Evidence map›Paper›PMID 30975201›Full record

ArticleJournal for immunotherapy of cancer2019

The CTLA-4 x OX40 bispecific antibody ATOR-1015 induces anti-tumor effects through tumor-directed immune activation.

Anne Månsson Kvarnhammar, Niina Veitonmäki, Karin Hägerbrand, Anna Dahlman, Karin Enell Smith, Sara Fritzell, Laura von Schantz, Mia Thagesson, Doreen Werchau, Kristine Smedenfors and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03782467 (A First-in-human, Multicenter, Open-label, Phase 1 Study in Patients With Advanced and/or Refractory Solid Malignancies to Evaluate the Safety of Intravenously Administered ATOR-1015), which is not on this map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03782467 phase1completednot on this map

A First-in-human, Multicenter, Open-label, Phase 1 Study in Patients With Advanced and/or Refractory Solid Malignancies to Evaluate the Safety of Intravenously Administered ATOR-1015

TypeinterventionalSponsorAlligator Bioscience ABRan2019 to 2021Enrolled33ConditionsSolid Tumor, NeoplasmsArmsATOR-1015
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 112 citations in OpenAlex.

  1. Review
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  6. Advancing In Vivo Detection of T-Cell Function: Development and Preclinical Evaluation ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. The Evolving Applications of Bispecific Antibodies: Reaping the Harvest of Early Sowing and Planting New Seeds.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  11. CTLA-4-two pathways to anti-tumour immunity?Immunotherapy advances · 2025
    Review
  12. Review
  13. Article
  14. A CD25×TIGIT bispecific antibody induces anti-tumor activity through selective intratumoral Treg cell depletion.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
  15. Review
  16. Review
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  18. Cancer therapy with antibodies.Nature reviews. Cancer · 2024
    Review
  19. Review
  20. Review

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 2 institutions in 1 country.

Anne Månsson KvarnhammarAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden. amk@alligatorbioscience.com.
Niina VeitonmäkiAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Karin HägerbrandAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Anna DahlmanAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Karin Enell SmithAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Sara FritzellAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Laura von SchantzAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Mia ThagessonAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Doreen WerchauAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Kristine SmedenforsAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Maria JohanssonAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Anna RosénAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Ida ÅbergAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Magnus WinnerstamAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Eva NyblomAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Karin BarchanAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Christina FurebringAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Per NorlénAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Peter EllmarkAlligator Bioscience AB, Medicon Village, Scheelevägen 2, 223 81, Lund, Sweden.
Medicon Village · SEAlligator Bioscience (Sweden) · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe CTLA-4 blocking antibody ipilimumab has demonstrated substantial and durable effects in patients with melanoma. While CTLA-4 therapy, both as monotherapy and in combination with PD-1 targeting therapies, has great potential in many indications, the toxicities of the current treatment regimens may limit their use. Thus, there is a medical need for new CTLA-4 targeting therapies with improved benefit-risk profile.

methodsATOR-1015 is a human CTLA-4 x OX40 targeting IgG1 bispecific antibody generated by linking an optimized version of the Ig-like V-type domain of human CD86, a natural CTLA-4 ligand, to an agonistic OX40 antibody. In vitro evaluation of T-cell activation and T regulatory cell (Treg) depletion was performed using purified cells from healthy human donors or cell lines. In vivo anti-tumor responses were studied using human OX40 transgenic (knock-in) mice with established syngeneic tumors. Tumors and spleens from treated mice were analyzed for CD8

resultsATOR-1015 induces T-cell activation and Treg depletion in vitro. Treatment with ATOR-1015 reduces tumor growth and improves survival in several syngeneic tumor models, including bladder, colon and pancreas cancer models. It is further demonstrated that ATOR-1015 induces tumor-specific and long-term immunological memory and enhances the response to PD-1 inhibition. Moreover, ATOR-1015 localizes to the tumor area where it reduces the frequency of Tregs and increases the number and activation of CD8

conclusionsBy targeting CTLA-4 and OX40 simultaneously, ATOR-1015 is directed to the tumor area where it induces enhanced immune activation, and thus has the potential to be a next generation CTLA-4 targeting therapy with improved clinical efficacy and reduced toxicity. ATOR-1015 is also expected to act synergistically with anti-PD-1/PD-L1 therapy. The pre-clinical data support clinical development of ATOR-1015, and a first-in-human trial has started (NCT03782467).

Indexed as

AnimalsAntibodies, BispecificCell Line, TumorCHO CellsCricetulusCTLA-4 AntigenDisease Models, AnimalDrug Screening Assays, AntitumorFemaleHEK293 CellsHumansMaleMiceMice, TransgenicPrimary Cell CultureProof of Concept StudyAntibodies, BispecificCTLA-4 AntigenCTLA4 protein, humanReceptors, OX40TNFRSF4 protein, humanCTLA-4OX40Regulatory T cellSolid tumors

Identifiers

PMID30975201
PMCPMC6458634
OpenAlexW2942849386

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.