Table 3 Therapeutics targeting immuno-epigenetics and cytokines

From: Development of pharmacological immunoregulatory anti-cancer therapeutics: current mechanistic studies and clinical opportunities

Basic information

Representative trial

Target

Agent

Manufacturer

Agent type

Highest developmental phase

Phase

Cancer type

Therapeutic combination

Study

Identifier

Status

Immuno-epigenetics

DNMTs

 

azacytidine

Pfizer

small molecule inh

FDA Approved

II

Pancreatic Cancer

anti-PD-1 (Pembrolizumab)

 

NCT03264404

Active, not recruiting

 

CC-486

Pfizer

small molecule inh

FDA Approved

II

NSCLC

anti-PD-1 (Pembrolizumab)

 

NCT02546986

Active, not recruiting

 

decitabine

Janssen-Cilag/Otsuka Pharmaceutical

small molecule inh

FDA Approved

II

Breast Cancer

anti-PD-1 (Pembrolizumab), chemotherapy

 

NCT02957968

Active, not recruiting

 

guadecitabine

Astex Pharmaceuticals

small molecule inh

Phase III

I

Lung Cancer

anti-PD-1 (Pembrolizumab), HDAC inh (Mocetinostat)

 

NCT03220477

Active, not recruiting

 

ASTX727

Astex Pharmaceuticals

small molecule inh

FDA Approved

I/II

Melanoma

anti-PD-1 (Nivolumab)

 

NCT05089370

Recruiting

HDACs

class I HDACs

Romidepsin (FK228, Depsipeptide, FR 901228, NSC 630176)

Celgene Corporation

small molecule inhibitor

FDA approved

III

T-Cell Lymphoma

aurora A kinase inhibitor (Alisertib), chemotherapy

 

NCT01482962

Completed

 

Entinostat (SNDX-275, MS 275, MS 27-275, KHK2375)

Syndax Pharmaceuticals

small molecule inhibitor

III

III

Breast Cancer

hormone therapy (Exemestane)

 

NCT03538171

Active, not recruiting

 

Mocetinostat (MGCD0103, MG-0103)

Mirati Therapeutics

small molecule inhibitor

II

II

UC

–

 

NCT02236195

Completed

 

Domatinostat (4SC-202)

4SC AG

small molecule inhibitor

II

II

Gastrointestinal Cancer

anti-PD-L1 (Avelumab)

EMERGE

NCT03812796

Recruiting

 

Nanatinostat (Tractinostat, VRx-3996, CHR-3996)

Viracta Therapeutics

small molecule inhibitor

II

II

EBV-associated Lymphoma

anti-virus (Valganciclovir)

NAVAL-1

NCT05011058

Recruiting

 

OKI-179

OnKure

small molecule inhibitor

I/II

I/II

Melanoma

MEK1/2 inhibitor (Binimetinib)

 

NCT05340621

Recruiting

 

Zabinostat (CXD101)

Celleron Therapeutics

small molecule inhibitor

I/II

I/II

CRC

anti-PD-1 (Nivolumab)

CAROSELL

NCT03993626

Active, not recruiting

Class II HDAC6

Ricolinostat (ACY-1215)

Regenacy Pharmaceuticals

small molecule inhibitor

I/II

I/II

MM

–

ACY-1215

NCT01323751

Completed

 

Citarinostat (ACY-241)

Celgene Corporation

small molecule inhibitor

I

I

MM

IMiD (Pomalidomide), chemotherapy

 

NCT02400242

Active, not recruiting

 

KA-2507

Karus Therapeutics Limited

small molecule inhibitor

II

I

Solid Tumors

–

 

NCT03008018

Completed

Class I and II HDACs

Vorinostat (Suberoylanilide hydroxamic acid, Zolinza, L-001079038)

Merck & Co.

small molecule inhibitor

FDA approved

III

CTCL

anti-CCR4 (KW-0761)

MAVORIC

NCT01728805

Completed

 

Tucidinostat (Chidamide, HBI-8000)

HUYA Bioscience International

small molecule inhibitor

III

III

DLBCL

anti-CD20 (Rituximab), chemotherapy

DEB

NCT04231448

Recruiting

Class I, II and IV HDACs (pan-HDAC)

Panobinostat (LBH 589, Farydak, MTX110)

Novartis/Secura Bio

small molecule inhibitor

FDA approved

III

MM

proteasome inhibitor (Bortezomib), Dexamethasone

PANORAMA-1

NCT01023308

Completed

 

Abexinostat (PCI 24781, CRA-24781)

Xynomic Pharmaceuticals

small molecule inhibitor

III

III

RCC

TKI (Pazopanib)

RENAVIV

NCT03592472

Recruiting

 

Pracinostat (SB-939)

MEI Pharma

small molecule inhibitor

III

II

MDS

chemotherapy

MEI-005

NCT01993641

Completed

 

Resminostat (4SC-201, RAS2410)

4SC AG

small molecule inhibitor

II

II

HCC

Raf inhibitor (Sorafenib)

Shelter

NCT00943449

Completed

HDAC and other molecules

Fimepinostat (CUDC-907)

Curis

PI3K/HDAC small molecule dual inhibitor

II

II

DLBCL

–

 

NCT02674750

Completed

BET family proteins

BET proteins (pan-BET)

INCB057643

Incyte Corporation

small molecule inhibitor

I/II

I

Myeloid Neoplasms

stem cell transplantation, JAK1/2 Inhibitor (Ruxolitinib)

 

NCT04279847

Recruiting

 

RO6870810 (RG 6146)

Roche

small molecule inhibitor

I

I

MM

anti-CD38 (Daratumumab)

 

NCT03068351

Completed

 

Molibresib (I-BET-762, GSK525762)

GlaxoSmithKline

small molecule inhibitor

II

II

Hematological malignancies

–

 

NCT01943851

Completed

 

Mivebresib (ABBV-075)

AbbVie

small molecule inhibitor

I

I

Myelofibrosis

chemotherapy, JAK1/2 inhibitor (Ruxolitinib)

 

NCT04480086

Active, not recruiting

 

Trotabresib (CC-90010)

Celgene Corporation

small molecule inhibitor

I

I

Solid tumors

–

 

NCT03220347

Recruiting

 

Pelabresib (CPI-0610)

MorphoSys

small molecule inhibitor

III

III

Myelofibrosis

JAK1/2 inhibitor (Ruxolitinib)

MANIFEST-2

NCT04603495

Recruiting

 

BMS-986158

Bristol Myers Squibb

small molecule inhibitor

I/II

I/II

MM

EZH2 inhibitor (Tazemetostat), MEK1/2 inhibitor (Trametinib), dexamethasone

 

NCT05372354

Not yet recruiting

 

ODM-207

OrionPharma

small molecule inhibitor

I/II

I/II

Solid Tumors

–

BETIDES

NCT03035591

Completed

BRD4

PLX2853

Daiichi Sankyo group

small molecule inhibitor

I/II

I/II

Ovarian Cancer

chemotherapy

 

NCT04493619

Active, not recruiting

 

PLX51107

Daiichi Sankyo group

small molecule inhibitor

I

I

AML, MDS

chemotherapy

 

NCT04022785

Recruiting

 

BI 894999

Boehringer Ingelheim

small molecule inhibitor

I

I

Solid tumors

–

 

NCT02516553

Completed

 

AZD5153 (SRA 515)

AstraZeneca

small molecule inhibitor

I/II

I/II

AML

BCL2 inhibitor (Venetoclax)

 

NCT03013998

Recruiting

PRC2 pathway

EZH2

Tazemetostat

Epizyme Inc

small molecule inhibitor

FDA approved

III

FL

IMiD (Lenalidomide), anti-CD20 (Rituximab)

 

NCT04224493

Recruiting

 

CPI-0209

Constellation Pharmaceuticals Inc

small molecule inhibitor

I/II

I/II

Solid Tumors and lymphoma

–

 

NCT04104776

Recruiting

LSD1 pathway

LSD1

Ladademstat (ORY1001, RG-6016)

Oryzon Genomics

TCP-based irreversible LSD1 inhibitor

II

II

SCLC, Neuroendocrine Cancer

chemotherapy

 

NCT05420636

Not yet recruiting

 

INCB059872

Incyte Corporation

TCP-based irreversible LSD1 inhibitor

I/II

I/II

Solid Tumors, Hematological Neoplasms

chemotherapy, anti-PD-1 (Nivolumab)

 

NCT02712905

Active, not recruiting

 

Pulrodemstat (CC-90011)

Celgene Corporation

reversible LSD1 inhibitor

II

II

Malignancies

anti-PD-1 (Nivolumab)

 

NCT04350463

Recruiting

 

Seclidemstat (SP-2577)

Salarius Pharmaceuticals

reversible LSD1 inhibitor

I/II

I/II

CML, MDS

chemotherapy

 

NCT04734990

Recruiting

PRMT5 pathway

PRMT5

Pemrametostat (GSK-3326595)

GlaxoSmithKline, Epizyme

small molecule inhibitor

II

II

Breast Cancer

–

OTT-19-06

NCT04676516

Not yet recruiting

 

PF-06939999

Pfizer

small molecule inhibitor

I

I

Solid Tumors

chemotherapy

 

NCT03854227

Active, not recruiting

 

PRT543

Prelude Therapeutics

small molecule inhibitor

I

I

Malignancies

–

 

NCT03886831

Active, not recruiting

Cytokines

Targeting Interleukins

IL-2

aldesleukin

Clinigen/Novartis

rhIL-2

FDA approved

III

Melanoma

chemotherapy, G-CSF (Filgrastim), IFN-α

PROCLIVITY01

NCT00006237

Completed

 

THOR-707 (SAR444245)

Synthorx Inc

non-α IL-2 variant

II

II

HNSCC

anti-PD-1 (Pembrolizumab), anti-EGFR (Cetuximab)

 

NCT05061420

Recruiting

 

SHR-1916

Jiangsu Hengrui Medicine

non-α IL-2 variant

I

I

Solid Tumors

–

 

NCT04842630

Recruiting

 

Nemvaleukin alfa (ALKS 4230)

Alkermes plc

non-α IL-2 variant-IL-2Rα fusion protein (blocking the IL-2Rα binding)

III

III

Ovarian Cancer, Fallopian Tube Cancer, Primary Peritoneal Cancer

anti-PD-1 (Pembrolizumab)

ARTISTRY-7

NCT05092360

Recruiting

 

Simlukafusp alfa (SIM, FAP-IL2v, RO6874281)

Roche

IL-2 variant-anti-FAP antibody fusion protein

II

II

Head and Neck, esophageal and cervical Cancers

anti-PD-L1 (Atezolizumab)

 

NCT03386721

Completed

 

Eciskafusp Alfa (PD-1–IL2v)

Hoffmann-La Roche

IL-2 variant-anti-PD-1 antibody fusion protein

I

I

Solid Tumors

anti-PD-1 (Atezolizumab)

 

NCT04303858

Recruiting

 

CUE-101 (E7-pHLA-IL2-Fc)

Cue Biopharma

IL-2 variant-HLA complex+ HPV16 E7 peptide epitope fusion protein

I

I

HPV16 + HNSCC

anti-PD-1 (Pembrolizumab)

 

NCT03978689

Recruiting

 

GI-101 (CD80-IgG4-IL-2-Fc)

GI Innovation

IL-2 variant-anti-CD80 antibody fusion protein

I/II

I/II

Solid Tumors

anti-PD-1 (Pembrolizumab), multi-kinase inh (Lenvatinib), radiation

 

NCT04977453

Recruiting

 

Cergutuzumab amunaleukin (CEA–IL2v)

Hoffmann-La Roche

IL-2 variant-anti-CEA antibody fusion protein

I

I

Solid tumors

anti-PD-1 (Atezolizumab)

 

NCT02350673

Completed

 

MDNA11

Medicenna Therapeutics

IL-2 variant-rhalbumin fusion protein

I/II

I/II

Solid Tumors

checkpoint inhibitor

ABILITY

NCT05086692

Recruiting

 

Darleukin (L19-IL2, Daromun, Philogen)

Philogen SpA

IL-2-anti-ED-B fibronectin antibody fusion protein

III

III

Melanoma

ADC (L19-TNF)

Pivotal

NCT02938299

Recruiting

 

STK-012

Synthekine

α/β-IL-2 variant

I

I

Solid Tumors

anti-PD-1 (Pembrolizumab)

 

NCT05098132

Recruiting

 

RG6292 (RO7296682)

Hoffmann la Roche

anti-CD25 mAb

I

I

Solid Tumors

anti-PD-L1 (Atezolizumab)

 

NCT04642365

Recruiting

 

XTX202

Xilio Therapeutics

conditionally-activated IL-2

I/II

I/II

Solid Tumors

–

 

NCT05052268

Recruiting

IL-15

NIZ985 (hetIL-15)

Admune Therapeutics

IL-15-IL-15Rα fusion protein

I

I

Solid Tumors

anti-PD-1 (Spartalizumab)

 

NCT02452268

Completed

 

XmAb24306 (RO7310729, RG6323)

Xencor Inc

IL-15-IL-15Rα fusion protein

I

I

Solid Tumors

anti-PD-L1 (Atezolizumab)

 

NCT04250155

Recruiting

 

Inbakicept (N-803, ALT-803)

ImmunityBio

IL-15-IL-15Rα fusion protein

III

III

NSCLC

anti-PD-1 (Pembrolizumab), chemotherapy

QUILT 2.023

NCT03520686

Recruiting

 

SHR-1501

Jiangsu Hengrui Medicine

IL-15-IL-15Rα fusion protein

I

I

Malignancies

anti-PD-L1 (SHR-1316)

 

NCT03995472

Recruiting

 

BJ-001

BJ Bioscience

IL-15-IL-15Rα-integrin-binding motif fusion protein

I

I/II

Solid Tumors

anti-EGFR (Cetuximab)

 

NCT04616196

Recruiting

 

NKTR-255

Nkarta Therapeutics

polymer conjugated IL-15

II

II

UC

anti-PD-L1 (Avelumab)

JAVELIN Bladder Medley

NCT05327530

Not yet recruiting

IL-10

Ilodecakin (Pegilodecakin, AM0010)

ARMO BioSciences

PEGylated human IL-10

III

III

Pancreatic Cancer

chemotherapy

Sequoia

NCT02923921

Completed

IL-12

NHS-IL12 (M9241)

National Cancer Institute (USA)

IL-12-anti-DNA-histone H1 complex mAb fusion protein

II

II

Bowel Cancers, CRC

cancer vaccine (CV301), PD-L1 x TGFβ bsAb (MSB0011359C), IL-15 superagonist (N-803)

 

NCT04491955

Recruiting

 

SON 1010 (IL12FHAB)

Sonnet Biotherapeutics

IL-12-FHAB fusion protein

I

I

Solid Tumors

–

 

NCT05352750

Recruiting

 

GEN-1 (EGEN-001)

Celsion Corporation

plasmid-encoded IL-12

II

II

Ovarian Carcinoma, Fallopian Tube Carcinoma, Primary Peritoneal Carcinoma

–

 

NCT01118052

Completed

 

MEDI 0457 (INO-9012)

AstraZeneca/Inovio Pharmaceuticals

plasmid-encoded IL-12

II

II

HPV-associated Cancers

anti-PD-L1 (Durvalumab)

 

NCT03439085

Active, not recruiting

 

Tavokinogene telseplasmid

OncoSec Medical

plasmid-encoded IL-12

II

II

Melanoma

anti-PD-1 (Pembrolizumab)

Keynote695

NCT03132675

Recruiting

 

INXN 2001 (ad-RTS-hIL-12)

ZIOPHARM Oncology Inc

adenovirus encoding activable IL-12

II

II

Glioblastoma

anti-PD-1 (Cemiplimab)

 

NCT04006119

Completed

Targeting TGF-β

TGF-β

NIS793

Novartis

antagonistic pan-TGF-β mAb

III

III

PDAC

chemotherapy

daNIS-2

NCT04935359

Recruiting

 

AVID-200 (BMS-986416)

Formation Biologics, Bristol-Myers Squibb

TGF-βR ECD-Fc fusion protein (TGF-β1/3 Trap)

I

I

Solid Tumors

anti-PD-1 (Nivolumab)

 

NCT04943900

Recruiting

 

Trabedersen

Oncotelic Therapeutics

antisense against TGF-β2

II

II

Glioblastoma

–

 

NCT00431561

Completed

TGF-βR

Vactosertib (TEW-7197)

MedPacto

small molecule inhibitor

II

II

CRC

anti-PD-1 (Pembrolizumab)

 

NCT03844750

Recruiting

 

YL-13027

Shanghai Yingli Pharmaceutical

small molecule inhibitor

I

I

Solid Tumors

–

 

NCT03869632

Recruiting

Activation of L-TGF-β

SRK-181

Scholar Rock

selective L-TGF-β1 antagonistic mAb

I

I

Solid Tumors

anti-PD-1/PD-L1

DRAGON

NCT04291079

Recruiting

 

ABBV-151

AbbVie

selective L-TGF-β1 antagonistic mAb

I

I

Solid Tumors

anti-PD-1 (Budigalimab)

 

NCT03821935

Recruiting

 

PF-06940434

Pfizer

αvβ8 integrin mAb

I

I

Solid Tumors

anti-PD-1 (Sasanlimab)

 

NCT04152018

Recruiting

Targeting chemokines

CXCR4

Balixafortide (POL6326)

Spexis

small molecule inhibitor

III

III

Breast Cancer

microtubule inhibitor (Eribulin)

FORTRESS

NCT03786094

Active, not recruiting

 

Motixafortide (BL-8040)

Biokine Therapeutics, BioLineRx

small molecule inhibitor

III

III

MM

G-GSF, stem cell transplantation

GENESIS

NCT03246529

Active, not recruiting

 

Mavorixafor (X4P-001)

Sanofi, X4 Pharmaceuticals

small molecule inhibitor

I/II

I/II

ccRCC

VEGFR1/2/3 inhibitor (Axitinib)

 

NCT02667886

Active, not recruiting

CXCR2

AZD5069

AstraZeneca

small molecule inhibitor

I/II

I/II

Solid Tumors

anti-PD-L1 (MEDI4736), anti-CTLA-4 (Tremelimumab)

SCORES

NCT02499328

Active, not recruiting

 

SX-682

Syntrix Biosystems Inc

CXCR1/2 small molecule inhibitor

I/II

I/II

CRC

anti-PD-1 (Nivolumab)

STOPTRAFFIC-1

NCT04599140

Recruiting

  1. The statistic is up to December 2022. For each agent, only one representative clinical trial is listed. All ongoing clinical trials for each agent are in Supplementary Tables 5 and 6. The therapeutic combination described in the representative trial is a simplified summary. For each drug, the cases of all kinds of combinations of the drug and other agents in one or several cohorts in a multi-cohort study, or the combination of the drug and other agents in a mono-cohort study are not separately described
  2. FDA Food and Drug Administration, RCC renal cell carcinoma, TKI tyrosine kinase inhibitors, mAb monoclonal antibody, MM multiple myeloma, IMiD immunomodulatory drug, NSCLC non-small cell lung cancer, HNSCC head and neck squamous cell carcinoma, CRC colorectal cancer, PC prostate cancer, CRPC castration-resistant prostate cancer, NHL non-Hodgkin lymphoma, HCC hepatocellular carcinoma, UC urothelial carcinoma, CTCL cutaneous T-cell lymphoma, DLBCL diffuse large B cell lymphoma, MDS myelodysplastic syndrome, AML acute myeloid leukemia, FL follicular lymphoma, SCLC small-cell lung cancer, CML chronic myeloid leukemia, ADC antibody-drug conjugate, PDAC pancreatic ductal adenocarcinoma, ccRCC clear cell renal cell carcinoma