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 by Agent

by Type of Lymphoma & Treatment Status  

Trials of Interest

New trials since October 2018

 
Phase I since 2017  | Phase III since 2008
 

Guidelines at Diagnosis | About Clinical Trials

evidence-based support and information

 

Locate Trials by Type of Agent 

Of Special Interest | What's New |
Alphabetical - agents that Target Disease Pathways
 
Last update:
 
10/24/2017

Menu A to Z

By Class: 
   - Monoclonal antibody
   - Bispecific antibody
   - Antibody-drug conjugates 
   - Radioimmunotherapy
   - Immune mediated | PD-1 antibody
   - Cytotoxic

Targeted  
   - Epigenetic agents
   - Apoptosis - activating programmed cell death  
   - Kinase inhibitors (e.g., ibrutinib) | mTOR | Other
   - Tumor suppressor gene


Dose - the importance of getting it right

 

Study Results for Lymphoma and CLL trials -
shows start and end dates, number enrolled
 


Agents with recent encouraging clinical reports

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Abexinostat (PCI-24781)  (pan HDAC inhibitor) Find trials
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ABT-199 / Venetoclax  (activating apoptosis) Find trials
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Adcetris ®  SGN-35 / brentuximab vedotin  (antibody-drug conjugate: anti-cd30 + antitubulin)  Find trials
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Belinostat PXD101 (epigenetic - recent approval) Find trials
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btk / B-cell receptor pathway
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Ibrutinib (all - recent approval for CLL; inhibiting btk - on b-cell receptor pathway) Find trials
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Ibrutinib for Lymphoma only  Find Trials
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Acalabrutinib (ACP-196)  Find trials ASH15 Report
 
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CAR T-cd19 cell therapy (adoptive immunotherapy)  Find trials 
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GA-101 (Obinutuzumab), next generation cd20 antibody  Find trials
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INCB050465 (Pki3k-delta inhibitor)  Find Trials
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Selinexor Oral Selective Inhibitor of Nuclear Export (SINE) Find trials
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Lenalidomide (immune modulation and direct activity)  Find trials
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Monalizumab (CD94/NKG2A checkpoint mab) for| CLL OR lymphoma Find Trials 
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PI3k Delta Inhibitors
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Idelalisib GS-1101 formerly CAL101 (inhibiting b-cell receptor pathway)  Find trials (FDA-approved)
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TGR-1202 (PI3k Delta Inhibitor) Find Trials
(Reports suggest better-tolerated version)


TGR-1202 + Ibrutinib in Patients With Select B-Cell lymphoma http://1.usa.gov/1zvYgmu

TGR-1202
(PI3K Delta Inhibitor) With Brentuximab Vedotin for Hodgkin's Lymphoma
 
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PD1/L antibodies (immune checkpoint antibodies)  Find trials  (updated)
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YM155 (Survivin inhibitor)  Find Trials >
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Zevalin ® anti-CD20 + Yttrium 90
(Ibritumomab tiuxetan)
 (radioimmunotherapy) Trials  Find trials
bullet
Vidaza ®  5-Azacytidine (epigenetic - activating or shutting off genes) Find trials

2016, June: Advocate's perspective: rationale for continued study of Radioimmunotherapy

 


What's New

Abexinostat| Lirilumab | 4-1BB antibody | CC-122 | CPI-0610| Daratumumab (Mab) | denintuzumab mafodotin| Mocetinostat  (HDAC)| ONC201 |  XmAb5574 / MOR00208 (cd19 Mab)  | MEDI-570 (anti-ICOS) | IPH2201 |JNJ-64052781 | IMMU-114 | Pembrolizumab | IMO-8400 | RP6530 | Buparlisib
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4-1BB antibody - NKT cell-targeted vaccination given with 4-1BB  leads to CD8 T cell immunity against B cell lymphoma. http://1.usa.gov/1MuMY4c 

*PF-05082566 (anti-4-1BB antibody) As A Single Agent and With Rituximab -  ClinicalTrials.gov
| Find Trials

 
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Abexinostat A phase I/II multicenter, open-label study of the oral histone deacetylase inhibitor Abexinostat in relapsed/refractory lymphoma. - PubMed | Full report | Results | Find trials
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ABT-199  (activating apoptosis - programmed cell death - through bcl2 pathway)  Find trials
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FDA Grants Breakthrough Therapy Designation to Venetoclax (ABT-199)
for Patients with Relapsed/Refractory CLL with 17P Deletion http://bit.ly/1cmRGoX
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Acalabrutinib (ACP-196) (inhibits btk / B-cell receptor pathway - an overactive pathway in b-cell lymphomas)  Find trials  ASH15 Report
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ACP 196 (next gen BTK inhibitor) in Mantle Cell Lymphoma  http://1.usa.gov/1w6GhkC
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AGS67E (anti-cd37 antibody-drug conjugate)  Find Trials

A first in human report: anti-CD37 antibody-drug conjugate AGS67E in #lymphoma | 2016 ASCO http://bit.ly/25cvcQG
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ASN002 (Syk/Jak inhibitor) Find trials
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Atezolizumab / MPDL3280A (is a pd1-antibody). An immune checkpoint inhibitor that blocks the breaks on the immune system

Studies testing Atezolizumab - List Results - ClinicalTrials.gov Find Trials 

Testing Atezolizumab (pd-1 antibody) with Obinutuzumab (anti-cd20) with Lenalidomide in
Relapsed / Refractory Follicular Lymphoma Trial of Interest

A related article:
New on Cancer Currents: Checking in on Cancer Checkpoint Inhibitors http://1.usa.gov/1OoFtuB 
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BET Inhibitor CPI-0610 Well Tolerated and active in Diffuse Large B-Cell and Follicular Lymphoma Report

Studies testing CPI-0610 (BET protein inhibitor) in lymphoma or CLL Find trials
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BKM120 (PI3K inhibitor - BCR pathway) Find trials  >
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Brentuximab Vedotin -  for t-cell lymphoma - studies testing ClinicalTrials.gov Find Trials

The ASCO Post
Brentuximab Vedotin Shows Antitumor Activity in Patients With Relapsed Peripheral T-Cell Lymphoma http://bit.ly/1G6asLx 

Among the 14 patients achieving an objective response, 8 had complete responses, including 5 patients with angioimmunoblastic T-cell lymphoma. At the time of the study report, the median duration of response for all patients was 7.6 months, with five responding patients remaining in follow-up and five on therapy.

This will lead to a study testing this agent as a part of first line therapy for this very challenging indication.  Query to locate such studies above.

 
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Buparlisib (oral inhibitor of the pan-class class I PIK3 pathway) Find Trials
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CC-122 (immune-modulating) for lymphoma or CLL - ClinicalTrials.gov http://1.usa.gov/1Pb3Ly7 

CC-122, a pleiotropic pathway modifier, mimics an interferon response and has antitumor activity in DLBC Lymphoma http://1.usa.gov/1Q25Vz2
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Copanlisib / BAY 80-6946  (PI3Kα/β inhibitor given by vein) Find Trials
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Testing CUDC-907 (dual inhibitor of PI3K and HDAC) +/- Rituximab in RR MYC-Altered DLBCL http://1.usa.gov/1o4bz9q 

Report: phase I oral CUDC-907, a dual inhibitor of PI3K and HDAC, in R/R lymphoma or myeloma http://bit.ly/1TbyNWU 
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Denintuzumab mafodotin (SGN-CD19A) Plus RICE Versus RICE Alone for DLBC #Lymphoma http://ClinicalTrials.gov http://1.usa.gov/20gF8DN   Find Trials

Key eligibility: Pathologically confirmed diagnosis of relapsed or refractory diffuse large B-cell lymphoma (DLBCL; including de novo and transformed DLBCL) or Grade 3b follicular lymphoma

"SGN-CD19A is an ADC targeting CD19, a protein expressed uniformly on almost all B-cell malignancies. The ADC is designed to be stable in the bloodstream and release its cytotoxic agent upon internalization into CD19-expressing cells. This approach is intended to spare non-targeted cells and thus reduce many of the toxic effects of traditional chemotherapy while enhancing antitumor activity."


* Efficacy & safety report for SGN-CD19A Antibody-Drug Conjugate (denintuzumab mafodotin) at ASH http://yhoo.it/1New9xx
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EZH2 inhibitors (epigenetic)   Find Trials

Related article:
New investigational compound shows promise against melanoma, lymphoma http://bit.ly/24ufhgi 
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IMO-8400 (TLR inhibitor) in lymphoma with MyD88L265P Mutation ClinicalTrials.gov Find Trials 
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IMMU-114 (anti–HLA-DR Mab) in Relapsed or Refractory non-Hodgkin Lymphoma and CLL 1.usa.gov/1OsAK0o  Find Trials

Background: anti–HLA-DR humanized monoclonal antibody, IMMU-114, mediated bu hyperactivation of ERK and JNK MAP kinase pathways 1.usa.gov/1OvkgTz
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IPH2201 (checkpoint inhibitor) With Ibrutinib for Relapse or Refractory CLL 1.usa.gov/1QK56sM

Background:
checkpoint inhibitor - IPH2201: first-in-class anti-NKG2A mAb | Innate Pharma bit.ly/1O0BckD

IPH2201 (NK cell checkpoint inhibitor) Find Trials

Phase 1 dose-escalation study of lirilumab (IPH2102, BMS-986015, LIRI),
a fully human anti-KIR monoclonal antibody in patients with various hematologic (HEM) or solid (SOL) malignancies http://bit.ly/1TFc9Fl

"The blockade of KIR by LIRI fosters the activation of NK cells, selectively enhancing the cytotoxicity of NK cells against tumor cells without affecting healthy tissues."
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JNJ-64052781 (Humanized CD19 x CD3 Dual-Affinity Re-Targeting Protein)  Find Trials
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Lirilumab (NK-cell agonist) in lymphoma or CLL Find Trials

Lirilumab With Rituximab for Relapsed, Refractory or High-risk Untreated Chronic Lymphocytic Leukemia (CLL) Open Protocol

Background: Anti-KIR antibody (Lirilumab)  enhancement of anti-lymphoma activity of natural killer cells with anti-CD20 antibodies http://1.usa.gov/1R4UJ5w
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MEDI-570 (anti-ICOS) in Peripheral T-cell Lymphoma Follicular Variant or Angioimmunoblastic T-cell Lymphoma http://1.usa.gov/1MwTcCu

Related background: B Cells in Health and Disease – Leveraging Flow Cytometry to Evaluate Disease Phenotype and the Impact of Treatment with Immunomodulatory Therapeutics http://bit.ly/1EAIe8L
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MLN9708 (Ixazomib, GATA-3 inhibitor) for Relapsed/Refractory Cutaneous and Peripheral T-cell Lymphomas Trial of interest
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MLN9708 (Ixazomib, GATA-3 inhibitor) for Relapsed/Refractory Cutaneous and Peripheral T-cell Lymphomas http://1.usa.gov/1iEFBYz

Background - early results: “MLN9708, a Novel, Investigational Proteasome Inhibitor, in Patients with Relapsed/Refractory Lymphoma: Results http://bit.ly/1pdqkBR 
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Pembrolizumab (pd-1 antibody - immune checkpoint inhibitor) for Advanced Primary Mediastinal Large B-cell Lymphoma 1.usa.gov/1NP8ANc
Testing Pembrolizumab (pd1 antibody) with R-CHOP for Previously Untreated DLBC Lymphoma -1.usa.gov/1V988b2
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Palbociclib studies for lymphoma or CLL ClinicalTrials.gov Find Trials
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RP6530 (dual PI3K inhib) ClinicalTrials.gov Find trials
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Procaspase Activating Compound-1 (PAC-1) in Advanced Malignancies - lymphoma -- ClinicalTrials.gov http://1.usa.gov/1zXsWvV

Background: Cell Death Dis. 2013 Dec; 4(12): e968.
Procaspase-activating compound-1 (PAC-1) a direct caspase-activating compound” http://1.usa.gov/1zp1pTi   
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PNT2258 (first-in-class DNAi ) for Pretreated Diffuse Large B-Cell Lymphoma (Wolverine) http://1.usa.gov/1x2Yy2I


ASH 2013: Paper: The BCL2 Targeted Deoxyribonucleic Acid Inhibitor (DNAi) PNT2258 Is Active In Patients With Relapsed Or Refractory Non-Hodgkin’s Lymphoma http://bit.ly/1q4tvPp

* Full text: A phase 1 study of the BCL2-targeted deoxyribonucleic acid inhibitor (DNAi) PNT2258 in patients with advanced solid tumors http://1.usa.gov/Z53YLF
 
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Selinexor (KPT-330) lymphoma trial query - ClinicalTrials.gov http://1.usa.gov/1xs0cJv
ASH 2014: The Oral Selective Inhibitor of Nuclear Export (SINE) Selinexor (KPT-330) Demonstrates Broad and Durable Clinical Activity in Relapsed / Refractory Non Hodgkin’s Lymphoma (NHL)
 
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TGR-1202, PI3K Delta Inhibitor in Combination With Brentuximab Vedotin for Hodgkin's Lymphoma Patients” http://1.usa.gov/1lBvVC8

Rationale: ASH Paper: - PI3K-δ Inhibitor TGR-1202 With Brentuximab Vedotin Synergistically Induces G2/M Phase Arrest and Cell Death In Hodgkin Cell Lines http://bit.ly/1qppOEu
====
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Bispecific EGFR-cMet antibody , JNJ-64052781, for Relapsed or Refractory B-cell Malignancies 1.usa.gov/1MGhnNf  (very early, no lymphoma-specific background found so far)
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ASCO Post: “Novel Agents Show Activity in relapsed Non-Hodgkin Lymphoma”
including CRs http://bit.ly/1dSn1gv
Promising reports in this article - impressive outcomes - particularly for single agents in relapse setting.
Agent

BOLD names are
FDA approved agents


 
B or T cell 
 
Target
of Drug
 
Approved
Indication
or note
 
Queries

Locate
Studies on
ClinicalTrials.gov

 

Counting
 Clicks
as of
3/7/13


4,651
Find
Clinical Reports
on agent

 or current count >

 

Monoclonal antibodies (Mab)
  See also Immune mediated

Monoclonal antibodies (MAbs) are proteins generated in labs by humans ... that bind to one (mono) antigen.  MAbs are similar to the proteins made by the immune system (by b-cells) to combat infections. 

MAbs are generally given into a vein.  the proteins then circulate in the blood and lymph system until binding to a specific target.  Once engaged with the antigen (as a key fits a lock) the MAbs can directly or indirectly lead to the death of the cell or block a process contributing to the growth or persistence of the lymphoma cells. 

CD20 MAbs such as Rituxan, for example, can lead to cell death directly or lead to immune-mediated killing of the engaged cells.  MAbs can also be used to deliver radiation or toxins in a more targeted way  -- only to the cells that have the target on the cell surface, such as only to mature b-cells. 
See also antibody-drug conjugate and radioimmunotherapy.

 

 
 
Agent name or class

Click on name or class
to search for background

 
 
 
 
 
Count

click > to see current click count
 

 
cd4 antibodies

Zanolimumab | List studies - ClinicalTrials.gov  (0 open studies for t-cell lymphoma as of 6/22) | >  66 clicks

 

 
CD19 antibodies

List studies - ClinicalTrials.gov (42 studies for this class of agent as of 6/18)  | >  (26 clicks)

Note:  The studies listed on ClinicalTrials.gov for cd19 antibodies may include different classes of agents that make use of cd19 as a target, such as t-cells modified to act like antibodies (CART 19).  Also see antibody-drug conjugate or radioimmunotherapy.
 

bullet MEDI-551 ( cd19 antibody, humanized)  

List studies - ClinicalTrials.gov  (3 studies as of 6/18) | >  (68 clicks)
 
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XmAb5574 / MOR00208 

List studies - ClinicalTrials.gov  (2 studies as of 6/18)  >  (13 clicks)
 


CD20 antibodies

List studies - ClinicalTrials.gov (87 open studies) |  > (Click count: New)

This class of antibody binds to the cd20 b-cell receptor.  The studies listed on ClinicalTrials.gov may include different classes of agents that make use of cd20 as a target, such as cd20 with a radiotherapy agent or toxin attached.  See antibody-drug conjugate or radioimmunotherapy.
 

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Arzerra ® (Ofatumumab)

List studies - ClinicalTrials.gov (86 studies as of 6/18)  | >  (210 clicks)
 

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GA-101 (Obinutuzumab)
 
List studies - ClinicalTrials.gov  (33 studies as of 6/18) >  (453 clicks)
 

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Rituxan ® (Rituximab / Mabthera)

List studies - ClinicalTrials.gov | 85 studies as of 6/18 | > (85 clicks)
 

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Ublituximab

List studies - ClinicalTrials.gov
  (2 studies as of 6/18) |  >  (453 clicks)
 

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Veltuzumab / Immu-106 / Ha20

List studies - ClinicalTrials.gov  (1 study open as of 6/18)  >  (modified link)
 

 

 
cd22 antibodies

List studies - ClinicalTrials.gov (10 open studies) |  > (Click count: New for class)

This antibody binds to the cd22 b-cell receptor.  The studies listed on ClinicalTrials.gov may include different classes of agents that make use of cd22 as a target, such as cd22 with a radiotherapy agent or a toxin attached.   See antibody-drug conjugate or radioimmunotherapy.
 

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Epratuzumab

List studies - ClinicalTrials.gov  (2 open studies as of 6/18)  | >  94 clicks

Antibody-drug conjugates for this target:

bullet

Inotuzumab Ozogamicin  (CD22 + calicheamicin)

Find trials   > (214 clicks)
 

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DCDT2980S  anti-CD22, conjugated to MMAE

List studies - ClinicalTrials.gov  > (22 clicks)
 

 

 
cd23 antibodies

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Lumiliximab (anti-cd23)

List studies - ClinicalTrials.gov  (0 open, 3 completed studies)  >  (48 clicks)

 

 

 
cd30 antibodies

List studies - ClinicalTrials.gov  (new query for this class)
 

bullet

SGN-30

List studies - ClinicalTrials.gov  (48 open studies as of 6/19) >  (61 clicks)
 

Antibody-drug conjugates for this target:

bullet

Adcetris ®  cd30 antibody-drug conjugate

(SGN-35 / brentuximab vedotin) 
cd30 + antitubulin

 List studies - ClinicalTrials.gov  (48 open studies as of 6/19) |  >  > ( updated query - 236 clicks)
 

 

 
cd37 antibodies

bullet

TRU-016 (Otlertuzumab) 

List studies - ClinicalTrials.gov (1 open study as of 6/22) | >   (115 clicks)
 

 

 
cd38 antibodies

bullet

Daratumumab

List studies - ClinicalTrials.gov  (1 open study as of 6/22) | >  (5 clicks)

Daratumumab
(immune-modulating antibody - targeting cell surface receptor cd38)

A fully human monoclonal antibody directed against the cell surface glycoprotein CD-38 with potential antineoplastic activity. The binding of daratumumab to natural killer (NK) cells mimics the normal CD38-CD31 interaction on the NK cell surface.

CD38 is also present on multiple myeloma (MM) cells and plasma leukemia cells; this agent may preferentially bind these cells, triggering antitumoral antibody-dependent cellular cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC). CD38, a cell surface glycoprotein, is present on various immune cells and has been shown to regulate the cytotoxic response of activated NK cells.

Preclinical report: Daratumumab, a Novel Human Anti-CD38 Monoclonal Antibody for the Treatment of CLL and B-Cell Non–Hodgkin Lymphoma http://bit.ly/1coqc22 
 

 

 
cd39 antibodies

 No studies at this time (7/14).  This class of antibody potentially blocking tumor-mediated immunosuppression.
 

 

 
Campath ® (alemtuzumab)

 

B cd52 - Find trials 41 Reports

 >

  
MDX-1411
 

 

B / T cd70 - Find trials
 
58 Reports

>

 
Milatuzumab / hLL1
  
 

B cd74 - Find trials 53 Reports

 >

 
IMMU-114 (anti-HLA-DR)

  
 

  HLA-DR - Find trials 15 Reports

 >

  
Mogamulizumab
Mogo / KW-0761 / AMG-761

PAL
 

T CCR4 - Find trials 65 Reports 

>

Bispecific antibodies

Binding two receptors expressed on tumor cells and/or other immune cells
 

 


Agent name or class

  Target  

Find Trials

Count Reports

Counts

  
DT2219ARL

Bi
specific antibody with immunotoxin

  

B cd19 cd22 -  Find trials 131 Reports

>   >


 
Blinatumomab / MT103 / BiTe)
 
 

B cd3 cd19 -  Find trials 112 Reports

>

antibody-drug conjugates

Antibodies that deliver toxins to extracellular (CD) targets on tumor cells

Reports by class
 


Agent name or class

  Target  

Find Trials

 
Count

 
Reports

  
SGN-CD19A
anti-CD19 + toxin

 

B cd19 -  
Find trials
15 Reports

>

 
 
SAR3419
anti-CD19 + maytansinoi
 
  

B cd19 -
Find trials
114 Reports

>


Polatuzumab Vedotin

B cd79b   Find trials New
Reports

>
 

 
DT2219ARL
anti-CD19 & 22 antibody + immunotoxin

 

B cd19 cd22 - Find trials 108 Reports

>

 
Inotuzumab Ozogamicin
anti-CD22 + calicheamicin

 

 

B cd22 - Find trials 214 Reports

>

 
DCDT2980S
anti-CD22, conjugated to MMAE

 

B cd22 - Find trials 22 Reports

>

 
LMB-2 immunotoxin
anti-CD25 antibody + immunotoxin
 

B cd25 - Find trials 30 Reports

>

 
Adcetris ® 
(SGN-35 / brentuximab vedotin)
anti-cd30 + antitubulin

 

B/T cd30 HL / ALCL Find trials 222 Reports

>


Radio-immunotherapy

Antibodies delivering radiation to tumor cells
 

 
Agent or class

  Target  

Find Trials

 
Count

6/23/14
 
Reports

 
Radioimmunotherapy
  
 

     

 
Find trials
 

3 Reports

>

 
Betalutin 
(Lu-tetraxetan-tetulomab)
 
 

B cd37 NHL Find trials 15 Reports

>

  
Bexxar ®
DISCONTINUED by GSK
 

B cd20 NHL Find trials 69 Reports

>

  
Zevalin ®
anti-CD20 + Yttrium 90

(Ibritumomab tiuxetan)
 
 

B cd20 NHL Find trials 113 Reports

>

   
epratuzumab tetraxetan
anti-CD22 with fractionated Yttrium 90 
 
 

B cd22 - Find trials 71 Reports

>

Immune-mediated

Immune mediated therapy assists in helping the immune system to attack the tumor.

See also antibody agents, and radioimmunotherapy
 

 

Agent or class

  Target  

Find Trials

Count Reports
Get Counts

 
 Anti-PD-1 antibody

   Pidilizumab (CT-011)

 
   Lambrolizumab (nivolumab)

    Pembrolizumab 

    MPDL3280A
 
 
(Immune checkpoint blockade)

B PD-1 (P7) - Find trials 272

Reports

>   >   >   >

 
Ipilimumab

anti-CTL-A (MXD-010)

(Immune checkpoint blockade)

B CTL-A
t-reg
-

Find trials

15 Reports

>


 Immunocytokine therapy

Two immune components – antibodies and cytokines

- - - Find trials
>
 
6 Reports


CC-122 

(immune modulating / cereblon)

 

      Find trials NEW >

 
Revlimid ® / Lenalidomide / CC 5013

(Immune modulating / cereblon)
 

- unknown MDS / myeloma Find trials 95 Reports

>

Lenalidomide AND Rituxan

- unknown + cd20 New combination Find trials
 
4  
Reports

 >
 

Marginal zone lymphoma
treated with lenalidomide 
      Find trials NEW >

 Pomalidomide  (Immune modulating)

- unknown NEW Find trials 5  
Reports

>
 

 
 T-cell therapy (adoptive immunotherapy)
 

B or T - - Find trials 14

>

 
cd19 CAR T-cell therapy

CAR - chimeric antigen receptor / adoptive immunotherapy  PAL

B cd19 148   Find trials >
184
 
Reports

 >  > | >

Vaccine

B tumor antigen - Find trials
Find open trials
32 Reports

 >
 

Cytotoxic Agents

Damage the DNA of rapidly dividing cells, triggering apoptosis (programmed cell death)
 

 

 
Agent

  Target  

Find Trials

Count Reports / Count


 
Treanda ®

(Bendamustine)
 
 
 

B or T DNA NHL/CLL Find trials 78 Reports

>


 
Bendamustine
phase 3 trials
 

B or T DNA NHL/CLL Phase 3 trials 25 Reports

>

 
Folotyn ® (Pralatrexate)
 

- DNA T-cell Find trials 6 Reports

>

 
Pixantrone
 

Request:  Open Studies >
   

B DNA - Find trials 7

Reports

>


Targeted Agents

    


Epigenetic Agents

Agents that modify gene expression (by methylation or acetylation of histones and other elements) can reprogram how tumor cells behave: grow, die, or differentiate by activating or turning on genes.


DNA methylation

can reactivate tumor suppressor genes by altering methylation

Hypermethylation-associated silencing of tumor suppressor genes has been shown to occur in lymphoid/hematopoietic malignancies, disrupting many cellular pathways.1-3 Unlike genetic alterations in cancer, hypermethylation changes are potentially reversible by pharmacologic inhibition of DNA methylation.4 The cytidine analogs 5-aza-2′-deoxycytidine and 5-azacytidine are capable of reactivating tumor suppressor genes that were silenced by hypermethylation.4

Agent

  Target  

Find Trials

Count  
Reports /Counts
 

 
Vidaza ®
 
(5-Azacytidine)
 
 

B DNA hypo-methylation  
 Find trials
 
20 Reports

>  >


HDAC inhibition

interferes with the function of histone deacetylase - modifying gene expression   About by PAL

 
Agent

  Target  

Find Trials

Count Reports / Counts

 
Abexinostat (PCI-24781)
 
 

  HDAC   Find trials 25 Reports

 >

 
Belinostat (PXD101)
 
 
T or B HDAC   Find trials 32 Reports

 >

 

bullet
Results of the Pivotal Phase II BELIEF Study

Mocetinostat

  HDAC   Find trials New Reports
 

>
 
Panobinostat (LBH589)
 
 
T or B HDAC   Find trials 54 Reports

  >

 
Romidepsin ® (Depsipeptide)
 
 
T or B HDAC Approved for T-cell lymphoma Find trials 21 Reports

 > 

 
Valproic acid
 
 
T or B HDAC AML / MDS Find trials 78 Reports

  >

 
Zolinza ® (Vorinostat)
 
 
T or B HDAC Approved for T-cell lymphoma Find trials 87 Reports

 >


Apoptosis activation

Target pathways involved in the blocking of apoptosis (programmed cell death)


Agent

- Target -

Find Trials

Count Reports / Counts

 
ABT-199  (Venetoclax)
 
 

B bcl-2
pathway
- 

Find trials

54  
Reports

 >

ASCO report
 


PNT2258

  bcl-2 pathway nanoparticle delivery   Find trials NEW >


Procaspase Activating Compound-1 (PAC-1)

  activating caspase   Find trials NEW >

Obatoclax mesylate
(GX15-070)
 
 
B bcl-2
pathway
-

-

Find trials 51  
Reports

>
 


mTOR

Binds mTOR pathway that promotes survival and cell growth
 

 
Agent

  Target -

Find Trials

Count Reports / Counts

CC-223

dual mTOR inhibitor (oral)
B mTOR - Find trials 21  
Reports

>
 


Everolimus / RAD001
B mTOR -- Find trials 52  
Reports

>

Leukemia report
   


Temsirolimus / CCI-779 
B mTOR -- Find trials
 
38  
Reports   >
 

 
Kinase inhibitors

Inhibit pathways that are overactive in cancer cells
 

See also Agents that target disease pathways
 
     B-cell Receptor pathway
 
 
 
Target
 
      Reports | Counts

AVL-292

 
 
B BTK - Find trials 98
Reports

>
 


ACP-196

B BTK   Find trials NEW >
 
Idelalisib / GS-1101 / CAL101

 
 

B PI3k delta - Find trials 529  
 

Reports

 >
 


Ibrutinib (PCI-32765) 

 
 

B BTK - Find trials 629  
 Reports

>
 


Ibrutinib - CLL studies
 

B - - Find trials 75 >

 
Ibrutinib - lymphoma studies
 

B -- - Find trials
 
New >

 
IPI-145 (Duvelisib)
 
 

B or T  
(PI3K)-delta / PI3K-gamma
 
- Find trials 47

query updated

Reports

>  >
 


Alisertib (MLN8237)
  
 
T Aurora Kinase A - List results - ClinicalTrials.gov 23  
Reports

>
 
Also
http://bit.ly/18sChgG
 


Activating tumor suppressor gene
 

 


APTO-253 (LOR-253)

      List results - ClinicalTrials.gov New  


Selinexor (KPT-330)
 

Nuclear Export     List results - ClinicalTrials.gov NEW >


Other targeted agents

Lymphoma / CLL trials of new agents with search of literature for underlined agent
 
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ACY-1215 (Ricolinostat)

HDAC6 inhibitor

Acetylon Announces Preclinical Data of
ACY-1215 for the Treatment of Lymphoma
Highlighted at 12th International Conference on Malignant Lymphoma (ICML) |
Business Wire
http://bit.ly/1hDNjBL 

* List Results -  ClinicalTrials.gov
 
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AEB071 (Sotrastaurin)

PKC inhibitor   | AACR report

* List results - ClinicalTrials.gov 
>
 
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AZD6738

orally bio-available inhibitor of ataxia telangiectasia and rad3 related (ATR), a key serine/threonine protein kinase involved in DNA damage response signaling caused by DNA replication associated stress.  

* First Time in Patient Multiple Ascending Dose Study http://1.usa.gov/19TnU1m
 
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Copanilisib (BAY 80-6946)

An intravenously administered compound that has significant activity
against alpha and delta isoforms of PI3K; the delta isoform has a role in B-cell signaling, development

    * List results -  ClinicalTrials.gov
 
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CPI-0610

A small molecule inhibitor of the Bromodomain and Extra-Terminal (BET) family of proteins

* A Phase 1 Study Evaluating CPI-0610 in Patients With Progressive Lymphoma http://1.usa.gov/15MC83D
 
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Crizotinib

anaplastic lymphoma kinase (ALK) receptor tyrosine kinase inhibitor approved by the U.S. Food and Drug Administration in 2011,

* List results -
ClinicalTrials.gov

 
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Entospletinib  (GS-9973)

Oral, selective inhibitor of spleen tyrosine kinase (Syk)

Dr Sharman's Blog 2015: Syk not Sick http://bit.ly/1z5fvVz 


Dr Sharman discusses yet another pathway targeting drug: "Entospletinib looks to have pretty good efficacy in CLL. It is a twice daily pill. You really cannot compare across studies, but some of the early numbers look a lot like idelalisib. Lots of work left to be done and the trial is still recruiting patients with CLL (trial link here). Talk to your own doctor or seek an opinion at one of the centers offering the trial."

* List results - ClinicalTrials.gov 
 
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ISIS 481464 (AZD9150)

antisense oligonucleotide inhibitor of STAT3

* List results - ClinicalTrials.gov  
>
 
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ONC201

Exerts p53-Independent Cytotoxicity Through TRAIL and DR5 Induction In Mantle Cell Lymphomas http://bit.ly/1HtPIya

* Dose-finding safety Study of Oral ONC201 in relapsed Non-Hodgkin's Lymphoma - ClinicalTrials.gov
 
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PD 0332991 (palbociclib)

cyclin-dependent kinase (CDK) 4/6–specific inhibitor  | Reports

* List results ClinicalTrials.gov  >
 
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PF-05082566  

an anti-CD-137 agonist antibody that is designed to help the immune system
go after the lymphoma cells with Rituxan attached to them."

* CD137 stimulation enhances the antilymphoma activity of anti-CD20 antibodies http://bit.ly/1aXT0cB 

* Study of PF-05082566 as single Agent And In Combination With Rituximab  http://1.usa.gov/1b6LCby
 
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PNT2258

DNAi molecule targets the non-coding, non-transcribed regulatory region of the Bcl2 gene.


*   List Results - ClinicalTrials.gov 
 
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proteasome inhibitors

MLN970 / Bortezomib /  Velcade
® , Carfilzomib,  CEP 18770 

* List trials - ClinicalTrials.gov
 
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Ruxolitinib  

Janus Kinases (JAK) inhibitor

Related Citations for PubMed (Select 22869151) - PubMed - NCBI

Background on this drug for other indications: wikipedia.org


* Pilot Study of Ruxolitinib in Relapsed or Refractory Hodgkin Lymphoma and Primary
Mediastinal Large B-cell Lymphoma - Full Text View - ClinicalTrials.gov 


* List results - ClinicalTrials.gov 
 
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SAR245409 (Voxtalisib)

An oral pan-inhibitor of PI3K and mTOR

 * List Results - ClinicalTrials.gov
 
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SAR245408

Pan- PI3K inhibitor

* A Study of the Safety and Pharmacokinetics in Patients With Solid Tumors or Lymphoma - http://1.usa.gov/1d6jTxS
 
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YM155

Survivin kinase inhibitor  * Reports

* List results
ClinicalTrials.gov   61 looks
 

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Discontinued agents
 

 
 
Enzastaurin

 
B C-beta - Find trials 25 Reports

>

Navitoclax / ABT-263 >
 
Discontinued due to improvement in safety with ABT-199 above
 
B bcl-2
pathway
- http://bit.ly/5fcv13 99 Reports
TL32711 (birinapant)

Reports
* Search results ClinicalTrials.gov  >
           

 

 
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