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Table 1 Therapies targeting TGF-β signaling under clinical trials in the past 3 years

From: Targeting TGF-β signal transduction for fibrosis and cancer therapy

Drug

Mechanism

Indication

Development stage

ClinicalTrials.gov identifier

SAR439459

Pan- TGFβ neutralizing antibody

Advanced Malignant Solid Neoplasm/Metastatic Malignant Solid Neoplasm/Unresectable Malignant Solid Neoplasm

Phase 1

NCT04729725

Plasma Cell Myeloma Refractory

Phase1/Phase 2

NCT04643002

Advanced Liver Cancers

Phase1/Phase 2

NCT04524871

NIS793

Fully human anti-TGF-β IgG2 monoclonal antibody

Metastatic Pancreatic Ductal Adenocarcinoma

Phase2/Phase 3

NCT04390763/NCT04935359

Myelofibrosis

Phase1/Phase 2

NCT04097821

Myelodysplastic Syndromes

Phase 1

NCT04810611

ABBV151

Humanized monoclonal antibody inhibitor of GARP- TGF-β1

Advanced Solid Tumors Cancer

Phase 1

NCT03821935

AVID200

Engineered TGF-β ligand trap

Malignant Solid Tumor

Phase 1

NCT03834662

Primary Myelofibrosis/Post-essential Thrombocythemia Myelofibrosis/Post-polycythemia Vera Myelofibrosis

Phase 1

NCT03895112

Scleroderma, Diffuse

Phase 1

NCT03831438

M7824 (bintrafusp alfa)

Bifunctional anti-PD-L1/TGF-βRII Trap fusion protein

Thymic Epithelial Tumor/Recurrent Thymoma/Thymic Cancer

Phase 2

NCT04417660

Metastatic Colorectal Cancer/Advanced Solid Tumors With Microsatellite Instability

Phase1/Phase 2

NCT03436563

HPV Positive Cancer

Phase1/Phase 2

NCT04432597

Urothelial Cancer

Phase 2

NCT04501094

Kaposi Sarcoma

Phase1/Phase 2

NCT04303117

Urothelial Cancer/Bladder Cancer/Genitourinary Cancer/Urogenital Neoplasms/Urogenital Cancer

Phase 1

NCT04235777

Advanced Pancreas Cancer

Phase1/Phase 2

NCT04327986

Mesothelioma; Lung

Phase 2

NCT05005429

Stage II-III HER2 Positive Breast Cancer

Phase 1

NCT03620201

Relapsed Small Cell Lung Cancers

Phase1/Phase 2

NCT03554473

Unresectable Stage III Non-Small-Cell Lung Cancer

Phase 2

NCT03840902

Advanced Stage Breast Cancer

Phase 1

NCT04296942

Prostate Neoplasms

Phase1/Phase 2

NCT04633252

Metastatic Triple-Negative Breast Cancer

Phase 1

NCT03579472

Advanced Solid Tumors

Phase1/Phase 2

NCT04574583

Metastatic Prostate Cancer/Advanced Solid Tumors

Phase1/Phase 2

NCT03493945

Advanced HPV Associated Malignancies

Phase1/Phase 2

NCT04287868

Metastatic Checkpoint Refractory HPV Associated Malignancies/Microsatellite Stable Colon Cancer (MSS)

Phase 1/Phase 2

NCT04708470

Triple-Negative Breast Neoplasms

Phase 2

NCT04489940

Small Bowel Cancers/Colorectal Cancers

Phase 2

NCT04491955

Esophageal Squamous Cell Carcinoma

Phase 2

NCT04595149

Untreated Resectable Non-Small-Cell Lung Cancer

Phase 2

NCT04560686

Cancers With Brain Metastases

Phase1/Phase 2

NCT04789668

Recurrent Head and Neck Squamous Cell Carcinoma/Second Primary Squamous Cell Carcinoma of the Head and Neck

Phase1/Phase 2

NCT04220775

Metastatic or Locally Advanced Urothelial Cancer

Phase 1

NCT04349280

Squamous Cell Carcinoma of Head and Neck

Phase 2

NCT04428047

Biliary Tract Cancer/Cholangiocarcinoma

Phase 2

NCT04727541

Advanced Non-small-Cell Lung Cancer

Phase 2

NCT04396535

Locally Advanced or Metastatic Tyrosine Kinase Inhibitor-Resistant EGFR-Mutant Non-small-Cell Lung Cancer

Phase 2

NCT04971187

GFH018

Inhibitor of TGF-βRI

Advanced Solid Tumor

Phase1/Phase 2

NCT04914286

SHR-1701

Bifunctional anti-PD-L1/TGF-βRII agent

Pancreatic Cancer

Phase1/Phase 2

NCT04624217

Metastatic or Locally Advanced Solid Tumors

Phase 1

NCT03710265/NCT03774979

Advanced Solid Tumors

Phase1/Phase 2

NCT04856774

Nasopharyngeal Carcinoma

Phase 1

NCT04282070

Advanced Solid Tumors

Phase 1

NCT04324814

Metastatic Colorectal Cancer

Phase2/Phase 3

NCT04856787

Advanced Solid Tumors and B-cell Lymphomas

Phase1/Phase 2

NCT04407741

JS201

Recombinant PD-1 monoclonal antibody/TGF-βRII bifunctional fusion protein

Advanced Malignant Tumors

Phase 1

NCT04956926

Small-cell Lung Cancer

Phase 2

NCT04951947

TST005

Bispecific antibody consisting of a PD-L1 monoclonal antibody (mAb) and a TGF-β trap

Locally Advanced or Metastatic Cancers/Metastatic Human Papillomavirus-Related Malignant Neoplasm

Phase 1

NCT04958434

TASO-001

Antisense oligonucleotide against TGF-β2

Advanced or Metastatic Solid Tumor

Phase 1

NCT04862767

TEW-7197 (Vactosertib)

TGF-β receptor ALK4/ALK5 inhibitor

Metastatic Pancreatic Cancer

Phase1/Phase 2

NCT03666832

Advanced Stage Solid Tumors

Phase 1

NCT02160106

Myeloproliferative Neoplasm

Phase 2

NCT04103645

LY2157299 (galunisertib)

Small molecule antagonist of the tyrosine kinase TGFBR1

Nasopharyngeal Carcinoma

Phase 2

NCT04605562

LY3200882

Inhibitor of TGFβRI

Solid Tumor

Phase 1

NCT02937272

TRK250

siRNA-based oligonucleotide selectively suppressing TGFβ1

Idiopathic Pulmonary Fibrosis

Phase 1

NCT03727802

STP705

siRNA-based oligonucleotide selectively suppressing TGFβ1 and COX-2

Basal Cell Carcinoma

Phase 2

NCT04669808

Bowen's Disease/Cutaneous Squamous Cell Carcinoma in Situ

Phase1/Phase 2

NCT04293679

Keloid

Phase 2

NCT04844840

Hepatocellular Carcinoma/Liver Metastases/Cholangiocarcinoma

Phase 1

NCT04676633

Squamous Cell Carcinoma in Situ

Phase 2

NCT04844983

QLS31901

PDL1/TGFβ antibody

Advanced Malignant Tumor

Phase 1

NCT04954456

ACE-1334

superfamily based ligand trap of TGFβ1 and c3

Systemic Sclerosis With and Without Interstitial Lung Disease

Phase 1/Phase 2

NCT04948554

ACE-536 (Luspatercept)

TGFβ superfamily ligand trap

Myelodysplastic Syndromes

Phase2/Phase 3

NCT04477850/NCT03900715/NCT03682536

Myelodysplastic Syndromes/Β-thalassemia/Myeloproliferative Neoplasm-Associated Myelofibrosis

Phase 3

NCT04064060

Myeloproliferative Disorders/Myelofibrosis/Primary Myelofibrosis/Post-Polycythemia Vera Myelofibrosis/Anemia

Phase 3

NCT04717414

Β-Thalassemia

Phase 2

NCT04143724

Primary Myelofibrosis/Post-Polycythemia Vera/Myelofibrosis

Phase 3

NCT03755518

NNC0361-0041

Recombinant supercoiled plasmid encoding PPI, TGF-β1, IL-10, and IL-2

Type I Diabetes

Phase 1

NCT04279613

PF-06952229

TGFβ1 inhibitor

Advanced Solid Tumors

Phase 1

NCT03685591

GT90001

Fully human anti-ALK-1 mAb (IgG2)

Metastatic Hepatocellular Carcinoma

Phase1/Phase 2

NCT03893695

Solid Tumors

Phase1/Phase 2

NCT04984668

Trabedersen

TGFβ2 specific phosphorothioate antisense oligodeoxynucleotide

COVID-19

Phase 2

NCT04801017