Table 1.
Gene | Therapeutic target | Comments |
---|---|---|
JAK3 | Tofacitinib | First in class JAK 3 inhibitor. Single-agent JAK3 inhibition did not result in CR in NKTL cell lines [28]. Combination strategies may need to be explored |
STAT3 | AZD9150—antisense oligonucleotide inhibitor [30] | AZD9150 demonstrated promising activity in preclinical and clinical studies in lymphoma. Given that STAT3 activation leads to high PDL1 expression, combination of STAT3 and PD1/PDL1 inhibitors may be explored [19] |
EZH2 | DZNEP [43] | Non-specific EZH2 inhibitor that had significant toxicities in animal models |
Tazemetostat [50] | Phase 2 study shows promising activity in follicular lymphoma, especially in EZH2 mutated patients | |
SHR2554 | Selective small molecule inhibitor of the EZH2 histone-lysine methyltransferase ongoing phase 1 study in refractory lymphomas (NCT03603951) | |
EPZ005687 [51] | Reduces H3K27 methylation in various lymphoma cell lines | |
GSK126 [52] | Competitive small molecule inhibitor of S-adenosylmethionine. Has been tested in Diffuse large B cell lymphoma (DLBCL) and myeloma cell lines [52] and DLBCL xenograft models [53] | |
PD 1 inhibition | Pembrolizumab [35, 36] | PD 1 inhibitors have demonstrated promising activity in relapsed/refractory NKTL. Potential biomarkers that may allow better selection of patients for PD-1 inhibitors need to be explored |
Nivolumab [54] | ||
CD38 | Daratumumab [55] | Interim analysis of phase 2 study demonstrated 35.7% response in NKTL. CD38 status did not correlate with responses |