Basic Information

Gene symbol CD40LG Synonyms CD154, CD40L, HIGM1, IGM, IMD3, T-BAM, TNFSF5, TRAP, gp39, hCD40L Type of gene protein-coding
Gene perturbation-related omics dataset PerturbAtlas | PertOrg
Description CD40 ligand

Gene symbol E2F1 Synonyms E2F-1, RBAP1, RBBP3, RBP3 Type of gene protein-coding
Gene perturbation-related omics dataset PerturbAtlas | PertOrg
Description E2F transcription factor 1

Gene symbol TNFSF9 Synonyms 4-1BB-L, CD137L, TNLG5A Type of gene protein-coding
Description TNF superfamily member 9

GTO ID GTC3988
Trial ID NCT03555149
Disease Colorectal Cancer
Altered gene E2F1|CD40LG|TNFSF9
Therapeutic/Target gene Therapeutic gene
TherapyDNA oncolytic virus
Treatment LOAd703|delolimogene mupadenorepvec
Co-treatment Regorafenib
PhasePhase1|Phase2
Recruitment statusTerminated
TitleA Phase Ib/II, Open-Label, Multicenter, Randomized Umbrella Study Evaluating the Efficacy and Safety of Multiple Immunotherapy-Based Treatment Combinations in Patients With Metastatic Colorectal Cancer (Morpheus-CRC)
Year2018
CountryUnited States|Australia|France|Korea, Republic of|Switzerland
Company sponsorHoffmann-La Roche
Other ID(s)CO39612|2017-004566-99
Vector information
Vectoradenovirus
ConstructAd5/35-E2F-delta24
Vector typenovel oncolytic serotype 5/35 adenovirus
Transgene/Inserted geneCD40L, which includes CD40-mediated tumor cell apoptosis and adaptive immune activation; and 4-1BBL, which enhances immunologic memory and expands natural killer (NK) cells.
Viral genome modificationThe gene sequence of trimerized membrane-bound (TMZ)-CD40L, alone or in combination with 4-1BBL (LOAd703), separated by a T2A peptide, was synthesized with a cytomegalovirus (CMV) promoter upstream of the 5′ gene and adenovirus-flanking regions for homologous recombination into adenoviral vectors at both ends.
Vector production methodViruses were produced by transfection of 293 cells (ATCC), followed by expansion in A549 cells (ATCC). The virus supernatants were purified by CsCl gradient centrifugation and diluted in 20 mmol/L Tris, 25 mmol/L NaCl, and 2.5% glycerol. The viable virus titer was measured using a fluorescence-forming units (ffu) assay. The LOAd(−) is the basic LOAd virus without the CMV transgene cassette.
Additional featureCD40L|4-1BBL

Clinical Result

Cohort1: Regorafenib
Administration route intravenous infusion
Pts 24
Age Adult, Older_Adult
Adverse reactions 18/24(All-cause mortality); 5/19(Blood and lymphatic system disorders; Gastrointestinal disorders; Hepatobiliary disorders; Infections and infestations; Musculoskeletal and connective tissue disorders)
References PMID: 35856081
Cohort2: Atezolizumab_Imprime PGG_Bevacizumab
Administration route intravenous infusion
Pts 15
Age Adult, Older_Adult
Adverse reactions 15/15(All-cause mortality); 1/15(General disorders)
References PMID: 35856081
Cohort3: Atezolizumab_Isatuximab
Administration route intravenous infusion
Pts 15
Age Adult, Older_Adult
Adverse reactions 15/15(All-cause mortality); 5/15(Gastrointestinal disorders; Infections and infestations; Metabolism and nutrition disorders; Respiratory, thoracic and mediastinal disorders)
References PMID: 35856081
Cohort4: Atezolizumab_Selicrelumab_Bevacizumab
Administration route intravenous infusion
Pts 6
Age Adult, Older_Adult
Adverse reactions 4/6(All-cause mortality); 3/6(Cardiac disorders; Gastrointestinal disorders; Nervous system disorders; Respiratory, thoracic and mediastinal disorders; Vascular disorders)
References PMID: 35856081
Cohort5: Atezolizumab_Idasanutlin
Administration route intravenous infusion
Pts 4
Age Adult, Older_Adult
Adverse reactions 4/4(All-cause mortality); 1/4(Blood and lymphatic system disorders)
References PMID: 35856081
Cohort6: Atezolizumab_Regorafenib
Administration route intravenous infusion
Pts 15
Age Adult, Older_Adult
Adverse reactions 11/15(All-cause mortality); 7/15(Blood and lymphatic system disorders; Gastrointestinal disorders; General disorders; Infections and infestations; Neoplasms benign, malignant and unspecified (incl cysts and polyps); Skin and subcutaneous tissue disorders)
References PMID: 35856081
Cohort7: Atezolizumab_Regorafenib_AB928
Administration route intravenous infusion
Pts 15
Age Adult, Older_Adult
Adverse reactions 12/15(All-cause mortality); 7/15(Blood and lymphatic system disorders; General disorders; Immune system disorders; Infections and infestations; Injury, poisoning and procedural complications; Respiratory, thoracic and mediastinal disorders; Skin and subcutaneous tissue disorders)
References PMID: 35856081
Cohort8: Atezolizumab_LOAd703
Administration route intravenous infusion
Pts 2
Age Adult, Older_Adult
Adverse reactions 1/2(All-cause mortality); 1/2(Immune system disorders)
References PMID: 35856081

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