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Table 6 Summary of clinical trials investigating the combination of ADCs and immunotherapy

From: The promise and challenges of combination therapies with antibody-drug conjugates in solid tumors

Target

NCT number

Other names

Drug

Partner drugs

Partner drug category (target)

Phase

Start

Treatment setting

Efficacy

HER2

NCT02605915 [139]

 NA

T-DM1

Atezolizumab

IO

Ib

2015

mBC

Positive

NCT02924883 [140]

KATE2

T-DM1

Atezolizumab

IO

II

2016

mBC

Negative

NCT03364348 (completed)

 NA

T-DM1

Utomilumab

4-1BB

IB

2017

mBC

NA

NCT03032107 [141]

 NA

T-DM1

Pembrolizumab

IO

Ib

2017

mBC

NA

NCT03523572 [77]

DS8201-A-U105

T-DXd

Nivolumab

IO

Ib

2018

mBC & mUC

Positive

NCT04042701 [78]

 NA

T-DXd

Pembrolizumab

IO

Ib

2019

mBC & mNSCLC

NA

NCT04379596 [142]

DESTINY-Gastric03

T-DXd

5-FU

CT

Ib/II

2020

mGC

NA

Durvalumab

IO

Capecitabine

CT

CAPOX

CT

5-FU and Durvalumab

CT + IO

Capecitabine, and Durvalumab

CT + IO

5-FU or Capecitabine, and Cisplatin or Oxaliplatin

CT

Chemotherapy (FP) and Pembrolizumab

CT + IO

Chemotherapy and BSP (MEDI5752)

CT + IO

5-FU or Capecitabine, and Pembrolizumab

CT + IO

Pembrolizumab

IO

NCT04556773 (active, not recruiting)

DB-08

T-DXd

Durvalumab

IO

Ib

2020

mBC

NA

Capecitabine

CT

Capivasertib

CT

Durvalumab + Paclitaxel

CT + IO

Anastrozole

ET

Fulvestrant

ET

NCT04538742 [81]

DB-07

T-DXd

Durvalumab

IO

Ib/2

2020

mBC

NA

Tucatinib

HER2 TKI

Pertuzumab

HER2 mAb

Paclitaxel

CT

Durvalumab + Paclitaxel

CT + IO

NCT05480384 (recruiting)

BrUOG 413

T-DXd

Nivolumab

IO

II

2022

Adjuvant, esophagogastric adenocarcinoma

NA

NCT04264936 [80]

RC48-C014

RC48

Toripalimab

IO

Ib/II

2020

mUC

Positive

NCT04460456 [143]

 NA

SBT6050

Pembrolizumab

IO

I

2020

Advanced solid tumors

Positive

Cemiplimab

IO

NA

NCT05113459 (not yet recruiting)

RC48-C018

RC48

Sintilimab and Capecitabine

CT + IO

II

2021

Neoadjuvant, GC

NA

NCT04879329 [144]

RC48G001

RC48

Pembrolizumab

IO

II

2021

mUC

NA

NCT05016973 (not yet recruiting)

 NA

RC48

Triplizumab

IO

II

2021

Neoadjuvant, MIBC

NA

NCT04873362 [145]

Astefania

T-DM1

Atezolizumab

IO

III

2021

Adjuvant, BC

NA

NCT04740918 [146]

KATE3

T-DM1

Atezolizumab

IO

III

2021

mBC

NA

NCT05488353 (not yet recruiting)

 NA

RC48

Penpulimab Injection

IO

 

2022

Neoadjuvant, bladder urothelial carcinoma

NA

NCT05495724 (recruiting)

 NA

RC48

Tislelizumab

IO

II

2022

High-Risk Non-Muscle Invasive Bladder Cancer

NA

NCT05493683 (recruiting)

 NA

RC48

Tislelizumab

IO

II

2022

mCRC

NA

NCT05333809 (not yet recruiting)

 NA

RC48

Pembrolizumab

IO

II

2022

mCRC

NA

NCT05313906 (not yet recruiting)

 NA

RC48

AK105 + Cisplatin

CT + IO

II

2022

mGC

NA

NCT05417230 (not yet recruiting)

 NA

RC48

Envafolimab

IO

II

2022

mBTC

NA

NCT05115500 (not yet recruiting)

PRaG3.0

RC48

Hypofractionated RT, PD-1/PD-L1 inhibitor sequential GM-CSF and IL-2

IO + RT

II

2022

Advanced solid tumors

NA

NCT05297552 (recruiting)

 NA

RC48

Toripalimab

IO

II

2022

NA

NCT05302284 (recruiting)

 NA

RC48

Toripalimab

IO

III

2022

mUC

NA

NCT05320588 (recruiting)

 NA

BIO-106

Pembrolizumab

IO

I/II

2022

Advanced solid tumors

NA

NCT05514158 (recruiting)

 NA

RC48

Chemotherapy (Capecitabine or 5-FU) + Nivolumab

CT + IO

I

2022

mGC

NA

RC98

IO

NCT05979740 (recruiting)

 NA

RC48

Toripalimab + RT

IO + RT

II

2023

MIBC

NA

TROP2

NCT03742102 [147]

BEGONIA

T-DXd

Durvalumab

IO

IB/II

2018

mBC

Positive

Dato-DXd

Durvalumab

IO

NA

NCT03337698 [148]

Morpheus Lung

SG

Atezolizumab

IO

Ib/II

2017

mNSCLC

 

NCT03424005 (active, not recruiting)

Morpheus-panBC

SG

Atezolizumab

IO

Ib/II

2018

mBC

NA

NCT03971409 (recruiting)

InCITe

SG

Avelumab

IO

II

2019

mBC

NA

NCT03869190 [149]

MORPHEUS-UC

SG

Atezolizumab

IO

Ib/II

2019

mUC

NA

NCT04434040 [150]

ASPRIA

SG

Atezolizumab

IO

II

2020

Adjuvant, BC

NA

NCT04468061 [151]

 NA

SG

Pembrolizumab

IO

II

2020

mBC

NA

NCT04448886 [152]

 NA

SG

Pembrolizumab

IO

II

2020

mBC

NA

NCT04381832 [153]

 NA

SG

Etrumadenant + Zimberelimab

Dual adenosine receptor antagonist + IO

I/II

2020

mCRPC

Positive

NCT04863885 [154]

 NA

SG

IPI-NIVO

IO

I/II

2021

mUC

Positive

NCT05382286 (recruiting)

ASCENT-04

SG

Pembrolizumab

IO

III

2022

mBC

NA

NCT05186974 [155]

EVOKE-02

SG

Pembrolizumab

IO

II

2022

mNSCLC

NA

Pembrolizumab and a platinum agent (Carboplatin or Cisplatin)

CT + IO

NCT05327530 [156]

JAVELIN Bladder Medley

SG

Avelumab

IO

II

2022

mUC

NA

NCT05687266 (recruiting)

AVANZAR

Dato-DXd

Durvalumab + Carboplatin

CT + IO

III

2022

mNSCLC

NA

NCT05489211 [157]

TROPION-PanTumor03

Dato-Dxd

Durvalumab

IO

II

2022

Advanced solid tumors

NA

Durvalumab + AZD5305

IO + PARP1 inhibitor

NCT04526691 [158]

TROPION-Lung02

Dato-Dxd

Pembrolizumab

Carboplatin/ Cisplatin

I

2020

Advanced or metastatic NSCLC

Positive

NCT04612751 [159]

TROPION-Lung04

Dato-Dxd

Durvalumab AZD2936 MEDI5752

Carboplatin

Ib

2020

Advanced or metastatic NSCLC

NA

NCT05941507 (not yet recruiting)

 NA

LCB84

Anti-PD-1

IO

I/II

2023

Advanced solid tumors

NA

Nectin-4

NCT03924895 [160]

KEYNOTE-905/EV-303

EV

Pembrolizumab

IO

III

2019

Perioperative, MIBC

NA

NCT04223856 [161]

EV-302

EV

Pembrolizumab

IO

III

2020

mUC

Positive

Pembrolizumab + Cisplatin or Carboplatin

CT + IO

NA

NCT04960709 [162]

VOLGA

EV

Durvalumab + Tremelimumab

IO

III

2021

Perioperative, MIBC

NA

Durvalumab

IO

NCT04700124 [163]

MK-3475-B15/ KEYNOTE-B15 / EV-304

EV

Pembrolizumab

IO

III

2021

Perioperative, MIBC

NA

NCT05239624 (recruiting)

EV-ECLIPSE

EV

Pembrolizumab

IO

II

2022

Neoadjuvant, UC

NA

NCT05756569 (not yet recruiting)

 NA

EV

Pembrolizumab

IO

II

2023

mUC

NA

NCT05775471 (not yet recruiting)

 NA

EV

Pembrolizumab

IO

II

2023

Perioperative, High-risk upper tract urothelial cancer

NA

EGFR

NCT04305795 (active, not recruiting)

 NA

ASP-1929

Pembrolizumab

IO

I/II

2020

Advanced solid tumors

NA

Cemiplimab

IO

EGFR

NCT05265013 (active, not recruiting)

 NA

ASP-1929

Pembrolizumab

IO

II

2022

Locoregional recurrent SCCHNC, with or without metastases, not amenable to curative local treatment

NA

ROR2

NCT03504488 (recruiting)

 NA

CAB-ROR2-ADC

PD-1 inhibitor

IO

I/II

2018

Advanced solid tumors

NA

FRα

NCT02606305 [28]

 NA

Elahere

Pembrolizumab

IO

Ib/II

2022

High-grade epithelial ovarian, primary peritoneal, or fallopian tube cancers

NA

NCT03835819 [164]

 NA

Elahere

Pembrolizumab

IO

II

2019

mEC

NA

AXL

NCT03425279 [165]

 NA

CAB-AXL-ADC

PD-1 inhibitor

IO

I/II

2018

Advanced, refractory sarcoma

NA

AXL

NCT04681131 (recruiting)

 NA

CAB-AXL-ADC

PD-1 inhibitor

IO

II

2021

mNSCLC

NA

  1. T-DM1, Ado-trastuzumab emtansine; T-DXd, fam-trastuzumab deruxtecan; HER2, human epidermal growth factor receptor 2; HER3, human epidermal growth factor receptor 3; mBC, metastatic breast cancer; mUC, metastatic urothelial cancer; ET, endocrine therapy; MIBC, muscle invasive bladder cancer; SG, sacituzumab govitecan; EV, enfortumab vedotin; TV, tisotumab vedotin; CT, chemotherapy; IO, immunotherapy; B7-H3,B7 homolog 3 protein; ErbB, epidermal growth factor receptor; GM-CSF, granulocyte–macrophage colony-stimulating factor; mEC, metastatic endometrial cancer; ATR, ataxia telangiectasia and RAD3-related; TROP2, trophoblast cell surface antigen 2; TF, tissue factor; FRα, folate receptor alpha; mNSCLC, metastatic non-small cell lung cancer; FGFR, fibroblast growth factor receptor; TKI, tyrosine kinase inhibitor; MET, cellular-mesenchymal to epithelial transition factor; mCRPC, metastatic castrate resistant prostate cancer; Dato-Dxd, datopotamab deruxtecan; IPI-NIVO, nivolumab (Nivo) and ipilimumab (Ipi); SCCHNC, squamous cell carcinoma of the head and neck; 4-1BB, T cell co-stimulatory receptor agonist; MIBC, muscle invasive bladder cancer; NA, not applicable