Table 3 Therapeutics targeting immuno-epigenetics and cytokines
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 | Â | 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) | Â | 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 | Â | 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) | Â | 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 | Â | 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 |