Table 2.
Targeting brain-body-tumor crosstalk: current therapeutics and research landscape
| Tumor type | Therapy | Target | Phase | Actual or target accrual | Primary endpoint | Status | Outcome | Reference |
|---|---|---|---|---|---|---|---|---|
| H3K27M spinal cord glioma | ONC201 | DRD2/DRD3 antagonist | Phase 2 | 84 | Progression-free survival | Terminated | 8 of 12 patients alive at < 12 months median follow-up | NCT02525692 |
| H3K27M diffuse midline glioma | ONC201 | DRD2/DRD3 antagonist | Phase 2 | 95 | Objective response rate | Ongoing | Not reported | NCT03295396 |
| Neuroendocrine tumours | ONC201 | DRD2/DRD3 antagonist | Phase 2 | 30 | Tumour response | Completed | 56% progressed | NCT03034200 |
| Paediatric diffuse intrinsic pontine glioma | ONC201 | DRD2/DRD3 antagonist | Phase 1 | 134 | Recommended phase 2 dose | Terminated | Not reported | NCT03416530 |
| Endometrial cancer | ONC201 | DRD2/DRD3 antagonist | Phase 2 | 27 | Progression-free survival | Terminated | Not reported | NCT03485729 |
| Ovarian, fallopian tube, or primary peritoneal cancer | ONC201 | DRD2/DRD3 antagonist | Phase 2 | 62 | Dose-limiting toxicity, adverse events, objective response rate, progression-free survival | Ongoing | Not reported | NCT04055649 |
| Recurrent and rare CNS tumours | ONC206 | DRD2 antagonist | Phase 1 | 102 | Dose-limiting toxicity | Ongoing | Not reported | NCT04541082 |
| Paediatric high-grade glioma | INCB7839 | ADAM10/17 inhibitor | Phase 1 | 13 | Adverse events | Completed | Not reported | NCT04295759 |
| Glioblastoma | Talampanel | AMPAR regulator | Phase 2 | 72 | Overall survival | Completed | Improved overall survival compared with historical controls | |
| Glioblastoma | Memantine | NMDAR regulator | Phase 2 | 4 | Overall survival | Terminated | Not reported | NCT01260467 |
| Glioma | Talampanel | AMPAR inhibitor | Phase 2 | 30 | Progression-free survival | Terminated | Early termination due to futility | NCT00062504 |
| Ovarian, primary peritoneal, or fallopian tube cancer | Propranolol, chemotherapy | β-adrenergic antagonist | Phase 1 | 32 | Feasibility | Completed | Not reported | NCT01504126 |
| Ovarian cancer | Propranolol | β-adrenergic antagonist | Phase 1 | 24 | Feasibility | Completed | Improved quality of life | NCT01308944 |
| Pancreatic cancer | Propranolol etodolac | β-adrenergic antagonist/COX-2 Inhibitor | Phase 2 | 210 | Recurrence | Ongoing | Not reported | NCT03838029 |
| Pancreatic cancer | Bethanechol | Muscarinic agonist | Phase 1 | 17 | Change in Ki-67 | Ongoing | Not reported | NCT03572283 |
| Cancer pain | Tanezumab | Antibody against NGF | Phase 3 | 156 | Change in pain | Completed | Not reported | |
| Cancer pain | Resiniferatoxin | Capsaicin analogue | Phase 1 | 45 | Safety | Ongoing | Not reported | NCT00804154 |
| Melanoma | Propranolol, pembrolizumab | β-adrenergic antagonist | Phase 1 | 47 | Safety | Completed | No dose-limiting toxicity; objective response rate 78% | NCT03384836 |
| Bladder cancer | Propranolol, pembrolizumab | β-adrenergic antagonist | Phase 2 | 24 | Objective response rate | Ongoing | Not reported | NCT04848519 |
| Gastrointestinal Neuroendocrine Neoplasms | Somatostatin Analogs | Somatostatin Analogs | unknown | 156 | Adverse events | Completed | Not reported | NCT02788565 |
| Prostate cancer | Carvedilol | β-adrenergic antagonist | Phase 2 | 22 | Changes in serum PSA | Ongoing | Not reported | NCT02944201 |