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Table 4 Summary of clinical trials utilizing agents targeting LAG3 alone or in combination with others

From: Fibrinogen-like protein 1 (FGL1): the next immune checkpoint target

Drug

Clinical trial number

Phase

Status

Tumor type

Clinical efficacy

Safety

Details

MGD013 (tebotelimab)

NCT04212221

I/II

Recruiting

HCC

NA

NA

In combination with brivanib alaninate (ZL-2301)

 

NCT04653038

I

Recruiting

Melanoma

NA

NA

Single agent

 

NCT04634825

II

Recruiting

HNSCC

NA

NA

Tebotelimab or retifanlimab (PD-1 antibody) plus enoblituzumab (B7-H3 antibody)

 

NCT03219268

 

Active, not recruiting

Neoplasms (unresectable or metastatic)

NA

Fatigue: 19%

Nausea: 11%

Grade ≥ 3 TRAEs: 23.2%

irAEs were consistent with events observed in anti-PD-1 antibodies

BMS-986016

(relatlimab)

NCT03470922

II/III

Active, not recruiting

Melanoma (unresectable or metastatic)

NA

NA

In combination with nivolumab (anti-PD-1 mAb)

REGN3767 (fianlimab)

NCT03005782

I

Recruiting

Malignancies

ORR: 64% (21 of 33 patients; 3 complete responses, 18 partial responses)

Monotherapy TRAE

Nausea: 22.2%

Increased ALT and AST: 3.7%

Combination therapy TRAE

Fatigue: 31%

Rash: 23%

Grade ≥ 3 irAEs:

Hypothyroidism: 2.4%

In combination with Cemiplimab (REGN2801)

BI 754111

NCT03156114

NCT03433898

NCT03697304

NCT03780725

I/II

Active, not recruiting/

Recruiting/

completed

Carcinoma, NSCLC,

Head and neck neoplasms

NA

Any AEs: 86.7%;

Any irAEs: 21.1%

IRRs: 4.9%

Hypothyroidism: 3.2%

In combination with 754091 (anti-PD-1 mAb)

IMP321 (eftilagimod alpha)

NCT02676869

I

Completed

Stage IV/III melanoma

ORR: 33–50%

No dose-limiting toxicities

Main AE: IRR

In combination with

pembrolizumab (anti-PD-1 mAb)

 

NCT03625323

II

Recruiting

NSCLC

HNSCC

NA

NA

 

BMS-986213

(relatlimab, nivolumab)

NCT03662659

II

Active, not recruiting

GC/GEJC

NA

NA

Relatlimab/nivolumab, given in combination with chemotherapy

BMS-986016

(relatlimab)

NCT03607890

II

Recruiting

MSI-H tumors

NA

NA

Utilized in patients with MSI-H solid tumors refractory to prior PD-(L)1 therapy

LAG525

(IMP701)

NCT03365791

II

Completed

Advanced solid and hematologic malignancies

NA

AEs: 98.7%

Fatigue: 36.84%

Nausea: 34.21%

SAEs: 42.1%

Pneumonia: 6.58%

In combination with

spartalizumab (PDR001) (anti-PD-1 mAb)

Sym022

NCT0331141

I

Recruiting

Metastatic cancer

solid tumors

lymphoma

NA

Grade ≥ 3 TRAEs:

Increased CPK: 10%

Decreased lymphocytes: 5% Hypophysitis: 5%

In combination with Sym021 (anti-PD-1) or Sym023 (anti-TIM3)

LBL-007

NCT04640545

I

Recruiting

Advanced melanoma

NA

NA

In combination with toripalimab (anti-PD-1 mAb)

FS0118

NCT03440437

I/II

Recruiting

Advanced malignancies

NA

NA

Single agent

TSR-033

NCT03250832

I

Active, not recruiting

Neoplasms

NA

NA

TSR-033/dostarlimab (anti-PD-1 mAb) in combination with chemotherapy

  1. ALT: alanine aminotransferases; AST: aspartate aminotransferases; MSI-H: high levels of microsatellite instability; GEJC: esophagogastric junction cancer; HNSCC: head and neck squamous cell carcinoma; irAE: immune-related adverse event; IRR: infusion-related reaction; NA: not available; ORR: objective response rate; TRAE: treatment-related adverse event; SAE: severe adverse event; mAb: monoclonal antibody