Using human CD40 transgenic mice, Deronic et al. showed that injection of an agonist CD40 Ab (agCD40) rapidly and transiently activated splenic CD19+MHC-II+ B cells and CD11c+MHC-II+ DCs and induced IP-10, MIP-1α, and TNFα in blood. Repeat dosing of agCD40 + OVA induced OVA peptide-specific ICOS+ and CD44hiCD62L- CD4+ and CD8+ TEM splenic cells. AgCD40 boosted levels of activated granzyme B+ CD8+ T cells in tumors, delayed tumor growth, and extended survival of mice bearing s.c. syngeneic bladder carcinoma tumors. Dosing agCD40 + OVA prophylactically or therapeutically prolonged the survival of OVA-transfected s.c. tumor-bearing mice.

Contributed by Paula Hochman

ABSTRACT: Non-responders to checkpoint inhibitors generally have low tumor T cell infiltration and could benefit from immunotherapy that activates dendritic cells, with priming of tumor-reactive T cells as a result. Such therapies may be augmented by providing tumor antigen in the form of cancer vaccines. Our aim was to study the effects of mitazalimab (ADC-1013; JNJ-64457107), a human anti-CD40 agonist IgG1 antibody, on activation of antigen-presenting cells, and how this influences the priming and anti-tumor potential of antigen-specific T cells, in mice transgenic for human CD40. Mitazalimab activated splenic CD11c(+) MHCII(+) dendritic cells and CD19(+) MHCII(+) B cells within 6 h, with a return to baseline within 1 week. This was associated with a dose-dependent release of proinflammatory cytokines in the blood, including IP-10, MIP-1_ and TNF-_. Mitazalimab administered at different dose regimens with ovalbumin protein showed that repeated dosing expanded ovalbumin peptide (SIINFEKL)-specific CD8(+) T cells and increased the frequency of activated ICOS(+) T cells and CD44(hi) CD62L(-) effector memory T cells in the spleen. Mitazalimab prolonged survival of mice bearing MB49 bladder carcinoma tumors and increased the frequency of activated granzyme B(+) CD8(+) T cells in the tumor. In the ovalbumin-transfected tumor E.G7-OVA lymphoma, mitazalimab administered with either ovalbumin protein or SIINFEKL peptide prolonged the survival of E.G7-OVA tumor-bearing mice, as prophylactic and therapeutic treatment. Thus, mitazalimab activates antigen-presenting cells, which improves expansion and activation of antigen-specific T cells and enhances the anti-tumor efficacy of a model cancer vaccine.

Author Info: (1) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. (2) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. (3) Alligator Bioscience AB, Medicon Village

Author Info: (1) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. (2) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. (3) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. (4) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. (5) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. (6) Alligator Bioscience AB, Medicon Village, 223 81, Lund, Sweden. pek@alligatorbioscience.com. Department of Immunotechnology, Lund University, Lund, Sweden. pek@alligatorbioscience.com.