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Table 2 Ongoing clinical trials to evaluate TGF-β pathway antagonists in oncology

From: Novel therapies emerging in oncology to target the TGF-β pathway

Study NCT Registry Number

Agent

Target(s)

Study Population

Number of Patients

Phase

Clinical status

Small molecule receptor kinase inhibitors

NCT03724851

Vactosertib + Pembrolizumab

TGF-β RI

Metastatic CRC, gastric, or GEJC adenocarcinoma

67

Ib/IIa

Active, recruiting

NCT03732274

Vactosertib + Durvalumab

TGF-β RI PD-L1

Advanced NSCLC

63

Ib/IIa

Active, recruiting

NCT04064190

Vactosertib + Durvalumab

TGF-β RI PD-L1

Urothelial cancer

48

II

Active, recruiting

NCT03143985

Vactosertib + Pomalidomide

TGF-β RI IMiD Agent (Cereblon)

Relapsed/ Refractory Multiple myeloma

18

Ib/IIa

Active, recruiting

NCT03698825

Vactosertib + Paclitaxel

TGF-β RI Tubulin/ Mitotic spindle

Second line therapy for metastatic gastric AC

62

Ib/IIa

Active, recruiting

NCT04103645

Vactosertib

TGF-β RI

Anemic, Ph-neg, MPN

37

II

Active, not recruiting

NCT04258072

Vactosertib naI-IRI/FL

TGF-β RI Chemotherapy

Metastatic pancreatic Adenocarcinoma

24

Ib/IIa

Active, not recruiting

NCT03802084

Vactosertib Imatinib

TGF-β RI BCR-abl

Advanced desmoid tumor

24

Ib/IIa

Active recruiting

NCT02452008

Galunisertib + Enzalutamide

TGF-β RI AR

Castration-resistant prostate cancer

60

II

Active, recruiting

NCT03206177

Galunisertib + Carboplatin/ Paclitaxel

TGF-β RI Chemotherapy

Ovarian carcinosarcoma

25

I

Active, recruiting

NCT02688712

 Galunisertib + Chemo/RT

TGF-β RI

Locally advanced rectal cancer

 

II

Active, recruiting

NCT04031872

LY3200882 Capecitabine

TGF-β RI Chemotherapy

Advanced Chemotherapy Resistant Colorectal Cancer and an Activated TGF-beta Signature

31

I/II

Active, not recruiting

Antibodies

      

NCT02581787

Fresolimumab + SBRT

TGF-β1, β2, β3 RT

Stage Ia/Ib NSCLC

60

I/II

Active, not recruiting

NCT03192345

SAR438459 + Cemiplimab

TGF-β1, β2, β3 PD-L1

Advanced solid tumors

350

I

Active, not recruiting

NCT04291079

SRK-181 + Anti-PD-L1

TGF-β1 PD-L1

Locally advanced or metastatic solid tumors

183

I

First-in-human, dose-escalation, dose expansion study to evaluate safety, tolerability, PK, PD

Ligand Traps

      

NCT04349280

Bintrafusp alfa

TGF-β RII and PD-L1

Metastatic or Locally Advanced/Unresectable Urothelial Cancer With Disease Progression or Recurrence Following Treatment With a Platinum Agent

40

Ib

Active, recruiting

NCT04501094

Bintrafusp alfa

TGF-β RII and PD-L1

Checkpoint inhibitor naive urothelial carcinoma 

75

II

Active, not yet recruiting

NCT04066491

Cisplatin/Gemcitabine +/- Bintrafusp alfa

Chemotherapy TGF-β RII and PD-L1

First-line Treatment of Biliary Tract Cancer

512

II/III

Active, recruiting

NCT04220775

SBRT Bintrafusp alfa

RT TGF-β RII and PD-L1

Recurrent or Second Primary Head and Neck Squamous Cell Cancer

21

I/II

Active, not yet recruiting

NCT03833661

Bintrafusp alfa

TGF-β RII and PD-L1

 Locally Advanced or Metastatic Biliary Tract Cancer Who Fail or Are Intolerant to First-line Platinum-Based Chemotherapy

159

II

Active, not recruiting

NCT03524170

Bintrafusp alfa

TGF-β RII and PD-L1

Metastatic Hormone Receptor Positive, HER2 Negative Breast Cancer

20

I

Active, recruiting

NCT04296942

Bintrafusp alfa

TGF-β RII and PD-L1

Advanced Stage Breast Cancer (BrEAsT)

65

I

Active, recruiting

 

Brachyury-TRICOM Ado-trastuzumab Emtansine

Vaccines HER2 HDAC deacetylase

    

NCT03436563

Bintrafusp alfa

TGF-β RII and PD-L1

Metastatic colorectal cancer or advanced solid tumors with MSI-high

74

I/II

Active, recruiting

NCT03840915

Platinum regimen Bintrafusp alfa + and PD-L1

Chemotherapy TGF-β RII

 Stage IV Non-small Cell Lung Cancer

70

Ib/II

Active, not recruiting

NCT03840902

Chemo-RT Bintrafusp alfa + 

Chemo-RT TGF-β RII

 Unresectable Stage III Non-small Cell Lung Cancer. Bintrafusp alfa with concurrent chemoradiation followed by bintrafusp vs. concurrent chemoradiation + placebo followed by durvalumab

350

III

Active, recruiting

Vaccines

      

NCT02346747

Vigil

Vaccine

Stage IIIb, IIIc, IV high-grade papillary, serous, clear cell, serous ovarian cancer.

91

II

Active, not recruiting

NCT03073525

Vigil Atezolizumab

Vaccine PD-L1

Stage IIIb, IV ovarian cancer. Patients had tumor harvested at surgery and successful manufacturing of Vigil but were ineligible for CL-PTL-119 (the VITAL study) or previously randomized to placebo.

25

II

Active, not recruiting

NCT02725489

Vigil Durvalumab

Vaccine PD-L1

Advanced Women’s cancers. Confirmed diagnosis of women's cancer, inclusive, but not limited to breast, ovarian, fallopian tube, primary peritoneal, uterine, cervical, endometrial, that is locally advanced or metastatic for which the projected response rate to durvalumab is 15% or less.

13

II

Active, not recruiting

NCT02511132

Vigil

Vaccine

 Metastatic Ewing's sarcoma refractory or intolerant to at least 1 prior line of systemic chemotherapy.

22

IIb

Active, not recruiting

 

vs. Gem/docetaxel

Chemotherapy

   

(Part A)

 

 + Temozolomide/ Irinotecan

   

II

(Part B)

NCT03842865

Vigil

Vaccine

 Expanded Access Trial of Vigil (Bi-shRNAfurin and GMCSF Augmented Autologous Tumor Cell Immunotherapy) in Advanced Solid Tumors including Ewing's sarcoma, Ewing's tumor metastatic, Ewing's sarcoma metastatic, advanced gynecological cancers, ovarian, cervical, and uterine cancers. 

40

Expanded Access

Temporarily not available

  1. Summary of ongoing clinical trials that are utilizing TGF-β targeting agents in solid tumor as well as hematological malignancies including MM and MPNs. Twelve trials utilized small molecule inhibitors, three utilized antibodies, nine utilized ligand traps, and five utilized vaccination strategies