Table 1 Clinical trials of TIME and ICP co-targeted combination therapies in multiple cancers

From: Advantages of targeting the tumor immune microenvironment over blocking immune checkpoint in cancer immunotherapy

TIME-targeting therapy

Effect

Combined ICP inhibitor

Indication

N

Response

Clinical trial

Status

T-VEC

OV

Ipilimumab

Melanoma

198

ORR 39% (T-VEC + Ipi) vs. 18% (Ipi), P = 0.002

NCT01740297

Active, not recruiting

T-VEC

OV

Pembrolizumab

Melanoma

21

ORR 48%

NCT02263508

Active, not recruiting

T-VEC

OV

Pembrolizumab

HNSCC

36

ORR 15.6%; disease control rate 40.6%

NCT02626000

Active, not recruiting

HF10

OV

Ipilimumab

Melanoma

46

BORR at 24 weeks 41%; median PFS 19 m; median OS 21.8 m

NCT02272855

Completed

HF10

OV

Nivolumab

Melanoma

7

Major pathological response 0%

NCT03259425

Active, not recruiting

Epacadostat

IDO1 inhibitor

Pembrolizumab

Gastric cancer and esophageal cancer

3

6-month survival rate 33.3%

NCT03196232

Completed

Epacadostat

IDO1 inhibitor

Pembrolizumab

Head and Neck cancer

54

ORR 31.4% (Epa + Pem) vs. 21.1% (Pem)

NCT03358472

Active, not recruiting

Epacadostat

IDO1 inhibitor

Pembrolizumab

Lung cancer

154

ORR 32.5% (Epa + Pem) vs. 39% (Pem)

NCT03322540

Active, not recruiting

Epacadostat

IDO1 inhibitor

Pembrolizumab

RCC

129

ORR 31.3% (Epa + Pem) vs. 29.2% (SoC)

NCT03260894

Active, not recruiting

Epacadostat/platinum-based chemotherapy

IDO1 inhibitor/chemotherapy

Pembrolizumab

Lung cancer

223

ORR 26.4% (Epa + Pem+Chemo) vs. 44.8% (Pem + Chemo)

NCT03322566

Active, not recruiting

Azacitidine/epacadostat

DNA methyltransferase inhibitor/IDO1 inhibitor

Pembrolizumab

Advanced malignancies

70

5.7% ORR

NCT02959437

Completed

Axitinib

VEGFR inhibitor

Pembrolizumab

RCC

861

median PFS 15.1 m (Axi + Pem) vs. 11.0 m (Suntinib), P = 0.00012; ORR 59.3% (Axi + Pem) vs. 35.7% (Suntinib), P < 0.0001

NCT02853331

Active, not recruiting

Bevacizumab

VEGFR inhibitor

Atezolizumab

RCC

915

median PFS 11.2 m (Bev + Ate) vs. 7.5 m (Sunitinib), P = 0.0205

NCT02420821

Active, not recruiting

Bevacizumab/capecitabine

VEGFR inhibitor

Atezolizumab

CRC

133

median PFS 4.37 m (Bev + Ate+Cap) vs. 3.32 m (Bev + Cap), P = 0.051; median OS 10.55 m (Bev + Ate+Cap) vs. 10.61 m (Bev + Cap), P = 0.40

NCT02873195

Active, not recruiting

Bevacizumab

VEGF inhibitor

Atezolizumab

HCC

356

median PFS 6.8 m (Bev + Ate) and 4.3 m (Sunitinib), P < 0.001; 1-year survival rate 67.2% (Bev + Ate) vs. 54.6% (Sunitinib)

NCT03434379

Active, not recruiting

Bevacizumab/carboplatin+ paclitaxel

VEGF inhibitor/chemotherapy

Atezolizumab

NSCLC

692

median PFS 8.3 m (Bev + Chemo+Ate) vs. 6.8 m (Chemo + Bve), P < 0.001; median OS 19.2 m (Bev + Chemo+Ate) vs. 14.7 m (Chemo + Bve), P = 0.02

NCT02366143

Active, not recruiting

Carboplatin/nab-paclitaxel/pemetrexed

Chemotherapy

Atezolizumab

NSCLC

723

median PFS 7.0 m (Ate + Nab+Pab+Car) vs. 5.5 m (Nab + Pab+Car), P < 0.001; median OS 18.6 m (Ate + Nab+Pab+Car) vs. 13.9 m (Nab + Pab+Car), P < 0.001

NCT02367781

Active, not recruiting

Nab-paclitaxel

Chemotherapy

Atezolizumab

Triple-negative breast cancer

900

ITT median OS 21.0 m (Ate + Chemo) vs. 18.7 m (Chemo), P = 0.078

NCT02425891

Active, not recruiting

Cisplatin/carboplatin/pemetrexed

Chemotherapy

Pembrolizumab

NSCLC

616

median PFS 8.8 m (Pem + Chemo) vs. 4.9 m (Chemo), P < 0.00001; ORR 47.6% vs. 18.9%, P < 0.0001

NCT02578680

Active, not recruiting

Carboplatin/etoposide

Chemotherapy

Atezolizumab

NSCLC

403

median PFS 5.2 m (Ate + Chemo) vs. 4.3 m (Chemo), P = 0.0170; 12.3 m (Ate + Chemo) vs. 10.3 m (Chemo), P = 0.0069

NCT02763579

Active, not recruiting

Carboplatin/nab-paclitaxel/pemetrexed

Chemotherapy

Pembrolizumab

NSCLC

559

median PFS 6.4 m (Pem + Chemo) vs. 4.8 m (Chemo), P < 0.0001; OS 15.9 m (Pem + Chemo) vs. 11.3 m (Chemo), P = 0.0008; ORR 57.9% (Pem + Chemo) vs. 38.4% (Chemo)

NCT02775435

Active, not recruiting

NKTR-214

IL-2 therapy

Nivolumab/Ipilimumab

Melanoma, NSCLC

38

ORR 59.5%; DCR 83.8%

NCT02983045

Active, not recruiting

M7824

Bifunctional fusion protein composed of a mAb against PD-L1 fused to a TGFβ

/

Solid Tumors

19

ORR 15.7%

NCT02517398

Active, not recruiting

  1. HNSCC Head and neck squamous cell carcinoma, OV oncolytic virus, ORR objective response rate, DCR disease control rate, RCC renal cell carcinoma, SoC stand of care, PFS progression-free survival, HCC hepatocellular carcinoma, ITT intention-to-treat patients, NSCLC non-small-cell lung cancer, CRC colorectal carcinoma, vs. versus, N patient number