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10.1080/2162402X.2016.1208875

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pmid27622077
      Oncoimmunology 2016 ; 5 (8 ): e1208875
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  • Targeting CD73 in the tumor microenvironment with MEDI9447 #MMPMID27622077
  • Hay CM ; Sult E ; Huang Q ; Mulgrew K ; Fuhrmann SR ; McGlinchey KA ; Hammond SA ; Rothstein R ; Rios-Doria J ; Poon E ; Holoweckyj N ; Durham NM ; Leow CC ; Diedrich G ; Damschroder M ; Herbst R ; Hollingsworth RE ; Sachsenmeier KF
  • Oncoimmunology 2016[Aug]; 5 (8 ): e1208875 PMID27622077 show ga
  • MEDI9447 is a human monoclonal antibody that is specific for the ectoenzyme CD73 and currently undergoing Phase I clinical trials. Here we show that MEDI9447 is a potent inhibitor of CD73 ectonucleotidase activity, with wide ranging immune regulatory consequences. MEDI9447 results in relief from adenosine monophosphate (AMP)-mediated lymphocyte suppression in vitro and inhibition of mouse syngeneic tumor growth in vivo. In contrast with other cancer immunotherapy agents such as checkpoint inhibitors or T-cell agonists, MEDI9447 drives changes in both myeloid and lymphoid infiltrating leukocyte populations within the tumor microenvironment of mouse models. Changes include significant alterations in a number of tumor micro-environmental subpopulations including increases in CD8(+) effector cells and activated macrophages. Furthermore, these changes correlate directly with responder and non-responder subpopulations within animal studies using syngeneic tumors. Combination data showing additive activity between MEDI9447 and anti-PD-1 antibodies using human cells in vitro and mouse tumor models further demonstrate the potential value of relieving adenosine-mediated immunosuppression. Based on these data, a Phase I study to test the safety, tolerability, and clinical activity of MEDI9447 in cancer patients was initiated (NCT02503774).
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