted de novo TLS formation, facilitating i.t. CD8 T cell effector responses independent of lymph node priming. The resulting local immune responses by 2141-V11 mediated abscopal antitumor effects and sustained immune memory. These findings demonstrate that i.t. 2141-V11 is safe and promotes immune-privileged tumor microenvironments that promote systemic and durable antitumor immunity.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360484PMC
http://dx.doi.org/10.1016/j.ccell.2025.07.013DOI Listing

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