Table 2

Clinical trials of agents depleting TAMs or preventing their recruitment

TargetAgentMechanism of actionCombination partnersPhaseStatusResultsIdentifierRef.
CSF1REmactuzumabantagonistic anti-CSF1R mAbMonotherapy; paclitaxelICompleted↓immunosuppressive TAMs; no clinically relevant antitumor activityNCT01494688115
Paclitaxel+anti-VEGF-A mAb bevacizumabIIActiveNCT02923739
Agonistic anti-CD40 mAb selicrelumabICompleted↓CD14dimCD16bright monocytes; ↑activated Ki67+CD8+T cells; limited objective clinical responsesNCT02760797116
CabiralizumabAntagonistic anti-CSF1R mAbAnti-PD-1 mAb nivolumabICompletedNCT02526017
LY3022855Antagonistic anti-CSF1R mAbAnti-PD-L1 mAb durvalumab; anti-CTLA-4 mAb tremelimumabICompletedLimited clinical activityNCT02718911117
PexidartinibInhibitor of CSF1R tyrosine kinase activityPaclitaxelICompletedNCT01525602
(PLX3397)
PembrolizumabI/IITerminatedInsufficient evidence of clinical efficacyNCT02452424
CCL2Carlumab (CNTO888)Anti-CCL2 mAb neutralizing CCL2-induced chemotaxisMonotherapyICompletedEvidence of antitumor activityNCT00537368123
SoC chemotherapyICompletedLimited tumor responsesNCT01204996122
Ang2MEDI3617Anti-Ang2 mAb inhibiting Ang2 binding to TIE2Monotherapy; paclitaxel; paclitaxel+carboplatin; bevacizumabICompletedLimited clinical activityNCT01248949124
Trebananib (AMG-386)Anti-Ang peptibody inhibiting Ang1/2 binding to TIE2Paclitaxel+carboplatinIIITerminatedNo improvement in PFSNCT01493505125
PembrolizumabIActiveNCT03239145
VEGF/ Ang2Vanucizumab (RG7221)Anti-VEGF/Ang2 bispecific mAb inhibiting neoangiogenesisMonotherapy; anti-PD-L1 mAb atezolizumabICompletedReduced tumor vascularity; encouraging antitumor activityNCT01688206126
TREM2PY314Anti-TREM2 mAb depleting TREM2+ TAMs through ADCC and/or ADCPMonotherapy; pembrolizumabIRecruitingNCT04691375
  • ADCC, antibody-dependent cellular cytotoxicity; ADCP, antibody-dependent cellular phagocytosis; CCL2, C-C motif chemokine ligand 2; CSF1R, colony-stimulating factor one receptor; CTLA-4, cytotoxic T-lymphocyte antigen 4; mAb, monoclonal antibody; PD-1, programmed cell death 1; PD-L1, programmed death-ligand 1; PFS, progression-free survival; SoC, standard of care; TAM, tumor-associated macrophage; TREM2, triggering receptor expressed on myeloid cells 2; VEGF, vascular endothelial growth factor.