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Author Spotlight: Assessing the Potential of Circulating Tumor Cells in Leptomeningeal Disease Research
Published on: March 29, 2024
CSF-1R Inhibitor Development: Current Clinical Status
Florent Peyraud1,2, Sophie Cousin1,2, Antoine Italiano3,4
1Early Phase Trials Unit, Institut Bergonié, 229 Cours de l'Argonne, 33000, Bordeaux, France.
Purpose Of Review:
Colony-stimulating factor 1 receptor (CSF-1R) and its ligands, CSF-1 and interleukin 34 (IL-34), regulate the function and survival of tumor-associated macrophages, which are involved in tumorigenesis and in the suppression of antitumor immunity. Moreover, the CSF-1R/CSF-1 axis has been implicated in the pathogenesis of pigmented villonodular synovitis (PVNS), a benign tumor of the synovium. As advanced or metastatic malignant solid tumors and relapsed/refractory PVNS remain unresolved therapeutic problems, new approaches are needed to improve the outcome of patients with these conditions.
Recent Findings:
In solid tumors, targeting CSF-1R via either small molecules or antibodies has shown interesting results in vitro but limited antitumor activity in vivo. Concerning PVNS, clinical trials assessing CSF-1R inhibitors have revealed promising initial outcomes. Blocking CSF-1/CSF-1R signaling represents a promising immunotherapy approach and several new potential combination therapies for future clinical testing.
Insights
Targeting colony-stimulating factor 1 receptor (CSF-1R) shows promise for treating cancers and pigmented villonodular synovitis (PVNS). While in vivo antitumor activity is limited, CSF-1R inhibitors offer a promising immunotherapy approach for PVNS.
Area of Science:
- Immunology
- Oncology
- Pathology
Background:
- Colony-stimulating factor 1 receptor (CSF-1R) and its ligands regulate tumor-associated macrophages, impacting tumorigenesis and immune suppression.
- The CSF-1R/CSF-1 axis is implicated in the pathogenesis of pigmented villonodular synovitis (PVNS).
- Advanced solid tumors and PVNS present significant unmet therapeutic needs.
Purpose of the Study:
- To review the role of CSF-1R in tumorigenesis and PVNS.
- To evaluate current therapeutic strategies targeting CSF-1R.
- To explore future combination therapies involving CSF-1R inhibition.
Main Methods:
- Review of preclinical and clinical studies on CSF-1R inhibitors.
- Analysis of in vitro and in vivo data for solid tumors.
- Assessment of clinical trial outcomes for PVNS.
Main Results:
- CSF-1R inhibition shows limited in vivo antitumor activity in solid tumors.
- CSF-1R inhibitors have demonstrated promising initial outcomes in clinical trials for PVNS.
- Blocking CSF-1/CSF-1R signaling is a viable immunotherapy strategy.
Conclusions:
- Targeting CSF-1R is a promising approach for PVNS and potentially for solid tumors.
- Further research into combination therapies is warranted.
- CSF-1R inhibitors represent a novel therapeutic avenue.
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