Evidence map›Paper›PMID 42067656›Full record

ArticleNature cancer2026

Safety and activity of RO7300490, a bispecific CD40 agonist targeted to fibroblast activation protein, in patients with advanced solid tumors: a single-arm, multicenter, first-in-human, phase 1 trial.

Ignacio Melero, Bernhard Reis, Corinne Rusterholz, Alexandra Epp, Nicole A Kratochwil, Chun Wu, Michael Hettich, Georgios Kazantzidis, Natascha Rieder, Petra C Schwalie and 16 more

Abstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Nature cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. 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

26 authors.

Ignacio Melero *Clinica Universidad de Navarra, CIMA and CIBERONC, Pamplona, Spain.ORCID http://orcid.org/0000-0002-1360-348X
Bernhard Reis *Pharma Research and Early Development, Early Development Oncology, Roche Innovation Center Basel, Basel, Switzerland. bernhard.reis@roche.com.ORCID http://orcid.org/0000-0001-7611-8222
Corinne RusterholzPharma Research and Early Development, Early Development Oncology, Roche Innovation Center Basel, Basel, Switzerland.
Alexandra EppPharma Research and Early Development, Early Development Oncology, Roche Innovation Center Munich, Penzberg, Germany.
Nicole A KratochwilPharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, Basel, Switzerland.
Chun WuRoche (China) Holding, Shanghai, China.
Michael HettichPharma Research and Early Development, Early Development Oncology, Roche Innovation Center Basel, Basel, Switzerland.ORCID http://orcid.org/0009-0001-5810-1395
Georgios KazantzidisRoche Data Science and Statistics, Biostatistics Oncology, Basel, Switzerland.
Natascha RiederPharma Research and Early Development, Early Development Oncology, Roche Innovation Center Munich, Penzberg, Germany.
Petra C SchwaliePharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-6004-8095
Solveig BadilloPharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, Basel, Switzerland.
Nadine KumpesaPharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, Basel, Switzerland.ORCID http://orcid.org/0009-0005-9081-7237
Andreas ThommenPharma Research and Early Development, Pharmaceutical Sciences, Roche Innovation Center Basel, Basel, Switzerland.ORCID http://orcid.org/0009-0002-3998-7968
Danielle J VugtsVU University Medical Center Amsterdam, Amsterdam, Netherlands.
Victor MorenoSTART Madrid-FJD, Hospital Fundacion Jimenez Diaz, Madrid, Spain.ORCID http://orcid.org/0000-0001-6099-4236
Julia Lostes BardajiVall d'Hebron Institut d'Oncologia, Barcelona, Spain.
Eduardo Castanon AlvarezClinica Universidad de Navarra, Madrid, Spain.
Carlos E de AndreaClinica Universidad de Navarra, CIMA and CIBERONC, Pamplona, Spain.
Iben SpanggaardRigshospitalet, Copenhagen, Denmark.
Dae Ho LeeUniversity of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID http://orcid.org/0000-0002-9749-4638
James SpicerKing's College London, Guy's Hospital, London, UK.ORCID http://orcid.org/0000-0003-3732-8491
Fiona ThistlethwaiteThe Christie NHS Foundation Trust and University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0002-4832-7008
Do-Youn OhSeoul National University Hospital, Seoul, Korea.
Antoine HollebecqueGustave Roussy, Villejuif, France.
Olivera CirovicPharma Research and Early Development, Early Development Oncology, Roche Innovation Center Basel, Basel, Switzerland.
Stefan N SymeonidesEdinburgh Cancer Centre, NHS Lothian & Edinburgh Experimental Cancer Medicine Centre, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-9892-9314

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CD40 activation on dendritic cells (DCs) enhances tumor antigen cross-priming of tumor-specific cytotoxic T lymphocytes, strengthening anticancer immune responses. RO7300490 is a fibroblast activation protein (FAP)-targeted CD40 agonist antibody. In this phase I study, 80 patients with advanced and/or metastatic solid tumors received RO7300490 biweekly (dose range 16-1,100 mg). The primary objective was to evaluate safety and tolerability. Secondary/exploratory objectives included pharmacokinetics, antitumor activity and pharmacodynamics. Treatment-related adverse events (TRAEs) occurred in 53 patients (66.3%) and were mostly grade 1-2. Grade 3-4 TRAEs (3.8%) and TRAEs leading to discontinuation (2.5%) were uncommon. No grade 5 TRAEs were reported. RO7300490 showed target-mediated drug disposition, with sustained exposure at higher doses. No objective responses and limited clinical activity (disease control rate 42.5%) were observed despite rapid and persistent tumor uptake of radiolabeled RO7300490. Intratumoral pharmacodynamic activity was demonstrated by a significant increase in DC-LAMP

Indexed as

Antibodies, MonoclonalAntineoplastic AgentsCD40 AntigensGelatinasesMembrane ProteinsNeoplasmsAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedEndopeptidasesFemaleFibroblast Activation Protein AlphaHumansMaleMiddle AgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCD40 AntigensEndopeptidasesFibroblast Activation Protein AlphaGelatinasesMembrane ProteinsselicrelumabSerine Endopeptidases

Identifiers

PMID42067656
PMCPMC13221307

What OpenQuestion holds

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Registered trials

None linked

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.