Evidence map›Paper›PMID 39414325›Full record

ArticleJournal for immunotherapy of cancer2024

First-in-human clinical outcomes with NG-350A, an anti-CD40 expressing tumor-selective vector designed to remodel immunosuppressive tumor microenvironments.

Aung Naing, Danny Khalil, Oliver Rosen, D Ross Camidge, Tom Lillie, Rui-Ru Ji, Andrea Stacey, Matthew Thomas, Lee Rosen

3 registry-linked trialsAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03852511 phase1completednot on this map

A Multicentre, Open Label, Non-randomised First in Human Study of NG-350A (Monotherapy), and NG-350A With a Check Point Inhibitor in Patients With Metastatic or Advanced Epithelial Tumours

TypeinterventionalSponsorAkamis BioRan2019 to 2022Enrolled28ConditionsMetastatic Cancer, Epithelial TumorArmsNG-350A
NCT05165433 phase1completednot on this map

A Multicentre, Open-label, Non-randomized, Phase 1a/1b Study of NG-350A, a Tumour-selective Anti-CD40-expressing Adenoviral Vector, in Combination With Pembrolizumab in Patients With Metastatic or Advanced Epithelial Tumours

TypeinterventionalSponsorAkamis BioRan2022 to 2025Enrolled14ConditionsEpithelial Tumor, Metastatic CancerArmsNG-350A plus Pembrolizumab
NCT06459869 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

A Multicentre, Open-label, Non-randomized, Phase 1b Trial of NG-350A, a Tumour-selective Anti-CD40-expressing Adenoviral Vector, in Combination With Chemoradiotherapy in Locally Advanced Rectal Cancer (FORTRESS)

TypeinterventionalSponsorAkamis BioRan2025 to 2028Enrolled30ConditionsLocally Advanced Rectal Cancer (LARC)ArmsNG-350A IV administration, Capecitabine oral administration, Radiotherapy
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. [Novel therapeutic strategies for liver metastases driven by the common microenvironment].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  3. Fully intravenous split-dose administration of the oncolytic adenovirus TILT-123 in advanced solid tumors.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  4. Review
  5. Review
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  7. Article
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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

9 authors.

Aung NaingDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA anaing@mdanderson.org.ORCID http://orcid.org/0000-0002-4803-8513
Danny KhalilDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Oliver RosenClinical, Akamis Bio Inc, Cambridge, Massachusetts, USA.ORCID http://orcid.org/0000-0002-4968-3143
D Ross CamidgeSchool of Medicine, University of Colorado Denver, Denver, Colorado, USA.
Tom LillieAkamis Bio Ltd, Abingdon, UK.
Rui-Ru JiClinical, Akamis Bio Inc, Cambridge, Massachusetts, USA.
Andrea StaceyAkamis Bio Ltd, Abingdon, UK.
Matthew ThomasAkamis Bio Ltd, Abingdon, UK.ORCID http://orcid.org/0009-0005-8362-1674
Lee RosenDepartment of Medicine, UCLA Medical Center, Los Angeles, California, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundTumor-selective oncolytic viral vectors are promising anticancer therapeutics; however, challenges with dosing and potency in advanced/metastatic cancers have limited efficacy and usage. NG-350A is a next-generation blood-stable adenoviral vector engineered to express an agonist anti-cluster of differentiation (CD)40 antibody without affecting tumor-selectivity and oncolytic potency.

methodsIntravenous and intratumoral (IT) administration of NG-350A was assessed in a phase Ia/Ib study in patients with metastatic/advanced epithelial tumors (NCT03852511). Dose-escalation was performed separately for intravenous (four dose levels available, each with infusions on Days 1, 3 and 5 of a 57-day treatment period) and IT (single injection on D1 only or injections on Days 1, 8, 15 and 22) administration. The primary objective was safety and tolerability; secondary objectives included determining a recommended dose, pharmacokinetics, and immunogenicity.

resultsIn total, 25 heavily pretreated patients received NG-350A (16 with intravenous and 9 with IT administration). Intravenous and IT dosing were both well tolerated, with no evidence of transgene-related or off-target viral toxicity. Intravenous and IT dosing resulted in dose-dependent increases in systemic NG-350A C

conclusionsThis phase 1a study provided initial proof-of-mechanism for NG-350A, with strong evidence of tumor delivery, viral replication and transgene expression-particularly after intravenous dosing. The lack of transgene-related or off-target viral toxicity was consistent with the highly selective delivery and replication of NG-350A, even after systemic delivery. The efficacy of intravenous-dosed NG-350A will now be evaluated in combination with pembrolizumab (NCT05165433), as well as with chemoradiotherapy (NCT06459869). TRIAL REGISTRATION NUMBER: NCT05165433, NCT06459869.

Indexed as

Tumor MicroenvironmentAdenoviridaeAdultAgedFemaleGenetic VectorsHumansMaleMiddle AgedNeoplasmsOncolytic VirotherapyTreatment OutcomeImmunotherapyOncolytic virusPharmacodynamics - PDPharmacokinetics - PKSolid tumor

Identifiers

PMID39414325
PMCPMC11481156

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.