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Table 2 Current status of therapeutic agents targeting ligands of negative checkpoint receptor (NCR)

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

CD270 (HVEM)

Activation/Inhibition

-

-

-

Preclinical

-

CD274 (PDL1)

Blocks PD1/PDL1 ligation; Activation of anti-tumor immune response via prevention of CD8+ T-cell exhaustion

Durvalumab

(MEDI-4736)

AstraZeneca

Human MAb IgG1ĸ (i.v., Q2-3 W)

FDA 17.02.2016 BTD

Phase III

Phase I/II

Metastatic urothelial cancer

NSCLC

Head and neck, gastric cancer, pancreatic cancer, hematologic malignancies, myelodysplastic syndromes

Atezolizumab

(MPDL-3280A)

(RG7446)

Roche Genentech

(Tecentriq)

Humanized MAb IgG1ĸ, (i.v., Q3W)

FDA 18.05.2016

Phase III

Metastatic urothelial cancer

NSCLC

Avelumab

(MSB-0010718C)

Merck & Pfizer

Human MAb IgG1ĸ, (i.v., Q2W)

Phase III

Advanced malignancies, bladder cancer, ovarian cancer, MRCC, head and neck, NSCLC, gastric cancer, Merkel cell carcinoma, M. Hodgkin

BMS-936559

(MDX-505)

BMS

Human MAb IgG4 ĸ, (i.v., Q2W)

Phase I

MEL, advanced refractory solid tumors and hematologic malignancies

CD274 (PDL1)

VISTA

Blocking of PDL1 and VISTA - > indirect activation of T-cell proliferation & cytokine production

CA-170

(AUPM-170)

Curis, Aurigene

Small molecule antagonist

(p.o., BID Q4D)

Phase I

Advanced solid tumors or lymphomas, non-responsive to available therapies

HGMB1

Sensitizes MDR AML cells to chemotherapy, significant decrease in AML cell proliferation

miR181b

-

Inhibits HMGB1 expression

Preclinical

In vitro

  1. MAb indicates monoclonal antibody, i.v. intravenous; p.o. per os, FDA Agency for Food and Drug Administraton, BTD Breakthrough Therapy Designation, NSCLC non small cell lung cancer, MRCC metastatic renal cell carcinoma, MEL metastatic melanoma, p.o. per os, MDR multi-drug resistant, AML Acute myeloid leukemia