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Overview

Dr. Silvia Formenti is Chair of the Department of Radiation Oncology at Weill Cornell Medicine, Associate Director of the Meyer Cancer Center, and Radiation Oncologist-in-Chief at NewYork-Presbyterian Hospital. A prolific researcher, she has published over 190 papers recognized by high impact journals like JAMA, Lancet Oncology, Journal of Clinical Oncology, etc. 

Dr. Formenti has introduced a paradigm shift in radiation biology, by elucidating the role of ionizing radiation on the immune system, and demonstrating efficacy of combining radiotherapy with immunotherapy in solid tumors. She has translated preclinical work to clinical trials in metastatic breast cancer, lung cancer and melanoma. Dr. Formenti has introduced a break-through strategy of recovering an immunological equilibrium in the setting of metastatic disease, by converting a metastasis into an in situ, individualized vaccine: in the presence of immune checkpoint blockade (anti-CTLA-4, anti-PDL-1) the irradiated tumor becomes an immunogenic hub, similar to a vaccine. Once successfully immunized against the irradiated site, the host can develop an anti-tumor immune response capable to reject the other metastases. In some patients with metastatic disease refractory to standard treatment the combination of local radiation and immune check point blockade has already resulted in durable complete remissions, sustained for years after treatment (without any other additional interventions). Her work has opened a new field of application for radiotherapy, whereby localized radiation can be used as an adjuvant to immunotherapy of solid tumors and lymphomas.

Highlights

  1. 1
    The Lancet. Oncology · 2021
    PMID: 34015311DOISenior author334 citations
  2. 2
    Oncoimmunology · 2020
    PMID: 33150045PMCID: PMC7583495DOISenior author54 citations
  3. 3
    Journal for immunotherapy of cancer · 2025
    PMID: 40187749PMCID: PMC11973781DOISenior author18 citations

Publications

357 publications

Active

13 grants
  • PI
    Optimization of immune checkpoint inhibition during radiation-induced vaccination in breast cancer
    Breast Cancer Research Foundation · 2026–2028
    BCRF-26-053
  • Co-I
    Targeting the BCL2 immune checkpoint to enhance the immunostimulatory effects of radiation in breast cancer
    National Cancer Institute · 2023–2028
    R01CA271915-01A1
  • Co-I
    Targeting Inflammatory Pathways in Breast Cancer Brain Metastases for the Treatment of Edema and Radiation Necrosis Using Anti-VEGF Ultrasmall Particle Therapy
    U.S. Department of Defense · 2025–2028
    HT9425-25-1-0084
  • MPI
    A Digital Twin for rectal cancer to guide adaptive radiotherapy
    National Cancer Institute · 2022–2027· 2 renewals
    U54CA274291-03S1
  • Co-I
    Extending the survival of HR+ breast cancer patients receiving CDK4/6 inhibitors by targeting IL17-producing gamma delta T cells
    U.S. Department of Defense · 2022–2027
    W81XWH-22-1-0506
  • Sub-PI
    A Prospective Comparative Study of Outcomes with Proton and Photon Radiation in Prostate Cancer" ("COMPPARE")
    Patient-Centered Outcomes Research Institute · 2019–2027 · via University of Florida Health - Jacksonville
    UFH SUB00001653
  • Co-I
    Harnessing Innate Immunity and Radiotherapy for Next-Generation Immuno-Oncology in Metastatic Breast Cancer
    METAvivor Research and Support, Inc. · 2025–2027
    MRS 243992-01
  • Co-I
    Harnessing Innate Immunity for Next-Generation Immuno-Oncology Therapeutics
    American Cancer Society · 2024–2026
    YACS-24-1331829-01-YACS
  • PI
    Optimization of immune checkpoint inhibition during radiation-induced vaccination in breast cancer
    Breast Cancer Research Foundation · 2024–2026
    BCRF-24-053
  • Co-I
    Converting HR+ Breast Cancer Into an Individualized Vaccine
    U.S. Department of Defense · 2019–2026
    W81XWH-19-1-0142
  • PI
    Converting HR+ Breast Cancer Into an Individualized Vaccine
    U.S. Department of Defense · 2019–2026
    W81XWH-19-1-0141
  • PI
    Therapeutic targeting of breast cancer and host immune responses at inflection points in the disease trajectory
    U.S. Department of Defense · 2021–2026
    W81XWH-21-2-0034
  • MPI
    PSMA/MR-guided Stereotactic Body Radiotherapy for High Risk Prostate Cancer
    National Cancer Institute · 2020–2025
    R01CA249615-03
Completed grants (16)
  • PI
    Optimization of immune checkpoint inhibition during radiation-induced vaccination in breast cancer
    Breast Cancer Research Foundation · 2023–2024
    BCRF-23-053
  • KP
    Targeting CAFs to sensitize irradiated pHGG to EGFR blockade
    St. Baldrick's Foundation · 2022–2024
    SBF 222633-01
  • PI
    Optimization of immune checkpoint inhibition during radiation-induced vaccination in breast cancer
    Breast Cancer Research Foundation · 2022–2023
    BCRF-22-053
  • KP
    Weill Cornell Medicine (WCM) SPORE in Prostate Cancer
    National Cancer Institute · 2017–2023
    P50CA211024-05
  • PI
    Breaking through immune resistance of HR+ breast cancer
    U.S. Department of Defense · 2019–2023
    No publications yet
    W81XWH1910101
  • PI
    Optimization of immune checkpoint inhibition during radiation-induced vaccination in breast cancer
    Breast Cancer Research Foundation · 2019–2022
    BCRF-20-053
  • Co-I
    Cancer Cell Intrinsic Interferon-I Pathway Activation by Fractionated Radiation
    National Cancer Institute · 2016–2022
    R01CA201246-01
  • Co-I
    Individualized in Situ Vaccination by Radiation and Immunotherapy
    National Cancer Institute · 2016–2022
    R01CA198533-05
  • PI
    2019 SU2C Laura Ziskin Prize In Translational Cancer Research
    Stand Up To Cancer · 2019–2021
    SU2C #ZP-6177
  • PI
    Optimization of Immune Checkpoint Inhibition During Radiation-Induced Vaccination in Breast Cancer
    Breast Cancer Research Foundation · 2018–2019
    BCRF 17-053
  • PI
    Optimization of Immune Checkpoint Inhibition During Radiation-Induced Vaccination in Breast Cancer
    Breast Cancer Research Foundation · 2017–2018
    BCRF 17-053
  • PI
    Radiation-Induced Vaccination to Breast Cancer
    U.S. Department of Defense · 2016–2018
    W81XWH-11-1-0530
  • PI
    Immunomodulation of Breast Cancer via TLR7 Against Imiquimod and Radiotherapy
    National Cancer Institute · 2015–2016
    R01CA161891-04 EW
  • PI
    Breast Cancer
    NCI · 2008–2013 · via NIH RePORTER
    P30CA016087-32
  • PI
    GammabeamX200 Preclinical Research Irradiator
    NCRR · 2010–2011 · via NIH RePORTER
    S10RR027619-01
  • MPI
    RESPONSE, RESISTANCE AND METASTASIS OF LOCALLY-ADVANCED BREAST CANCER (LABC)
    NCRR · 2004–2009 · via NIH RePORTER
    M01RR000096-47

Honors & distinctions

2 honors
  • Member · National Academy of Medicine · 2025
  • Member · Association of American Physicians · 2020

Clinical research

14 studies

Active

7 studies
  • PI
    THYMUS WILL TELL_x000D_ Thymic Health as a Host Immune-Competence Biomarker and a Candidate Organ-at-Risk in Neoadjuvant Radio-Immunotherapy for Resectable Non-Small Cell Lung Cancer
    Weill Medical College of Cornell University · OPEN TO ACCRUAL (as of 2026)
  • PI
    Prospective Randomized Trial of Two Versus One Week Accelerated Radiotherapy (PRATO)
    PHASE3 · Weill Medical College of Cornell University · OPEN TO ACCRUAL (as of 2025)
    Breast Cancer
    NCT06960707
  • PI
    Dose De-escalation Randomized Phase I/II Trial in Arrhythmia Radioablation for Ventricular Tachycardia: Single Fraction vs Three Fractions
    NA · Weill Medical College of Cornell University · OPEN TO ACCRUAL (as of 2024)
    Ventricular Tachycardia
    NCT06743789
  • PI
    Pembrolizumab And Stereotactic Radiosurgery (Srs) Of Selected Brain Metastases In Breast Cancer Patients
    PHASE1; PHASE2 · Weill Medical College of Cornell University · OPEN TO ACCRUAL (as of 2024)
    Metastatic Breast Cancer; Brain Metastases
    NCT03449238
  • PI
    CIMER: Combined Immunotherapies in Metastatic ER+ Breast Cancer
    PHASE2 · Weill Medical College of Cornell University · OPEN TO ACCRUAL (as of 2020)
    Breast Cancer
    NCT04220476
  • PI
    Converting HR+ Breast Cancer Into an Individualized Vaccine
    PHASE2 · Weill Medical College of Cornell University · OPEN TO ACCRUAL (as of 2020)
    Breast Cancer
    NCT03804944
  • PI
    Pilot/feasibility Study of Pulmonary Nodules Screening at Standard Computerized Tomography Simulation for Breast Cancer Radiotherapy (Lung Cancer Screening from CT Simulation, LCSCTS)
    Weill Medical College of Cornell University · OPEN TO ACCRUAL (as of 2019)
Completed & closed trials (7)
  • PI
    Single-Arm Phase II Study of PSMA PET/MR Guided Stereotactic Body Radiation Therapy With Simultaneous Integrated Boost (SBRT-SIB) for High-Intermediate and High Risk Prostate Cancer
    PHASE2 · Weill Medical College of Cornell University · CLOSED TO ACCRUAL (as of 2026)
    Prostate Cancer
    NCT04402151
  • PI
    The DIGNITY Study _x000D_ (De-convoluting interactions between genes, the cancer environment, and the immune system to develop therapies that work for you)
    Weill Medical College of Cornell University · CLOSED TO ACCRUAL (as of 2026)
  • PI
    Pilot/feasibility study of pulmonary nodules and coronary calcification screening at standard Computed Tomography simulation for breast cancer radiotherapy (Screening from CT Simulation, SCTS)
    Weill Medical College of Cornell University · CLOSED TO ACCRUAL (as of 2025)
  • PI
    Prospective Randomized Study of Accelerated Radiation Therapy (PRART) : A Non-Inferiority Trial to Compare Breast Cosmesis and Local Control After Concomitant Boost Breast Radiotherapy With Fifteen Fractions in Three Weeks (Arm 1, Standard) Versus Ten Fractions in Two Weeks (Arm 2, Experimental)
    PHASE3 · Weill Medical College of Cornell University · CLOSED TO ACCRUAL (as of 2025)
    Breast Cancer
    NCT04175210
  • PI
    A Phase III, Randomized, Placebo-controlled, Double-blind, Multi-center, International Study of Durvalumab With Stereotactic Body Radiation Therapy (SBRT) for the Treatment of Patients With Unresected Stage I/II, Lymph-node Negative Non-small Cell Lung Cancer (PACIFIC-4/RTOG-3515) Osimertinib Following SBRT, a Single Arm Cohort for Patients With Unresected Stage I/II, Lymph Node Negative NSCLC Harboring a Sensitizing EGFR Mutation
    PHASE3 · AstraZeneca, PLC · IRB STUDY CLOSURE (as of 2024)
    Carcinoma, Non-Small-Cell Lung
    NCT03833154
  • PI
    WELCOME trial (Weill Cornell Medicine Employees)
    Weill Medical College of Cornell University · CLOSED TO ACCRUAL (as of 2022)
  • PI
    PRAGMA (Prostate Radio Ablation Guided by Magnetic Resonance Imaging Acquisition) in Metastatic Prostate Cancer
    NA · Weill Medical College of Cornell University · CLOSED TO ACCRUAL (as of 2022)
    Metastatic Prostate Cancer
    NCT04220983

News mentions

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External relationships

Advisory/Scientific Board Member

Fondazione AIRC per la Ricerca sul Cancro

Professional Services

Nanobiotix

Other Interest

Embiosys INC · Nanobiotix · Telix Pharmaceuticals (Innovations) Pty Ltd.

Other

Embiosys INC · Janssen Research & Development, LLC · Telix Pharmaceuticals (Innovations) Pty Ltd.