Fc?RIIB engagement drives agonistic activity of Fc-engineered aOX40 antibody to stimulate human tumor-infiltrating T cells

Background: OX40 (CD134) is a co-stimulatory molecule of the tumor necrosis factor receptor (TNFR) superfamily, that is currently investigated as a target for cancer immunotherapy. However, despite promising results in murine tumor models, the clinical efficacy of agonistic aOX40 antibodies in treatment of cancer patients has fallen short of the high expectation in earlier stage trials. Methods: Using lymphocytes from resected tumor, tumor-free tissue and PBMC of 4 hepatocellular and colorectal cancer patients, we performed RNA-Seq to evaluate OX40-mediated transcriptional changes in CD4+ and CD8+ human tumor-infiltrating lymphocytes (TILs). Results: The transcriptional landscape of CD4+ and CD8+ TILs shifted towards a pro-survival, inflammatory and chemotactic profile upon treatment with aOX40_v12. Overall design: RNA-Seq of HCC or CRC-derived TILs after 3-5 days in vitro in the presence of CD3/28 activation beads (ctrl) or additionally aOX40_v12 antibody (v12)