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Table 2 Summary of immune checkpoint inhibitors and ongoing clinical trials in NKTCL patients

From: Novel target and treatment agents for natural killer/T-cell lymphoma

Agent

Target

Trial ID

Patient number (evaluable /estimate)

Study phase

Combined agents

Indication

Results for NKTCL

References

Avelumab

PD-L1

NCT03439501

21

2

/

r/r NKTCL

ORR: 38%

CR:24%

[60]

Sugemalimab (CS1001)

PD-L1

NCT05700448

150

3

P-GemOx

r/r NKTCL

/

/

Sugemalimab (CS1001)

PD-L1

NCT03595657

80

2

/

r/r ENKTL

ORR:46.2%,

CR:30.4%

1y OS:68.6%

2y OS:54.6%

[61, 62]

IMC-001

PD-L1

NCT04414163

20

2

/

r/r NKTCL

/

/

Camrelizumab (SHR-1210)

PD-1

NCT03363555

97

2

/

r/r NKTCL

/

/

Toripalimab

PD-1

NCT04365036

207

3

P-GemOx

Newly diagnosed early stage NKTCL

/

/

Sintilimab

PD-1

NCT03228836

28

2

/

r/r NKTCL

ORR: 75.0%

1y OS:82.1%

2y OS: 78.6%

[58]

Sintilimab

PD-1

NCT04279379

20

2

Decitabine

r/r or advanced NKTCL

/

/

Sintilimab

PD-1

NCT04127227

63

2

P-GemOx

Newly diagnosed advanced ENKTL

ORR:100%

CR:87.5%

1y OS:100%

1y PFS:95%

[126]

Sintilimab

PD-1

NCT05008666

37

2

Chidamide

Azacitidine

L-DEP

ENKTL-HLH

/

/

Sintilimab

PD-1

NCT04676789

30

2

Pegaspargase

Limited stage NKTCL

/

/

Sintilimab

PD-1

NCT03936452

55

2

Pegaspargase

Anlotinib

Untreated, limited stage NKTCL

ORR:87.8%

CR:87.8%

2y PFS:87.6%

2y OS:97.9%

[127]

Tislelizumab

PD-1

NCT05477264

38

2

/

Newly diagnosed NKTCL

/

/

Immune Tislelizumab

PD-1

NCT05254899

54

2

P-GemOx

High-risk early stage ENKTL

/

/

Tislelizumab

PD-1

NCT05464433

46

1/2

Mitoxantrone hydrochloride liposome

r/r NKTCL

/

/

Tislelizumab

PD-1

NCT05058755

62

NA

/

r/r NKTCL

/

/

Tislelizumab

PD-1

NCT04038411

50

2

Chidamide, Lenalidomide, Etoposide

r/r NKTCL

CR:50.0%

1y PFS:86.8%

[76]

Tislelizumab

PD-1

NCT03493451

77 (22 NKTCL)

2

/

r/r mature T- and NK-cell neoplasms

ORR 31.8%

CR 18.2%

[128]

Pembrolizumab

PD-1

NCT04417166

30

2

/

Untreated, limited stage NKTCL

/

/

Pembrolizumab

PD-1

NCT03728972

19

2

/

Untreated, early-stage ENKTL

/

/

Pembrolizumab

PD-1

NCT03107962

20

2

/

r/r NKTCL

/

/

IBI318

PD-1 and PD-L1 bispecific

NCT04602065

129

1/2

/

r/r NKTCL

/

/

  1. PD-1: programmed cell death protein 1, PD-L1: programmed cell death ligand 1, NKTCL: natural killer/T-cell lymphoma, ORR: objective response rate, CR: complete remission, PR: partial remission, OS: overall survival, PFS: progression-free survival, P-GemOx: pegaspargase, gemcitabine, and oxaliplatin, ENKTL: extranodal natural killer/T-cell lymphoma, L-DEP: L-asparaginase, doxorubicin liposome, etoposide and methylprednisolone