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Table 1 Summary of the current clinical development of NK cell therapies

From: Natural killer cells in clinical development as non-engineered, engineered, and combination therapies

Sponsor

Product name

NK source

Malignancy

Culture process

Clinical product development

Non-engineered

Engineered

Combination

Non-engineered

Combination

Engineered

Acepodia

oNK cells

NK-92

HER2 + Solid Tumors

Culture with X-VIVO 10 medium, platelet lysates and IL-2 for 6 passages

  

NCT04319757

 

Allife Medical Science and Technology

PB-NK

B-cell Lymphoma, Prostatic Cancer, Ovarian Cancer

No information found

 

NCT03690310 NCT03692767 NCT03824964 NCT03824951 NCT03692663 NCT03692637

  

Altor BioScience

PB-NK

AML

Activation with ALT-801

  

NCT01478074

 

Artiva Biotherapeutics

UCB-NK

NHL

CD3- with the eFeeder technology GC Pharma) to generate a Master Cell Bank. Expanded and cryopreserved before use

  

NCT04673617

 

Asan Medical Center

PB-NK

NSCLC, Brain and Central Nervous System Tumors, AML, ALL, MM, MDS, Leukemias, Lymphomas, others

CD3-/CD56 + with α-MEM medium, IL-15, IL-21 and hydrocortisone for 13–20 days

NCT03366064

 

NCT00823524 NCT01795378 NCT02477787

 

Asclepius Technology Company Group (Suzhou)

NK-92

MM, Solid Tumors, Pancreatic Cancer

No information found

 

NCT03940833 NCT03940820 NCT03941457 NCT03931720

  

Beijing 302 Hospital

PB-NK

HCC

Culture for 14 days. No additional information found

NCT04162158

   

Case Comprehensive Cancer Center

PB-NK

AML, MDS, CML, CLL, NHL, HL, CRC, Soft Tissue Sarcoma, Ewing sarcoma, Rhabdomyosarcoma

Culture with irradiated feeder cells OCI-AML3 expressing mbIL-21 (NKF cells) and IL-2 for 3 weeks

  

NCT02890758

 

Cedars-Sinai Medical Center

PB-NK

MM, CLL, HL, Lymphoma

CD56 + cells. No additional information found

NCT03524235

   

Celularity Incorporated

CYNK-001

UCB-CD34

MM, AML, Leukemias, GBM, Astrocytoma, Giant Cell Glioblastoma and others

Culture with TPO, SCF, Flt3-L, IL-7, IL-15 and IL-2 for 35 days

NCT04309084 NCT04310592 NCT04489420

   

PNK-007

UCB-CD34

AML, MM

NCT02781467 NCT02955550

 

NCT02955550

 

Centre Hospitalier Universitaire Régional de Besançon

PB-NK

Gastrointestinal Cancers

CD3- cultured overnight in X-VIVO 15 medium with 10% autologous serum and IL-2

  

NCT02845999

 

Children's Hospital Los Angeles

PB-NK

AML

Culture with IL-21 and irradiated feeder cells

NCT04836390

   

Dana-Farber Cancer Institute

PB-NK

AML, MDS, HNSCC

Culture with RPMI-1640 medium, 10% HS, IL-12, IL-15 and IL-18

NCT04024761 NCT04290546

 

NCT04290546

 

Deverra Therapeutics

DVX201

UCB-CD34

AML, MDS

CD34 + cultured in vessel precoated with Delta1ext-IgG (Notch ligand), serum-free medium StemSpan SFEM, IL-3, TPO, IL-6, Flt-3L, SCF for 14–16 days to generate progenitor cells. Further differentiation process not disclosed

NCT04901416

   

Duke University

NK-DLI

PB-NK

Myeloid and Lymphoid Malignancies

Enriched CD56 + 

  

NCT02452697

 

Fate Therapeutics

FATE-NK100

PB-NK

EGFR1 + Solid Tumors, HER2 + Gastric and Breast Cancer, Solid Tumors

No information found

  

NCT03319459

 

FT500

iPSCs

Solid Tumors, Lymphomas

iPSCs transduced and differentiated in CD34 + hnCD16 + (18–21 days), CD34 differentiation in B0 medium with 20% HS, IL-3, IL-7, IL-15, SCF, Flt3L on EL08-1D2 stroma (culture days 28–35). NK-cells expanded using irradiated K562-mbIL21-41BBL cells and IL-2

NCT03841110

 

NCT03841110

 

FT596

iPSCs

B-cell Lymphoma, CLL

 

NCT04245722

 

NCT04245722

FT516

iPSCs

B-cell Lymphoma, AML, Solid Tumors

 

NCT04023071 NCT04551885

 

NCT04023071 NCT04551885

FT538

iPSCs

AML, MM, Solid Tumors

 

NCT04614636 NCT05069935

 

NCT04614636 NCT05069935

FT576

iPSCs

MM

 

NCT05182073

 

NCT05182073

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

PB-NK

AML, MDS

Unstimulated and not expanded

NCT04166929

 

NCT04166929

 

Fred Hutchinson Cancer Research Center

PB-NK

Leukemia, MDS, other Hematological Malignancies

No information found

  

NCT00789776 NCT00450983

 

Fuda Cancer Hospital

HANK

PB-NK

Liver Carcinoma, B-cell Lymphoma, Breast Cancer, NSCLC, Solid Tumors

*Culture with Human HANK Cell In Vitro Preparation and Culture Kit, serum free medium, additives (like IL-2) and irradiated K562-mbIL15-41BBL feeder layer for 12 days

^Cultured with RPMI-1640 medium, 10% FCS, IL-2 and K562-mbIL15-41BBL irradiated feeder cells for 2–3 weeks

*NCT03008343

 

*NCT02843061 *NCT02843126 ^NCT02845856 *NCT02843204 *NCT02857920

 

GC Pharma

MG4101

PB-NK

NHL

CD3-with CellGro SCGM serum free medium, 1% auto-plasma, anti-CD3 (OKT3), IL-2 and irradiated autologous PBMC for 14 days

  

NCT03778619

 

Glycostem Therapeutics

GTA002

UCB-CD34

AML

CD34 + with GBGM medium with 2–10% serum, GM-CSF, G-SCF, IL-6, SCF, Flt3L, TPO, IL-7, IL-2 and IL-15 for 42 days

NCT04632316

   

ImmunityBio

CD19 t-haNK

NK-92

DLBCL

Culture with phenol-red free and gentamycin-free X-VIVO 10 medium, 5% HS and irradiated prior to infusion

 

NCT04052061

  

PD-L1 t-haNK

NK-92

Solid Tumors, TNBC, Pancreatic Cancer, NSCLC, SCLC, HNSCC, RCC, CRC, Urothelial Carcinoma, MCC, Melanoma, Gastric Cancer, Cervical Cancer, HCC, MSI-H and dMMR Solid Tumors

 

NCT04050709 NCT04927884 NCT04390399 NCT03228667

 

NCT04927884 NCT04390399 NCT03228667

haNK

NK-92

MCC, HCC, Pancreatic Cancer, SCC, CRC, TNBC, Ovarian Cancer, NSCLC, Chordoma, Malignant Neoplasm, Urothelial Carcinoma, HNSCC, NHL, MCC

 

NCT03853317 NCT03563170 NCT03329248 NCT03387098 NCT03586869 NCT03563144 NCT03387111

 

NCT03853317 NCT03563170 NCT03329248 NCT03387098 NCT03586869 NCT03563144 NCT03387111 NCT03563157 NCT03554109 NCT03387085 NCT03197584 NCT03169777 NCT03175666 NCT03169738 NCT03574649 NCT03647423 NCT03197571 NCT03169764 NCT03169790 NCT03167164

aNK

NK-92

MCC, Pancreatic Cancer

  

NCT02465957 NCT03136406

 

IRCCS Azienda Ospedaliero-Universitaria di Bologna

PB-NK

AML

Culture with IL-2 and feeder cells derived from 5–9 donors

NCT03955848

   

Johann Wolfgang Goethe University Hospital

NK-92/5.28.z or HER2.taNK

NK-92

GBM

NK-92/5.28.z with X-VIVO 10 medium, 5% heat inactivated human plasma and IL-2. Y-irradiation with 10 Gy prior to infusion

 

NCT03383978

  

Kiadis Pharma

K-NK002

PB-NK

AML, MDS

CD3- with feeder-free with PM21 particles for 13 days

NCT04395092

 

NCT04395092

 

KDS-1001

PB-NK

CML

  

NCT04808115

 

Masonic Cancer Center, University of Minnesota

GDA-201

PB-NK

MM, NHL, Lymphomas

CD3- with NAM and IL-15 (additional cytokines not disclosed), HS, feeder free for 14–16 days

NCT03019666

 

NCT03019666

 

FATE-NK100

PB-NK

Epithelial Ovarian Cancer, Fallopian Tube Cancer and Primary Peritoneal Cancer, AML

CD3-/CD19- or CD3-/CD56 + in B0 mediawith 20% HS, IL-15, CHIR99021 GSK3 inhibitor and no feeder cells for 7 days

NCT03213964 NCT03081780

   

FT596

iPSCs

NHL, DLBCL, High-grade B-cell Lymphoma

iPSCs transduced and differentiated in CD34 + hnCD16 + (18–21 days), CD34 differentiation in B0 medium with 20% HS, IL-3, IL-7, IL-15, SCF, Flt3L on EL08-1D2 stroma (culture days 28–35). NK-cells expanded using irradiated K562-mbIL21-41BBL cells and IL-2

 

NCT04555811

 

NCT04555811

FT516

iPSCs

Ovarian Cancer, Fallopian Tube Adenocarcinoma, Primary Peritoneal Cavity Cancer

 

NCT04630769

 

NCT04630769

FT538

iPSCs

AML, Myeloid Leukemia and Monocytic Leukemia

 

NCT04714372

 

NCT04714372

PB-NK

AML

CD3-/CD19-/CD56 + cultured overnight with IL-2

  

NCT01106950

 

PB-NK

NHL or CLL

CD3- cultured with IL-2 overnight

  

NCT00625729

 

PB-NK

NHL, CLL

CD3-/CD19-cultured in X-VIVO 15 with 10% HS and IL-2

  

NCT01181258

 

PB-NK

AML

CD3-/CD19- cultured overnight with ALT-803

  

NCT03050216

 

UCB-NK

Leukemia, MDS

No information found

  

NCT00354172

 

MD Anderson Cancer Center

K-NK003

PB-NK

AML, MDS, CML

CD3- with feeder-free with PM21 particles for 13 days

NCT05115630

 

NCT05115630

 

PB-NK or UCB-NK

Myeloid Malignancies

Ex vivo expansion. No additional information found

  

NCT01823198

 

PB-NK

AML, MDS, CML

CD3- with FC21 in RPMI-1640 medium with IL-2 for 14 days

  

NCT01904136

 

PB-NK

Pediatric Leukemia, Lymphoma, Leukemia

No information found

  

NCT00941928 NCT00383994

 

UCB-NK

Solid Tumors, B-cell Lymphoma, MDS, AML, CRC, MM, B-cell NHL, Hematological Malignances

*Culture with 45% RPMI-1640 and 45% Click’s media with 10% HS, IL-2 and IL-21 expressing-K562 (aAPC) feeder cells (clone9.mbIL21) for 14 days. CD3 depletion on day 7 before plating the cells again

^Transduced on day 6 and harvested on day 15

*NCT03420963

^NCT03056339 NCT03579927 NCT05110742 NCT05092451

NCT05040568 NCT02280525 NCT01619761 NCT03019640 NCT01729091

NCT03579927

AFM13-NK

UCB-NK

HL, NHL

CD56 + with IL-2 and irradiated K562 (clone 9.mbIL21) feeder cells

  

NCT04074746

 

NK-92

MDS, Leukemia, Lymphoma, MM

No information found

  

NCT02727803

 

Medical College of Wisconsin

PB-NK

Sarcomas

No information found

  

NCT02100891

 

Memorial Sloan Kettering Cancer Center

PB-NK

Neuroblastoma

CD3-/CD56 + cultured with IL-2 overnight

  

NCT00877110 NCT02650648

 

Miltenyi Biotech

PB-NK

AML

CD3-/CD19- or CD3-/CD56 + . No additional information found

NCT03152526

   

Nanfang Hospital of Southern Medical University

UCB-NK

HCC

No information found

  

NCT05171309

 

National Cancer Institute

PD-L1 t-haNK

NK-92

GEJ Cancers, HNSCC

Culture with phenol-red free and gentamycin-free X-VIVO 10 medium, 5% HS and co-irradiated prior to infusion

 

NCT04847466

 

NCT04847466

PB-NK

Leukemia, Lymphoma

Culture with K562-mbIL15-41BBL and IL-15

  

NCT01287104

 

National University Health System Singapore

PB-NK

B-ALL, Neuroblastoma

Cultured with K562-mb15-4-1BBL *(with IL-2 and then transduced)

 

*NCT01974479

NCT03242603

 

Nkarta Therapeutics

NKX101-101

PB-NK

AML, MDS

Culture with stimulatory cells, transduced and expanded with mbIL-15

 

NCT04623944

  

NKX019

PB-NK

NHL, CLL, B-ALL

 

NCT05020678

  

Ohio State University Comprehensive Cancer Center

K-NK003

PB-NK

AML, MDS

CD3- with FC21 mbIL21 feeder cells for 13 days

NCT04220684

   

PB-NK

T cell Leukemia/Lymphoma

Culture with NK cell expansion medium, IL-2 from day 3, irradiated K562 Cl9 mIL21 (CSTX002) feeder cells for 21 days

  

NCT04848064

 

PersonGen BioTherapeutics

NK-92

Solid Tumors, AML, Leukemias, Lymphomas,

No information found

 

NCT02839954 NCT02944162 NCT02742727

  

PCAR-119

NK-92

B-cell Lymphoma, Leukemia

No information found

 

NCT02892695

  

Precision Biotech Taiwan Corp

PB103

PB-NK

NSCLC

Culture with DMEM-F12, ultraGRO, RPMI-1640 or SCGM media, without serum, with IL-2, heparin, anti-CD3 mAb for 10–16 days

NCT04616209

   

Radboud University

UCB-CD34

AML, Ovarian Cancer, Fallopian tube or Primary Peritoneal Carcinoma

CD34 + culture process includes StemRegenin 1, GM-CSF, G-SCF, IL-6, SCF, Flt3L, TPO, IL-7, IL-2 and IL-15, 10% HS for 42 days

NCT04347616 NCT03539406

   

Royan Institute

PB-NK

GBM

Culture with RPMI-1640 medium, IL-2 and HSP70 for 16 days

NCT05108012

   

Samsung Medical center

PB-NK

Neuroblastoma, Soft Tissue Sarcomas and Osteosarcomas

No information found

  

NCT01807468

 

Seoul National University Hospital

MG4101

PB-NK

AML

CD3- with CellGro SCGM serum free medium, 1% auto-plasma, anti-CD3 (OKT3), IL-2 and irradiated autologous PBMCs for 14 days

NCT03349502

   

Shandong Golden Brick Biotechnology

UCB-NK

Advanced Gastric Cancer

No information found

NCT04385641

   

Shanghai East Hospital

Unknown

Solid Tumors

No information found

 

NCT05137275

  

Shanghai iCELL Biotechnology

 

PB-NK

AML

No information found

NCT04209712

   

SMT bio

SMT-NK

PB-NK

BTC

No information found

  

NCT03937895

 

St. Jude Children's Research Hospital

PB-NK

B-ALL, Leukemia, Lymphoma

*CD3- hematopoietic progenitor cells CD34 + CD45RA-

 

NCT00995137

*NCT01807611 NCT01621477 NCT01576692

 

PB-NK

Pediatric AML, ALL, CML, MDS, Histiocytosis, Neuroblastoma, Lymphoma, High-risk Tumors

CD3-/CD56 + infused fresh *(less than 12 h process)

  

*NCT00145626 *NCT02130869

 

PB-NK

Pediatric Neuroblastoma

  

NCT01857934

 

Takeda

TAK-007

UCB-NK

B-cell NHL, NHL

No information found

 

NCT05020015

  

The Third Affiliated Hospital of Guangzhou Medical University

PB-NK

Metastatic Solid Tumors

Culture with NK cell growth medium with 1% HS and IL-2

 

NCT03415100

  

University Hospital, Basel, Switzerland

PB-NK

AML, MDS

CD3-/CD56 + with SCGM medium, 5% HS, IL-2, IL-15, fresh anti-CD3 every day and irradiated autologous feeder cells for 19–20 days

NCT03300492

   

University of Arkansas

PB-NK

MM

Culture with K562 mIL15/4-1BBL

  

NCT01313897

 

University of Wisconsin

EANK

PB-NK

Neuroblastoma, Osteosarcoma

Culture with K562-mbIL15-41BBL

  

NCT03209869

 

Washington University School of Medicine

WU-NK-101

PB-NK

AML, MDS

Culture with RPMI-1640 medium, 10% HS, no feeder cells for 14 days. Activation with heteromeric fusion protein complex IL-12, IL-15, IL-18 (WU-PRIME) for 12-16 h

NCT04893915

   

PB-NK

AML, MDS

*CD3-/CD56 + with IL-2, IL-15 and IL-18 for 12 h

NCT04354025

 

*NCT01898793

 

Wuhan Union Hospital

UCB-NK

NHL, CLL

No information found

 

NCT04796675

  

Xinqiao Hospital of Chongqing

 

UCB-NK

MM

No information found

 

NCT05008536

  

Unknown

NHL, AML

No information found

 

NCT04639739 NCT05008575

  

Xinxiang Medical University

NK-92

NSCLC

No information found

 

NCT03656705

  

Yonsei University

PB-NK

BTC

ALyS505NK-IL2 for 21 days

NCT03358849

   
  1. Allogeneic NK cell therapies currently under clinical development are presented, arranged by sponsor of the clinical study. Data is collected from N = 36 clinical trials with non-engineered, N = 53 with engineered, N = 62 with non-engineered combination and N = 34 with engineered combination allogeneic NK cell therapies, registered on ClinicalTrials.gov between March 2017 and December 2021 (for non-engineered monotherapies), or until 31–12-2021 (for the other categories). Product name, NK cell source, treated malignancy, cell culture process (when available) and type of clinical product development (Non-engineered, Engineered, Combination Non-engineered, or Combination Engineered) are described. Trial status is updated to August 2022
  2. 4-1BBL: 4-1BB ligand; aAPC: Artificial antigen presenting cells; AML: Acute Myeloid Leukemia; B-ALL: B cell—Acute Lymphoblastic Leukemia; BTC: Biliary Tract Cancer; CLL: Chronic Lymphocytic Leukemia; CML: Chronic Myeloid Leukemia; CRC: Colorectal Cancer; DLBCL: Diffuse Large B-cell Lymphoma; DMEM: Dulbecco's Modified Eagle's Medium; dMMR: Mismatch Repair Deficiency; EGFR: Epidermal Growth Factor Receptor; FC21: Feeder Cells 21; FCS: Fetal Calf Serum; FL: Follicular Lymphoma; Flt-3L: FMS-like tyrosine kinase 3 ligand; GBM: Glioblastoma Multiforme; G-CSF: granulocyte colony stimulating factor; GEJ: Gastroesophageal Junction; GM-CSF: Granulocyte–Macrophage Colony-Stimulating Factor; GSK3: Glycogen synthase kinase-3; Gy: Gray; HCC: Hepatocellular Carcinoma; HER2: Human Epidermal Growth Factor Receptor 2; HL: Hodgkin Lymphoma; HNC: Head and Neck Cancer; hnCD16: high affinity non-cleavable CD16; HNSCC: Head and Neck Squamous Cell Carcinoma; HS: Human Serum; HSP70: Heat Shock Protein 70; IL-12: Interleukin-12; IL-15: Interleukin-15; IL-15Rα: Interleukin-15 receptor α; IL-18: Interleukin-18; IL-2: Interleukin-2; IL-21: Interleukin-21; IL-3: Interleukin-3; IL-6: Interleukin-6; IL-7: Interleukin-7; iPSCs: induced Pluripotent Stem Cells; mbIL-15: Membrane bound Interleukin-15; mbIL-21: Membrane bound Interleukin-21; MCC: Merkel Cell Carcinoma; MDS: Myelodysplastic Syndrome; MM: Multiple Myeloma; MSI-H: Microsatellite Instability; NHL: Non-Hodgkin Lymphoma; NK cells: Natural Killer cells; NSCLC: Non-small Cell Lung Cancer; PBMC: Peripheral Blood Mononuclear Cells; PB-NK: Peripheral blood NK cells; PM21: Plasma Membrane 21; RCC: Renal Cell Cancer; RPMI-1640: Roswell Park Memorial Institute Medium; SCC: Squamous Cell Carcinoma; SCF: Stem Cell Factor; SCGM: Stem Cell Growth Medium; SCLC: Small Cell Lung Cancer; TNBC: Triple Negative Breast Cancer; TPO: Thrombopoietin; UCB-CD34: Umbilical cord blood CD34 + cells; UCB-NK: Umbilical cord blood NK cells; α-MEM: α-Minimum Essential Medium