Table 3. Combination of immunotherapies with antiangiogenic agents.
Antiangiogenic | Immunotherapy | Tumor models | Results |
---|---|---|---|
Preclinical studies | |||
Anti-VEGFR2 mAb | Whole tumor cell vaccine (secreting GM-CSF) |
Breast carcinoma (Neu-expressing) |
↑ trafficking of CD8+ T cells ↑ regression of tumor in FVB mice (Manning et al., 2007) |
Anti-VEGFR2 mAb | Whole tumor cell vaccine (Mitomycin treated) |
Breast carcinoma | ↑ recruitment of CD4+ and CD8+ T cells ↓ MDSCs and Tregs ↑ survival (Huang et al., 2012) |
Adenoviral delivery of sVEGFR1/R2 |
Whole tumor cell vaccine (secreting GM-CSF) |
Colon carcinoma Melanoma |
↑ infiltration of CD4+ and CD8+ T cells. ↓ MDSCs and Tregs. ↑ survival (Li et al., 2006) |
VEGF peptide mimic | HER-2 B cell epitope vaccine |
Breast carcinoma | ↑ High affinity HER-2 native antibodies. ↑anti-tumor and antiangiogenic effects. ↓ tumor growth (Foy et al., 2012) |
SU 6668 | Whole tumor cell vaccine (irradiated) and recombinant B7.2-IgG fusion protein |
Breast carcinoma | ↑ recruitment of CD8+ T cells (Huang et al., 2002) |
Sunitinib | Pox-virus based vaccine expressing carcinoembryonic antigen (CEA) and costimulatory molecules |
Colon carcinoma | ↑ intratumoral T cells ↓ MDSCs and Tregs ↓ tumor volume and ↑ survival (Farsaci et al., 2012) |
Sorafenib | Anti-PD-1 antibody with a CXCR4 inhibitor (AMD3100) |
Hepatocellular carcinoma |
↑ intratumoral T cells ↓ MDSCs and Tregs ↓ primary and metastatic tumor volume and ↑ apoptosis h |
Anti-mouse VEGF mAb |
Peptide-pulsed DCs | Sarcoma | ↑ DC number and function. ↑ tumor growth delay (Gabrilovich et al., 1999) |
Anti-mouse VEGF mAb |
Anti-gp100 pmel-1 T cells, gp100 vaccine, IL-2 after lymphodepletion |
Melanoma | ↑ immune cell infiltration ↑ tumor growth delay ↑ survival (Shrimali et al., 2010) |
VEGFR-1 CAR-Modified T cells |
Lung carcinoma | ↓ endothelial tube formation in vitro ↑ tumor growth delay and ↓ metastasis (Wang et al., 2013) |
|
Anti-VEGFR2 | Anti-PD-1 antibody | Colon carcinoma | ↑ inhibition of tumor neovascularization. ↑ T cell infiltration. ↑ expression of cytokines (Yasuda et al., 2013) |
Clinical Studies | |||
N/A | Peptide vaccine (VEGFR1, VEGFR2, URLC10, TTK or CDCA1) |
NSCLC | ↑ T cell response ↑ Stable disease for 2 months (Suzuki et al., 2013) |
N/A | Antiangiogenic peptide vaccine |
Different solid tumors | ↑ activation of T cells. Anti-tumor activity being evaluated (Hayashi et al., 2013) |
Sunitinib | Adoptive T cell transfer | RCC | ↓ number and function of MDSCs and Tregs (Ko et al., 2009) |
Bevacizumab | IFN-aplha2A | Metastatic RCC | ↑ progression free survival (Escudier et al., 2010) |
Bevacizumab | Ipilimumab | Advanced melanoma | ↑ T cell infiltration (Hodi et al., 2014) |
Bevacizumab | Nivolumab | NSCLC | (clinicaltrials.gov identifier: NCT01454102) |
Bevacizumab | Nivolumab | GBM | (clinicaltrials.gov identifier: NCT02017717) |
Reiberger, T., Ramjiawan, R. R., Chen, Y., Ng, R., Hato, T., Unan, E. C., Reddy, T. P., Huang, Y., Ochiai, H., Huang, P., Zhu, A. X., Jain, R. K., Duda, D. G. (2014). CXCR4 inhibition in combination with anti-PD1 immunotherapy results in an effective immune response during treatment with sorafenib in hepatocellular carcinoma. Hepatology 60(S1): 644A (abstract 920).