Methods of CD40 activation and immune checkpoint blockade
Provided herein are methods and compositions for treating cancer in an individual comprising administering to the individual an effective amount of at least one immune checkpoint inhibitor and a chimeric CD 154 polypeptide. Also provided herein are methods of enhanced immune function.
1. A method of treating metastatic melanoma in a subject comprising: (a) providing systemically to the subject an effective amount of a human programmed cell death 1 (PD-1) axis binding antagonist; (b) providing systemically to the subject an effective amount of a CTLA-4 inhibitor; and (c) administering intratumorally to the subject an expression vector encoding ISF35.
2. The method of claim 1 , wherein the PD-1 axis binding antagonist is a PD-1 binding antagonist, PDL1 binding antagonist, or PDL2 binding antagonist.
3. The method of claim 1 , wherein the CTLA-4 inhibitor is an anti-CTLA-4 antibody.
4. The method of claim 1 , wherein the expression vector is a viral vector.
5. The method of claim 4 , wherein the viral vector is an adenoviral vector, a retroviral vector, a pox viral vector, a herpes viral vector, an adeno-associated viral vector, or a polyoma viral vector.
6. The method of claim 2 , wherein the PD-1 binding antagonist is nivolumab, pembrolizumab, CT-011, BMS-936559, MPDL3280A or AMP-224.
7. The method of claim 2 , wherein the PD-1 binding antagonist is an anti-PD-1 antibody.
8. The method of claim 2 , wherein the PDL1 binding antagonist is an anti-PDL1 antibody.
9. The method of claim 2 , wherein the PDL2 binding antagonist is an anti-PDL2 antibody.
10. The method of claim 3 , wherein the anti-CTLA-4 antibody is ipilimumab.
11. The method of claim 1 , wherein the expression vector is an adenoviral vector.
12. The method of claim 1 , wherein the metastatic melanoma is resistant to immune checkpoint therapy.