CPI-444 synergizes with anti–PD-L1 and anti–CTLA-4 treatment.

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CPI-444 synergizes with anti–PD-L1 and anti–CTLA-4 treatment. CPI-444 synergizes with anti–PD-L1 and anti–CTLA-4 treatment. A and B, Anti–PD-L1 (200 μg, n = 10) or CPI-444 (100 mg/kg, n = 10) monotherapy resulted in an incomplete inhibition of MC38 tumor growth, while administration of CPI-444 (100 mg/kg) in combination with anti–PD-L1 (200 μg) stabilized or eliminated tumors in 5 of 10 mice. C and D, Administration of CPI-444 (1 mg/kg) in combination with anti–PD-1(100 μg) inhibits the growth of CT26 tumors (n = 10; C), resulting in improved overall survival (D). E and F, CPI-444 treatment in combination with anti–CTLA-4 (100 μg) successfully eliminated tumors in MC38 (100 mg/kg; E) and CT26 (10 mg/kg; F) tumor models (n = 10/group). G, CPI-444 (10 mg/kg) treatment combined with subtherapeutic doses of anti–CTLA-4 (25 μg) and anti–PD-1 (25 μg) induced a rapid regression in the CT26 tumor model (n = 10/group). H, Approximately two weeks after treatment initiated, the combination of all three treatments successfully eliminated tumors in 5 of 10 mice. Error bars, SEM. Significance was calculated using two-way ANOVA, except in D, which was calculated with log-rank (Mantel–Cox) test (*, P < 0.05; **, P < 0.01; ***, P < 0.001). Stephen B. Willingham et al. Cancer Immunol Res 2018;6:1136-1149 ©2018 by American Association for Cancer Research