Table 4 FDA-approved drugs targeting macrophage in cancers

From: Macrophages in immunoregulation and therapeutics

Drug

Sponsor/company

Mechanism of action/administration

Type of cancer

FDA approval

Ref.

Plexxikon, (Pexidartinib (PLX-3397)

Daiichi Sankyo

Orally administered Pexidartinib is a small-molecule TKI with robust and specific action against the CSF1 receptor. CSF1, is overexpressed in many solid tumors, promotes the survival of TAMs and the development of monocytes into TAMs; capsules

Tenosynovial giant cell tumor

2019

441

Trabectedin (Yondelis)

Janssen

Induces apoptosis through the tumor necrosis factor receptor superfamily member 10 (TNFRSF10, also known as TRAIL) in monocytes and TAMs, reducing their numbers in human patients and mice; intravenous infusion.

Soft tissue sarcomas, ovarian cancer

2015

379

Sipuleucel-T (Provenge)

Dendreon

It is a fusion protein consisting of GM-CSF and prostatic acid phosphatase, which is utilized to stimulate antigen-specific T lymphocytes against the tumor.

Prostate cancer

2010

59

Carboplatin

Bristol-Myers Squibb

Treatment with platinum-based neoadjuvant chemotherapy has been shown to decrease markers associated with alternative macrophage activation. Macrophage depletion by CSF1R inhibitors (CSF1Ri) in the mouse models provides further evidence of a switch in TAM functions; intravenous infusion

High-grade ovarian cancer

2003

442

Paclitaxel (Taxol)

Mylan Pharmaceuticals

2002

5-fluorouracil (Eloxatin)

Sanofi

The synergistic impact between 5-fluorouracil and macrophages leads to enhanced CRC cell death; intravenous infusion

Colorectal cancer

Initial approval in 1962, 2002 for CRC

383

Gemcitabine

Eli Lilly

Changes in innate immune cells, including increased infiltration of protumoral M2 TAMs and metabolic reprogramming, are an outcome of gemcitabine treatment; intravenous infusion

Pancreatic ductal adenocarcinoma (PDAC)

1996

384