Evidence map›Paper›PMID 41511395›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2026

Sym024 Interacts with a Unique Epitope on the CD73 Homodimer, Favoring Effective Bivalent Binding to Improve Anti-PD-1 Therapy.

Janus S Jakobsen, Michael M Grandal, Randi W Hansen, Harsh Bansia, Emily Armbruster, Isabelle Theret, Niels Jørgen Ø Skartved, Rikke Hald, Maria C Melander, Anne Worsaae and 6 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Janus S Jakobsen *Servier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0001-6135-5815
Michael M Grandal *Servier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0001-5434-9978
Randi W HansenServier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0001-5547-683X
Harsh BansiaStructural Biology Initiative, CUNY Advanced Science Research Center, City University of New York, New York, New York.ORCID 0000-0002-6738-8754
Emily ArmbrusterStructural Biology Initiative, CUNY Advanced Science Research Center, City University of New York, New York, New York.ORCID 0000-0001-6343-2968
Isabelle TheretServier Laboratories, Servier Research Institute, Gif-sur-Yvette, France.ORCID 0000-0003-1283-5091
Niels Jørgen Ø SkartvedServier Symphogen A/S , Ballerup, Denmark.ORCID 0009-0002-1867-8605
Rikke HaldServier Symphogen A/S , Ballerup, Denmark.ORCID 0009-0003-8806-9124
Maria C MelanderServier Symphogen A/S , Ballerup, Denmark.ORCID 0009-0002-6985-1826
Anne WorsaaeServier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0001-8754-7890
Matteo RivaServier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0003-2697-6717
Kristian ReckzehServier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0001-6391-625X
Laurent VuillardServier Laboratories, Servier Research Institute, Gif-sur-Yvette, France.ORCID 0000-0002-1016-1567
Johan LanttoServier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0002-8650-7157
Amedee des GeorgesStructural Biology Initiative, CUNY Advanced Science Research Center, City University of New York, New York, New York.ORCID 0000-0002-9704-3781
Camilla FröhlichServier Symphogen A/S , Ballerup, Denmark.ORCID 0000-0001-8391-2416

Funding

Understanding membrane proteins’ allosteric modulation with cryo-EMR35GM133598 · NIGMS · NEW YORK UNIVERSITY · PI Amedee des Georges · 2019 to 2026
$3.4M
National Institutes of Health (NIH) R35GM133598NIGMS NIH HHS R35 GM133598
6 · The paper itself

Abstract

purposeAdenosine signaling may be a central immunosuppressive mechanism in several cancers, and blockade of the rate-limiting CD73 adenosine monophosphate (AMP)-to-adenosine enzyme has been demonstrated to improve the clinical efficacy of programmed cell death protein (ligand) 1 [PD-(L)1] immune therapy. However, deep inhibition of CD73 activity could prove difficult in tumor environments with a constant AMP supply and high CD73 levels. In this study, we sought to identify, characterize, and benchmark a novel antagonistic anti-CD73 antibody, Sym024 (S95024), and to structurally decode its mode of action. EXPERIMENTAL

designSym024, selected via functional antibody repertoire screening, was tested against benchmark anti-CD73 antibodies in primary cell, cell line in vitro binding, CD73 enzymatic activity, and T-cell activation assays. Its in vivo tumor growth inhibition was examined in transplanted human or mouse tumors in immunocompetent or immunodeficient mice, and intratumoral enzymatic inhibition and immune cell recruitment were assessed. We investigated the Sym024-CD73 interaction using surface plasmon resonance, cryogenic electron microscopy, site-directed mutagenesis, and population-level complex formation through size-exclusion chromatography with light scatter mass detection. Preclinical safety and pharmacokinetics (PK) were assessed in monkeys.

resultsSym024 effectively blocked CD73 across a large range of enzyme expression levels, comparing favorably with benchmark anti-CD73 antibodies; it improved the efficacy of PD-1 blockade in vitro as well as in vivo. Our structural data indicate that a unique one-to-one Sym024-CD73 interaction engenders this comprehensive inhibition. No preclinical safety flags were observed, and the PK profile of Sym024 supported a standard clinical dosing regimen.

conclusionsThe comprehensive CD73 inhibition exhibited by Sym024 may improve the efficacy of anti-PD-(L)1/anti-CD73 combination treatment.

Indexed as

5'-NucleotidaseAntibodies, MonoclonalEpitopesImmune Checkpoint InhibitorsNeoplasmsProgrammed Cell Death 1 ReceptorAnimalsCell Line, TumorFemaleGPI-Linked ProteinsHumansMiceProtein BindingXenograft Model Antitumor Assays5'-NucleotidaseAntibodies, MonoclonalEpitopesGPI-Linked ProteinsImmune Checkpoint InhibitorsNT5E protein, humanPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID41511395
PMCPMC12950896

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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.