Target | Drug | Trial number | Cancer type | ORR and control rate | Treatment-related adverse events (%, if available) | |
OX40 | Monotherapy | 9B12 | NCT01644968 | Solid tumors (melanoma, gastrointestinal, renal cell, prostate, etc) | No CR or PR 40% with SD | Lymphopenia, fatigue, rash, pruritus, fever, chills |
MEDI0562 | NCT02318394 | Solid tumors (head and neck, bladder) | 4% with PR | Fatigue, infusion-related reaction, fever | ||
Combination therapy | MOXR0916 given with atezolizumab | NCT02410512 | Solid tumors | 4% with PR | Mostly grade 3, one related grade 3 of pneumonitis | |
4-1BB | Monotherapy | Urelumab (BMS-663513) | NCT00309023 until 2008. NCT01471210 thereafter | Solid tumors (renal cell, ovarian, etc) Solid tumors (melanoma, renal cell, ovarian) and non-Hodgkin's lymphoma | No CR or PR, 2.6% with SD N/A | Grade 3–4 neutropenia (5%), fatigue (all grade) (26%), grade 3–4 transaminitis (11%), two hepatotoxicity-related deaths in each trial |
Utomilumab (PF-05082566) | NCT01307267 | Solid tumors (Meckel cell carcinoma, and colon, gastric, and pancreatic cancers) | 5.3% with ORR 24.5% with SD | Fatigue, fever, decreased appetite, dizziness, and rash (<10% of patients) | ||
Combination therapy | Utomilumab plus pembrolizumab | NCT02179918 | Solid tumors (non-small cell lung, renal cell, and head and neck cancers) | 26.1% with PR or CR | Fatigue (34.8%), rash, decreased appetite (13%), nausea | |
Urelumab plus nivolumab | NCT02253992 | Advanced solid tumor including melanoma, non-small cell lung cancer, and diffuse larger B cell lymphoma | 50% in evaluable melanoma patients. 3% in other cohorts | Fatigue (31%), ALT increase (11%), anemia (10%) and AST increase (9%) | ||
GITR | Monotherapy | TRX-518 | NCT01239134 | Solid tumors (melanoma, non- small cell lung and colorectal cancers) | 14% with irSD | Cough and fatigue (28% each); vomiting, abdominal pain, and nausea (18% each); dyspnea and anorexia (15% each) |
AMG228 | NCT02437916 | Solid tumors (colorectal, head and neck, urothelial and non-small cell lung cancer) | No CR or PR; 23%with irSD | Fatigue (13%), infusion-related reaction (7%), fever (7%), decreased appetite (7%), and hypophosphatemia (7%) | ||
MEDI1873 | NCT02583165 | non-small cell lung cancer, head and neck squamous cell carcinoma, colorectal cancer | 42.5% with SD | Headache (25%) and infusion- related reaction, Grade three nausea/vomiting, and ST elevation myocardial infarction | ||
Monotherapy and combination therapy | MK-4166 with or without pembrolizumab | NCT02132754 | Solid tumors and melanoma expansion cohorts | 9% for the combination therapy groups. 69% with ICI-naïve melanoma patients in the expansion | Fatigue, infusion-related reaction, nausea, abdominal pain, and pruritus, DLT of bladder perforation | |
CD40 | Monotherapy | rhuCD40L | Solid tumors and non-Hodgkin's lymphoma | 6% with PR, 38% with SD | Transient elevations of serum liver transaminases | |
CP-870,893 | NCT02225002 | Solid tumors (melanoma, non-small cell lung cancer, sarcoma, cholangiocarcinoma) | 14% of all patients and 27% of melanoma patients with PR | CRS, transient hematologica; abnormalities, LFT abnormalities | ||
Combination therapy | CP-870,893 plus gemcitabine | Pancreatic cancer | 19% with PR, 52% with SD | CRS, fatigue, nausea, vomiting, hematologic events | ||
CP-870 to 893 plus paclitaxel and carboplatin | NCT00607048 | Solid tumors (mostly melanoma, renal cell carcinoma, sarcoma) | 20% with PR; in 30 evaluable patients, 40% with SD | Fatigue (81%), neuropathy (46%), Cytokine release syndrome (42%), alopecia (42%), constipation (38%), nausea (37%), neutropenia (38%), 1 DLT of Cardiovascular syndrome | ||
CP-870,893 plus pemetrexed and cisplatin | *ACTRN12609000294257 | Mesothelioma | 40% with PR | CRS (80%), hematological adverse events (consistent with reported chemotherapy toxicities), Grade four splenic infarction, and 1 grade 3 confusion and hyponatremia. |
*Conducted in Australia and New Zealand.
ALT, alanine aminotransferase; AST, aspartate transaminase; CR, complete response; CRS, cytokine release syndrome; DLT, dose-limiting toxicity; ICI, immune checkpoint inhibitor; irSD, immune-related stable disease; LFT, liver function test; N/A, not applicable; ORR, overall response rate; PR, partial response; SD, stable disease.