Table 2 Clinical trials and FDA-approved targeted drugs

From: Activation of immune signals during organ transplantation

Target

Drugs

Mechanism

Drug type

Indication

Research status

DNA

Azathioprine

Inhibition of DNA synthesis

Small molecule

Kidney, heart, liver, lung transplantation

GP

Calcineurin

Tacrolimus Cyclosporine

calcineurin inhibitor

Small molecule

Organ transplantation

GP

mTOR

Sirolimus

mTOR inhibitor

Small molecule

Kidney transplantation

GP

mTORC1mTORC2

Everolimus

mTORC1, mTORC2 inhibitor

Small molecule

Kidney, heart, liver transplantation

GP

Cytokines

Deoxyspergualin hydrochloride

Cytokines inhibitor

Small molecule

Kidney transplantation

GP

GR

Prednisolone Meprednisone

GR stimulant

Small molecule

Organ transplantation

GP

IMPDH

MPS, MFF, Mizoribine

IMPDH inhibitor

Small molecule

Kidney, heart, liver, lung transplantation

GP

CD86 CD80

Belatacept

CD86, CD80 inhibitor

Fusion protein

Kidney transplantation Lung transplantation

GP Stage II

IL-12, STAT4,SSTR4, LPAAT

Lisofylline

IL-12, STAT4, SSTR4, LPAAT inhibitor

Small molecule

Organ transplantation

Stage III

EDG1

Mocravimod dihydrochloride

EDG1 inhibitor

Small molecule

Organ transplantation

Stage II

PPARα PPARγ

Saroglitazar

PPARα, PPARγ agonist

Small molecule

Liver transplantation

Stage II

CXCR1 CXCR2

Reparixin

CXCR1,CXCR2 antagonist

Small molecule

Liver transplantation

Stage II

Cysteine proteinase

Imlifidase

Cysteine protease stimulant

Synthetic peptide

Kidney transplantation Organ transplantation

GP PMA

T cells

ATG-Fresenius S

Immunosuppression

Ig

Organ transplantation

GP

Thymic lymphocytes

ATG

Immunosuppression

Ig

Organ transplantation

GP

CD20

Rituximab

CD20 inhibitor

mAb

Kidney, liver transplantation

GP

CD3

Muromonab-CD3

CD3 inhibitor

mAb

Liver, heart transplantation

GP

CD5

Olendalizumab

CD5 inhibitor

mAb

Organ transplantation

Stage II

CD19

Inebilizumab-cdon

CD19 inhibitor

mAb

Kidney transplantation

Stage II

CD40

Bleselumab Iscalimab

CD40 inhibitor

mAb

Organ transplantation

Stage II

CD40L

Tegoprubart

CD40L inhibitor

mAb

Organ transplantation

Stage II

CD28

Lulizumab pegol

CD28 inhibitor

mAb

Kidney transplantation

Stage I/II

CD38

Isatuximab-IRFC

CD38 inhibitor

mAb

Kidney transplantation

Stage I/II

IL2RA

Basiliximab,Daclizumab

IL2RA inhibitor

mAb

Organ transplantation

GP

IL-6

Clazakizumab

IL-6 inhibitor

mAb

Kidney transplantation

Stage III

IL-18

GSK-1070806

IL-18 inhibitor

mAb

DGF

Stage II

IFN-γ

Emapalumab-LZSG

IFN-γinhibitor

mAb

Organ transplantation

Stage II

ITGAL

Odulimomab

ITGAL antagonist

mAb

Kidney transplantation

GP

BLyS

Belimumab

BLyS inhibitor

mAb

Kidney transplantation GVHD

Stage II Stage I

C1s

BIVV-020

C1s inhibitor

Small molecule

Kidney transplantation

Stage II

C3

Pegcetacoplan

C3 inhibitor

Synthetic peptide

Kidney transplantation

Stage I

HLA-A2

TX-200 QEL-001

HLA-A2 inhibito

CAR-T

Organ transplantation Liver transplantation

Stage II Stage I/II