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Table 1 Current status of agents targeting negative checkpoint receptors (NCRs)

From: Reactivation of dormant anti-tumor immunity – a clinical perspective of therapeutic immune checkpoint modulation

Drug Target,

(Synonym)

Effect on T-cells and immune system

Compound

(Synonym)

Drug company

(Trade name)

Drug type

(application)

Status

Indication

CD152 (CTLA4)

Blocking of CTLA4, activation of T-cells and anti-tumor immune response

Ipilimumab

(MDX-010)

BMS

(Yervoy)

Human MAb, IgG1ĸ (i.v., Q3W)

FDA 25.03.2011

EMA 25.07.2011

Investigational

MEL (metastatic and adjuvant)

MEL

NSCLC, SCLC

Tremelimumab

(CP-675,206)

AstraZeneca

Human MAb, IgG2ĸ (i.v., Q4-12 W)

Phase II

Mesothelioma, MEL

CD223 (LAG3)

Blocking of LAG3-mediated immune down-regulation; Activation and expansion of tumor antigen-specific T-effector cells; activation of antigen presenting cells to remove tumor debris;

BMS-986016

BMS

MAb, (i.v.)

Phase I

Relapsed hematologic malignancies

LAG-525

Novartis

Humanized MAb, (i.v.)

Phase I

Advanced solid tumors

IMP-701

Novartis

MAb, (i.v.)

Preclinical

No data available; Cancer

IMP-321

Prima BioMed

Recombinant human soluble LAG3 MAb fragment (fusion protein), (i.v.)

Phase I/II

Pancreatic cancer, MEL, MRCC, metastatic breast cancer

CD223 (LAG3)

Blocks LAG3; Depletion of activated autoaggressive T-cells

GSK-2831781

(initially IMP-731)

GSK

Humanized MAb, (i.v.)

Phase I

Psoriasis, autoimmune diseases

CD272 (BTLA)

-

-

-

-

Preclinical

In vitro, murine models

CD279 (PD1)

Blocking of PD1; Activation of anti-tumor immune response via prevention of CD8+ T-cell exhaustion

Nivolumab

(BMS-936558)

(MDX-1106)

BMS

(Opdivo)

Human MAb, IgG4ĸ (i.v.)

FDA 22.12.2014

EMA 16.07.2015

MEL, NSCLC, RCC, M. Hodgkin

MEL, NSCLC, RCC

Pembrolizumab

(Lambrolizumab)

(MK-3475)

Merck

(Keytruda)

Humanized MAb, IgG4ĸ (i.v., Q3W)

FDA 04.09.2015

EMA 30.07.2015

MEL, NSCLC

MEL

BGB-A317

BeiGene

Humanized MAb, (i.v. Q2-3 W)

Phase I

Advanced solid tumors, B-cell malignancies

TSR-042

Tesaro, AnaptysBio

Humanized MAb, (i.v.)

Phase I

Advanced or metastatic solid tumors

PDR-001

Novartis

Humanized MAb IgG4ĸ, (i.v.)

Phase I/II

Advanced malignancies, rec./metastatic nasopharyngeal carcinoma

Pidilizumab

(CT-011)

(MDV9300)

Medivation

Humanized MAb IgG1ĸ, (i.v.)

Phase II

DLBCL, relapsed myeloma, follicular lymphoma

AMP-224

(AFC-111CL)

Creative Biolabs

ADCC enhanced MAb. (i.v.)

Phase I

Advanced, refractory cancer, metastatic CRC

MEDI-0680

(AMP-514)

MedImmune

Humanized MAb IgG4ĸ, (i.v.)

Phase I

Advanced solid tumors

CD366 (TIM3)

Blocking of TIM3; Activation of anti-tumor immune response via prevention of CD8+ T-cell exhaustion

TSR-022

Tesaro, AnaptysBio

Humanized MAb IgG4, (i.v.)

Phase I

Advanced solid tumors

MBG-453

Novartis

MAb, (i.v.)

Phase I

Advanced malignancies

VISTA

CD274 (PDL1)

Blocking of VISTA and PDL1; Activation of T-cell proliferation & cytokine production

CA-170

(AUPM-170)

Curis, Aurigene

Small molecule antagonist

(p.o.)

Phase I

Advanced solid tumors or lymphomas, nonresponsive to available therapies

TIGIT

-

-

-

-

Preclinical

Murine cancer models

  1. MAb indicates monoclonal antibody, i.v. intravenous, p.o. per os, FDA Agency for Food and Drug Administraton, EMA European Medicines Agency, MEL metastatic melanoma, NSCLC non small cell lung cancer, SCLC small cell lung cancer, MRCC metastatic renal cell carcinoma, DLBCL diffuse large B-cell lymphoma, CRC colorectal cancer