Evidence map›Paper›PMID 40928654›Full record

ReviewNaunyn-Schmiedeberg's archives of pharmacology2026

The effect of CD40 agonist antibody therapy on the pancreatic cancer microenvironment.

Yilan Ma, Jin Ding, Yanping Chen

Abstract readReview
PubMed Publisher
In one paragraph

Review in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

3 authors.

Yilan MaDepartment of Gastroenterology, Jinhua Central Hospital, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, 321000, Zhejiang, China.
Jin DingDepartment of Gastroenterology, Jinhua Central Hospital, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, 321000, Zhejiang, China.
Yanping ChenDepartment of Gastroenterology, Jinhua Central Hospital, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, 321000, Zhejiang, China. scuc875@163.com.ORCID http://orcid.org/0009-0001-3165-5304

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The fourth leading cause of cancer-related fatalities in the USA is pancreatic ductal adenocarcinoma (PDAC), a particularly deadly illness that is resistant to immunotherapy. One of the Main Obstacles in cancer research is developing better treatments for PDAC, which has the lowest 5-year survival rate of any malignancy. Anti-CTLA-4, anti-PD-L1, and anti-PD-1 immune checkpoint blockade medications also have poor results in these patients, which may indicate the presence of other immunosuppressive mechanisms in the pancreatic tumor microenvironment (TME). A new therapeutic avenue for cancer immunotherapy is CD40 activation. When CD40 is activated, it can retrain macrophages to eliminate tumor stroma and license dendritic cells to encourage anticancer T-cell activation. Several different formulations of agonist CD40 antibodies have been tested in clinical settings and determined to be both viable and tolerated. A number of agonistic CD40 monoclonal antibody (mAb) clinical trials are now underway, but little is known about the biological consequences and treatment-related regulation of the TME. Because CD40 agonist antibodies (αCD40) improve macrophage tumoricidal activity and promote antigen-presenting cell (APC) development, they may change the pancreatic TME to make it more susceptible to immune checkpoint blockage. It is believed that CD40 agonists work through T-cells and macrophages to provide antitumor effects on PDAC. Rapid tumor infiltration, tumoricidal effects, and tumor stroma depletion were all boosted by CD40-activated macrophages. Therefore, this study provides a CD40-dependent strategy for targeting tumor stroma in cancer treatment, indicating that cancer immune surveillance does not necessarily rely on therapy-induced T-cells. The purpose of this study was to examine how CD40 agonist antibody therapy might change the microenvironment and treat PDAC in humans.

Indexed as

Antibodies, MonoclonalAntineoplastic Agents, ImmunologicalCarcinoma, Pancreatic DuctalCD40 AntigensPancreatic NeoplasmsTumor MicroenvironmentAnimalsHumansImmunotherapyAntibodies, MonoclonalAntineoplastic Agents, ImmunologicalCD40 AntigensCD40 agonist antibodyImmunotherapyMacrophagePancreatic cancerT cellsTumor microenvironment

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.