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Table 3 Efficacy outcomes reported for screened drugs

From: Pharmacology-based ranking of anti-cancer drugs to guide clinical development of cancer immunotherapy combinations

Compound

Efficacy as monotherapy or in combination with chemotherapy or targeted therapy

Efficacy in combination with PD-1/PD-L1 blockers

Clinical status

Clinical score

Ipilimumab

Monotherapy for unresected melanoma [Yervoy™ package insert]: ORR, 10.9 %; median OS, 10 months; HR for OS, 0.66

Combination with nivolumab [Yervoy™ package insert]: ORR, 36 %; median PFS, 5.1 months; HR for PFS, 0.82; median OS, 17.1 months; HR for OS, 0.79

Combination with nivolumab and platinum-doublet chemotherapy [Yervoy™ package insert]: ORR, 38 %; median PFS, 6.8 months; HR for PFS, 0.70: median OS, 14.1 months, HR for OS, 0.69

Phase 4 and post market studies

3

Tim-3 blockers

Efficacy data not available

Efficacy data not available

Multiple phase 2 studies

1

Lag-3 blockers

Efficacy data not available

Combination with Nivolumab for metastatic melanoma [49]: Sponsor reported through press release that the combination met the primary endpoint of PFS. Details have not been published at the time of reporting.

Multiple phase 2 and phase 2/3 studies

1

TIGIT blockers

Tiragolumab for solid tumors [50]: Stable disease in 4 of 24 patients

Tiragolumab with Atezolizumab [50]: ORR, 37 %; median PFS, 5.6 months

Multiple phase 3 studies

3

Chemotherapy

Carboplatin + nab-paclitaxel [51]: ORR, 33 %; DCR, 53 %; median PFS, 6.3 months; median OS, 12.1 months

Carboplatin + sb-paclitaxel [51]: ORR, 25 %; DCR, 49 %; median PFS, 5.8 months; median OS, 11.2 months

Combination with Pembrolizumab, Carboplatin & paclitaxel/nab-paclitaxel [40]: ORR, 58 %; median PFS 6.4 months; HR for PFS, 0.56; median OS, 15.9 months; HR for OS, 0.64

Combination with Pembrolizumab, Platinum based drug & pemtrexed [39]: ORR, 48 %; DCR, 85 %; median PFS 8.8 months; HR for PFS, 0.52; median OS, not reached; HR for OS, 0.49

Combination with Atezolizumab, Carboplatin & nab-paclitaxel [52]: ORR, 49 %; DCR, 79 %; median PFS, 7.0 months; HR for PFS, 0.64; median OS, 18.6 months; HR for OS, 0.79

Phase 4 and multiple post market studies

3

Bevacizumab

Combination with docetaxel [53]: ORR, 36 %; DCR, 62 %; median PFS, 4.4 months; HR for PFS, 0.71; median OS, 13.1 months; HR for OS, 0.74

Combination with carboplatin & paclitaxel [54]: ORR, 42 %; DCR, 85 %

Combination with pemetrexed and carboplatin [55]: ORR, 34 %; DCR, 66 %; median PFS, 6.0 months; HR for PFS, 0.83; median OS, 12.6 months; HR for OS, 1.0

Combination with erlotinib [56]: ORR, 69 %; DCR, 99 %; median PFS, 16.0 months; HR for PFS, 0.54

Combination with Atezolizumab & chemotherapy [43]: ORR, 64 %; DCR, 85 %; median PFS, 8.3 months; HR for PFS, 0.62; median OS 19.2 months; HR for OS, 0.78

Multiple phase 3 studies

3

FAP-IL-2 V

Monotherapy* [57]: ORR, 7 %; DCR, 45 %

Data not available

Multiple phase 3 studies

2

Cobimetinib

Combination with vemurafenib (melanoma) [58]: ORR, 67 %; DCR, 87 %; median PFS, 11.3 months; HR for death or disease progression, 0.60

Combination with atezolizumab (CRC) [59]: ORR, 3 %; DCR, 26 %; median PFS, 1.9 months; median OS, 8.9 months;

Multiple phase 3 studies

3

Imprime PGG

Combination with cetuximab and chemotherapy [60]: ORR, 37 %; DCR, 85 %; median OS, 10.3 months; HR for OS, 1.14

Combination with bevacizumab and chemotherapy [61]: ORR, 60 %; DCR, 94 %; median PFS, 11.6 months; HR for PFS, 1.31; median OS, 16.1 months; HR for OS, 0.75

Combination with pembrolizumab (TNBC) [62]: ORR, 16 %; DCR, 55 %; median OS, 13.7 months

Phase 1 and Phase 2 studies

3

AM0010

Monotherapy (solid tumors) [63]: ORR, 21 %

Monotherapy (RCC) [63]: ORR, 27 %

Combination with pembrolizumab or nivolumab [64]:

NSCLC subset: ORR, 43 %; DCR, 82 %; median PFS, 9.4 months; median OS, 24.1 months

Melanoma subset: ORR, 10 %; DCR, 52 %; median PFS, 2.2 months; median OS, 16.7 months

RCC subset: ORR, 40 %; DCR, 86 %; median PFS, 12.5 months; median OS, not reached

Phase 2 study

3

BL8040

Data not available

Combination with pembrolizumab and chemotherapy (PDAC) [65]: ORR, 3 %; DCR, 34 %; median OS, 3.3 months

Multiple phase 1/2 studies

2

Selicrelumab

Monotherapy (solid tumors, dose escalation study) [66]: ORR, 14 %; DCR, 38 %

Combination with gemcitabine (PDAC) [67]: ORR, 19 %; DCR, 71 %; median PFS, 5.2 months; median OS, 8.4 months

Combination with tremelimumab (melanoma) [68]: ORR 27 %; median PFS, 3.2 months; median OS 23.6 months

Combination with cisplatin and pemetrexed (mesothelioma) [69]: ORR, 40 %; DCR, 93 %; median PFS, 6.3 months; median OS, 16.5 months

Combination with carboplatin and paclitaxel (solid tumors) [70]: ORR, 20 %; DCR, 60 %

Data not available

Multiple phase 1 studies

3

Reolysin

Combination with carboplatin and paclitaxel:

NSCLC [71]: ORR, 31 %; DCR, 89 %; median PFS, 4.0 months; median OS, 13.1 months

Melanoma [72]: ORR, 21 %; DCR, 85 %; median PFS, 5.2 months; median OS, 10.9 months

PDAC [73]: ORR, 20 %; DCR, 74 %; median PFS, 4.9 months; median OS, 7.3 months

Ovarian cancer [74]: ORR, 17 %; DCR, 52 %; median PFS, 4.4 months; median OS, 12.6 months

Combination with pembrolizumab and chemotherapy (MAP) [75, 76]: DCR, 30 % in efficacy evaluable patients

Multiple phase 2 and phase 3 studies

3

Hu5F9G4

Monotherapy (solid tumors) [77]: Dose finding study. 2 patients (ovarian and fallopian tube cancers) treated with weekly maintenance doses at 20 mg/kg had confirmed partial responses with time to progression 5.2 months and 9.2 months respectively.

Combination with cetuximab (CRC) [78]: ORR, 6.7 %; median PFS, 3.6 months; median OS, 10.1 months in KRASwt patients. SD, 45 %; median PFS, 1.9 months; median OS, 10.4 months in KRASm patients.

Data not available

Multiple phase 1 studies

2

Cabozatinib

Monotherapy [79]: ORR, 10 %; DCR, 38 %; median PFS, 2.4 months; median OS, 7.7 months

Monotherapy or plus erlotinib [80]: ORR, 11 %; DCR, 61 %; median PFS, 4.3 months; median OS, 9.2 months; HR for OS 0.51. Combination arm: ORR, 3 %; DCR, 49 %; median PFS, 4.7 months; median OS, 13.3 months

Combination with nivolumab (RCC) [81]: ORR, 56 %; median PFS, 16.6 months; HR for PFS, 0.51; median OS, not reached; HR for OS, 0.60

Multiple phase 3 studies

3

AB928

Combination with modified FOLFOX-6 (CRC) [82]: DCR 76 %

Combination with chemotherapy or PD-1 blocker AB122 (solid tumors) [83]: DCR, 43 % (phase 1 study)

Multiple phase 1 studies

2

Niraparib

Monotherapy PRIMA (OC) [84]: median PFS, 13.8 months; HR for PFS, 0.62; HR for OS, 0.70

QUADRA (OC) [85]: ORR, 10 %; median PFS, 5.5 months; median OS, 17.2 months

CRPC [86]: ORR, 38 %

Combination with pembrolizumab (TNBC) [87]: ORR, 21 %; DCR, 49 %; median PFS, 8.3 months

OC [88]: ORR, 18 %; DCR, 65 %; median PFS, 3.4 months

Multiple phase 3 studies

3

Tocilizumab

Combination with chemotherapy and interferon-α2b (Ovarian Cancer) [89]: ORR, 48 %; DCR, 74 %; median OS, 54 weeks

Data not available

Multiple phase 1/2 studies

2

Isatuximab

Isatuximab is mainly studied in Heme cancers (multiple myeloma). Data in solid tumors is not available.

Combination with atezolizumab (CRC) [90]: No response was seen. SD, 20 %; DCR, 6.7 %; median PFS, 1.4 months; median OS, 5.1 months. Combination did not show superior efficacy over control treatment.

Multiple phase 3 studies

1

  1. Note: Solid tumors mainly NSCLC are preferentially reported over others. Unless otherwise indicated, data shown in the table are from studies in lung cancer patients. Data presented in the table represents the modified intent to treat population (mITT) where reported and is extracted from the posters of conferences and peer reviewed publications. Details on the Clinical Score in the Table 2: 3 is better, 1 is lower
  2. Abbreviations: MAP metastatic adenocarcinoma of pancreas, PDAC pancreatic ductal adenocarcinoma, CRC colorectal cancer, TNBC triple negative breast cancer, OC ovarian cancer, CRPC castration-resistant prostate cancer