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Table 4 Feasible combination therapies applied to preclinical tumor models

From: Comprehensive elaboration of the cGAS-STING signaling axis in cancer development and immunotherapy

Treatment regimens

 

Cancer type

Therapeutic effects

References

Immunotherapy-STING agonists combination

RR-CDG (i.t., every 3 d) + PD-L1 blockade (i.p., 100 μg)

HNSCC

Stronger antitumor effects than monotherapy

[149]

cGAMP (i.m., 1-10 μg) + PD-L1 blockade (i.p., 200 μg)

B16 melanoma

Augments antitumor effect

[150]

STINGVAX (subcutaneous injection 20 μg CDN per vaccine dose) + PD-1 blockade (i.p., 200 μg twice a week)

CT26 colon cancer

Regression of poorly immunogenic tumors

[111]

STING-activating nanovaccine + PD-1 blockade

TC-1 tumor models

Complete tumor regression

[151]

PBAE-CDN (i.t., 2 μg) + anti-PD-1 antibody (i.p., 100 μg twice weekly)

B16 melanoma tumors

Significantly reduces tumor growth compared to unencapsulated CDNs

[158]

Olaparib (i.p., 50 mg/kg/d) + anti-PD-L1 antibody (i.p., 250 μg every 3 days)

BRCA-deficient ovarian cancer

Sustained tumor growth control and extended survival

[126]

BMN673 (oral gavage, 0.33 mg/kg/d) + anti-PD-L1 antibody (i.p., 200 μg, every 3 days)

Colorectal and ovarian cancer

Reduces tumor burden

[152]

Teniposide (i.p., 10 mg/kg) + anti-PD1 antibody (i.p., 100 μg, every 3 days)

B16 melanoma; colon cancer

Potentiates efficacy of anti-PD1 therapy

[129]

Irradiation + anti-CTLA-4 blockade

B16 melanoma

Significant reduction in the growth of abscopal tumors

[70]

ICI cocktail (i.p., 100 μg) + CDG (i.t., 25 μg)

Prostate cancer

Higher cure rate than monotherapy

[153]

cdGMP + CAR-T cells

Pancreatic tumors

Approximately one-half of the treated mice had complete tumor elimination

[113]

Chemotherapy-STING agonists combination

cGAMP (i.t., 2.5 μg) + cisplatin (i.p., 6 mg/kg)

Squamous cell carcinoma

Antitumor effects

[154]

cGAMP (i.t., 5 mg/kg/d) + 5-FU (i.p., 10 mg/kg/d)

CT26 cancer

Ameliorates tumor progression

[107]

Radiotherapy-STING agonists combination

2′3′-cGAMP (10 μg) + radiotherapy (20 Gy)

MC38 tumors

Significant antitumor effect

[126]

RR-S2-CDG (10 μg) + radiotherapy (10 Gy)

Panc02 pancreatic adenocarcinoma

Controls local tumors and distant metastasis

[155]

Targeted therapy-STING agonists combination

cGAMP + cetuximab

HPV+ HNSCC

Tumor recession

[156]

c-diAM (PS)2 (i.t., 10 μg) + STAT3 inhibitor (i.t., 30 μg)

Mouse 4 T1 tumors

Significant tumor regression

[157]

STING agonist (50 μg) + GITR antibody (100 μg)

B-cell lymphoma

Synergistic antitumor effects

[159]

  1. HNSCC, head and neck squamous cell cancers; STINGVAX, granulocyte-macrophage colony-stimulating factor (GM-CSF) with CDNs; PBAE-CDN, poly (beta-amino ester) cyclic dinucleotide; DMXAA, 5,6-dimethylxanthenone-4-acetic acid; i.t.: intratumoral injection; i.p.: intraperitoneal injection; i.m.: intramuscle injection