CDX-1307: a novel vaccine under study as treatment for muscle-invasive bladder cancer

Expert Rev Vaccines. 2011 Jun;10(6):733-42. doi: 10.1586/erv.11.20.

Abstract

Cancer vaccines have demonstrated clinical benefit, however greater efficacy could be achieved by enhancing their immunogenicity. Owing to cancer vaccines depending on uptake and cross-presentation of tumor antigens by antigen-presenting cells (APCs), we hypothesized that greater immunogenicity would accompany strategies that direct antigen to APC-expressed mannose receptors, initiating a pathway increasing class I and II presentation to T cells. CDX-1307 consists of a human monoclonal antibody targeting the mannose receptor, fused to the human chorionic gonadotropin-β chain (hCG-β), a tumor antigen frequently expressed by epithelial cancers including bladder cancer. In Phase I studies of cancer patients, CDX-1307 was well tolerated and induced significant hCG-β-specific cellular and humoral immune responses when co-administered with GM-CSF and the Toll-like receptor agonists resiquimod and poly-ICLC. An ongoing Phase II trial evaluates CDX-1307 in patients with newly diagnosed, resectable, hCG-β-expressing bladder cancer, where low tumor burden and early intervention may provide greater potential for benefit.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / genetics
  • Antibodies, Monoclonal / immunology
  • Antibodies, Neoplasm / blood
  • Cancer Vaccines / administration & dosage*
  • Cancer Vaccines / adverse effects
  • Cancer Vaccines / immunology*
  • Chorionic Gonadotropin, beta Subunit, Human / genetics
  • Chorionic Gonadotropin, beta Subunit, Human / immunology
  • Clinical Trials, Phase I as Topic
  • Clinical Trials, Phase II as Topic
  • Humans
  • Lectins, C-Type / immunology
  • Lectins, C-Type / metabolism
  • Mannose Receptor
  • Mannose-Binding Lectins / immunology
  • Mannose-Binding Lectins / metabolism
  • Muscles / pathology
  • Receptors, Cell Surface / immunology
  • Receptors, Cell Surface / metabolism
  • Recombinant Fusion Proteins / genetics
  • Recombinant Fusion Proteins / immunology
  • T-Lymphocytes / immunology
  • Treatment Outcome
  • Urinary Bladder / pathology
  • Urinary Bladder Neoplasms / immunology*
  • Urinary Bladder Neoplasms / therapy*

Substances

  • Antibodies, Monoclonal
  • Antibodies, Neoplasm
  • Cancer Vaccines
  • Chorionic Gonadotropin, beta Subunit, Human
  • Lectins, C-Type
  • Mannose Receptor
  • Mannose-Binding Lectins
  • Receptors, Cell Surface
  • Recombinant Fusion Proteins