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Table 2 Immune-checkpoint blockade of NK cells in hematologic malignancies[1]

From: Targeting natural killer cells: from basic biology to clinical application in hematologic malignancies

Targeting Checkpoint Receptor

ICB Product

Clinical Trial

Disease

Phase

Status

Marketing Approved

PD-1

Pembrolizumab

(MK-3475)

NCT05514990

NCT05507541

NCT05508867

NCT05493618

NCT05404945

NCT05400876

NCT05355051

NCT05313243

NCT05221645

NCT05204160

NCT05191472

NCT05180097

NCT05179603[3]

MM

B lymphoma

HL

MM

HL

Lymphoma

HL

T lymphoma

DLBCL

MM

MM

HL

HL/DLBCL

I/II

II

III

I/II

II

I/II

II

II

II

II

II

II

II

Recruiting

Not yet recruiting

Recruiting

Not yet recruiting

Recruiting

Recruiting

Recruiting

Not yet recruiting

Recruiting

Recruiting

Recruiting

Recruiting

Active, not recruiting

Keytruda, for classical HL and several solid tumors. Initial U.S. Approval: Sep. 2014

Kisplyx. Initial EU. Approval: Aug. 2016

Keytruda. Initial EU. Approval: Jul. 2015

Keytruda, for leukemia, lymphoma and solid tumors. Initial China. Approval: Jul. 2018

Nivolumab

NCT05385263

NCT05352828

NCT05310591

NCT05272384

NCT05255601

NCT05253495

NCT05211336

NCT05162976[3]

B lymphoma

HL

ALL

B lymphoma

HL/NHL

HL/NHL

B lymphoma

HL

II

I

I/II

II

I/II

II

I

I

Recruiting

Recruiting

Not yet recruiting

Recruiting

Recruiting

Recruiting

Suspended

Recruiting

Opdualag, a combination of Nivolumab and Relatlimab, was approved for classical HL. Initial U.S. Approval: Mar. 2022

Opdivo, nivolumab injection, for intravenous use for classical HL. Initial FDA Approval: May. 2016

Opdivo for HL. Initial EU. Approval: Jun. 2015

Opdivo for leukemia and lymphoma. Initial China Approval: Aug. 2019

Toripalimab

(JS-001)

NCT05564806[3]

NHL

I

Not yet recruiting

Toripalimab Injection for hematologic malignancies. Initial China Approval: Dec. 2018

Geptanolimab (GB226)

NCT03639181

NCT03502629

NCT03374007

B lymphoma

T lymphoma

Lymphoma

II

II

I

Recruiting

Recruiting

Recruiting

Not yet

Nofazinlimab

(CS1003)

NCT03809767

Lymphoma

I

Active, not recruiting

Not yet

SCT-I10A

NCT03821363

Lymphoma

I

Unknown status

Not yet

Sym021

NCT03311412

Lymphoma

I

Completed

Not yet

PD-L1

Durvalumab (MEDI4736)

NCT05388006

NCT04688151

NCT04462328[2]

CLL

PCNSL

PCNSL

II

I

I

Recruiting

Not yet recruiting

Recruiting

Imfinzi, durvalumab injection, for intravenous use for solid tumors. Initial U.S. Approval: May. 2017

Imfinzi for non-small cell lung cancer. Initial U.S. Approval: Feb. 2018

Imfinzi for non-small cell lung cancer. Initial EU. Approval: Sep. 2018

Imfinzi for solid tumors and hematological malignancies. Initial China. Approval: Dec. 2019

Avelumab

NCT03905135

NCT04328844[2]

T lymphoma

NHL

I

I

Completed

Recruiting

Bavencio, avelumab injection, for intravenous use for solid tumors. Initial U.S. Approval: Mar. 2017

Bavencio for neuroendocrine tumors. Initial EU. Approval: Sep. 2017

Not yet for hematologic malignancies

LAG-3

Relatlimab

(BMS-986016)

NCT05255601

NCT04913922

NCT04150965

NCT02061761

HL/NHL

AML

MM

Hematologic Neoplasms

I/II

II

I/II

I/II

Recruiting

Recruiting

Recruiting

Completed

Opdualag, a combination of Nivolumab and Relatlimab, was approved for metastatic melanoma. Initial U.S. Approval: Mar. 2022

Opdualag was approved for melanoma. Initial EU. Approval: Sep. 2022

Not yet for hematologic malignancies

Fianlimab

(REGN-3767)

NCT04566978

B lymphoma

Early I

Recruiting

Not yet

Sym022

NCT03311412

Lymphoma

I

Completed

Not yet

KIRs

Lirilumab

NCT02599649

NCT02481297

NCT02399917

NCT01687387

NCT01592370

MDS

Leukemia

Leukemia

AML

MM/NHL

II

II

II

II

I/II

Terminated

Completed

Terminated

Completed

Active, not recruiting

Not yet

IPH4102

NCT05321147

NCT03902184

NCT02593045

PTCL

T lymphoma

CTCL

I

II

I

Recruiting

Recruiting

Completed

Not yet

IPH2101

NCT01248455

NCT01222286

NCT01217203

NCT00999830

NCT00552396

MM

MM

MM

MM

MM

II

II

I

II

I

Terminated

Completed

Completed

Completed

Completed

Not yet

NKG2A

Monalizumab

NCT02921685

NCT02557516

Hematologic malignancies

CLL

I

I/II

Unknown status

Terminated

Not yet

TIM-3

Sabatolimab

(MBG-453)

NCT05367401

NCT05201066

NCT04878432

NCT04823624

NCT04812548

NCT04810611

NCT04623216

NCT04266301[2]

MDS/AML

MDS

MDS

MDS

MDS

MDS

AML

MDS/CML

I/II

II

II

II

II

I

I/II

III

Not yet recruiting

Not yet recruiting

Recruiting

Not yet recruiting

Active, not recruiting

Recruiting

Recruiting

Active, not recruiting

Not yet

Sym023

NCT03489343

Lymphoma

I

Completed

Not yet

TIGIT

Tiragolumab

NCT05315713

NCT04045028

NHL

MM/NHL

I/II

I

Recruiting

Recruiting

Not yet

BMS-986207

NCT04150965

MM

I/II

Recruiting

Not yet

  1. [1]Source https://beta.clinicaltrials.gov [till Feb. 2023]. Only approvals from the United States (U.S.), European Union (EU.) and China were recorded in this table
  2. [2]Only clinical trials in nearly three years were recorded in this table
  3. [3]Only clinical trials in nearly one years were recorded in this table
  4. ALL, acute lymphocytic leukemia, AML, acute myeloid leukemia, BCMA, B cell maturation antigen, CAR, chimeric antigen receptor, CB-NK cells, cord blood derived NK cells, CD, cluster of differentiation, CLL, chronic lymphocytic leukemia, CML, chronic myeloid leukemia, CR, complete response, CTCL, cutaneous T cell lymphoma, DLBCL, diffuse large B cell lymphoma, EU., European Union, FDA, the United States Food and Drug Administration, HL, Hodgkin lymphoma, ICB, immune checkpoint blockade, IL, interleukin, KIRs, killer cell Ig-like receptors, LAG-3, lymphocyte-activation gene 3, MDS, myelodysplastic syndromes, MM, multiple myeloma, NHL, non-Hodgkin lymphoma, NKG2A, natural killer group 2 member A, PCNSL, primary central nervous system Lymphoma, PD-1, programmed cell death 1, PD-L1, programmed cell death ligand 1, PTCL, peripheral T cell lymphoma, TIGIT, T cell Ig and ITIM domain, TIM-3, T cell immunoglobulin domain and mucin domain-3, U.S., the United States