Table 3.
Clinical trials involving TLRs 7/8 agonists and antagonists.
| Ligands (synonyms or explanations given once) | In combination with | TLRs | Investigators | Pathologies Applications | Typea | Phase | Clinical Trial Identification | Statusb |
|---|---|---|---|---|---|---|---|---|
| Agonists | ||||||||
|
852A PF-04878691 S-32865 3M852A |
7 | 3M Pharmaceuticals | Inoperable melanoma (Unresectable metastatic cutaneous melanoma) | D | II | EudraCT2004-003910-41 | C | |
| 852A | 7 | Masonic Cancer Center University of Minnesota, Pfizer | Breast, ovarian, endometrial, and cervical cancer | D | II | NCT00319748 | C | |
| 852A | 7 | Pfizer | Hepatitis C Virus (Multiple-dose escalation study, safety, tolerability, pharmacokinetics and pharmacodynamics evaluation in healthy volunteers) | D | I | NCT00810758 | C | |
| 852A | 7 | Pfizer | Inoperable metastatic Melanoma | D | II | NCT00189332 | C | |
|
Imiquimod R837 |
radiotherapy | 7 | University of Oklahoma, NCI | Melanoma and metastatic cancer | D | I | NCT00453050 | O |
| Imiquimod | cyclophosphamide and radiotherapy | 7 | NYU Langone Health, New York University School of Medicine, NCI |
Metastatic and recurrent breast cancer | A | I and II | NCT01421017 | C |
| Imiquimod | 7 | New York University School of Medicine, NYU Langone Health | Breast cancer Breast neoplasms |
D | II | NCT00899574 | C | |
| Imiquimod | 7 | The University of Hong Kong | Influenza viral infection | A | III | NCT02103023 | C | |
| Imiquimod | 7 | Medical University of Vienna | Human Papillomavirus | D | II | NCT00941811 | C | |
| Imiquimod | 7 | Graceway Pharmaceuticals, LLC | Actinic keratosis | D | III | NCT00894647 | C | |
| Imiquimod | 7 | MEDA Pharma GmbH & Co. KG | Actinic keratosis | D | IV | NCT00777127 | C | |
| Imiquimod | 7 | Mochida Pharm. Co Ltd, 3 M Pharm., Valeant Pharm. International Inc, iNova Pharm. Pty Ltd, Intendis GmbH, Meda AB |
Keratosis, mycosis fungoides, verruca vulgaris, condyloma, basal cell carcinoma, and molluscum contagiosum infection |
A | Approved NCT01453179 | |||
| Imiquimod | 7 | 3M Pharmaceuticals | Papilloma viruses | Approved | ||||
| Imiquimod | 7 | University of Michigan | Photoaged skin and normal skin | A | Unknown | NCT02889159 | O | |
| Imiquimod | 7 | 3M Pharmaceuticals | Anogenital Human Papillomavirus Infection, Anal Condyloma | D | III | NCT03289260 | O | |
| Imiquimod | intradermal HBVv | 7 | The University of Hong Kong | Renal failure | A | II and III | NCT02621112 | C |
| Imiquimod | 7 | The University of Hong Kong | Intra-dermal with Topical Imiquimod Pretreatment vs. intra-muscular Hepatitis B Vaccination in Inflammatory bowel disease Patients | A | II and III | NCT04083157 | O | |
| Imiquimod | influenza vaccine |
7 | The University of Hong Kong | Influenza Viral Infections | A | III | NCT02103023 | C |
| Imiquimod | influenza vaccine |
7 | The University of Hong Kong | Chronic illness | A | Unknown | NCT01508884 | C |
| Imiquimod | 5-FU | 7 | 3M Pharm. National Cancer Institute |
high-grade cervical intraepithelial neoplasia | A | I | NCT03196180 | O |
| Imiquimod | PD-1 blockade | 7 | University of Virginia, Theraclion |
Advanced Solid Tumors (Melanoma, Breast, Merkel Cell, Squamous Cell, Non-Small Cell Lung, Cervical, Urothelial, Ovarian, Hepatocellular, Small-cell Lung, Gastric and Esophageal Cancers) | A | I | NCT04116320 | O |
| Imiquimod | doxepin | 7 | Aalborg University | Itch (to verify if imiquimod mechanism of action follows the histaminergic or non-histaminergic pathway by using the anti-histamine drug doxepin) | A | Unknown | NCT03943407 | O |
| Imiquimod | Abraxane | 7 | University of Washington | Breast Cancer | D | II | NCT00821964 | C |
| Imiquimod | 7 | Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Cervical Cancer | D | I | NCT00788164 | O | |
| Imiquimod | 7 | Massachusetts General Hospital | Neurofibromatosis | D | I | NCT00865644 | C | |
| Imiquimod | 7 | St. Justine’s Hospital | Hemangioma | D | II | NCT00601016 | C | |
| Imiquimod | tazarotene | 7 | University of Utah | Lentigo Maligna | D | Not applicable | NCT00707174 | C |
| Imiquimod | Peptide-based vaccine | 7 | University of Virginia | Melanoma | D | I | NCT01264731 | C |
| Imiquimod | Peptide-based vaccine | 7 | Ludwig Institute for Cancer Research | Melanoma | A | I | NCT00142454 | C |
| Imiquimod | Peptide-based vaccine | 7 | National Cancer Institute | Melanoma | A | I | NCT00118313 | C |
| Imiquimod | Melan-A VLP vaccine, Montanide |
7 | Cytos Biotechnology AG | Melanoma | A | II | NCT00651703 | C |
| Imiquimod | Dendritic cell/tumor fusion vaccine, GM-CSF |
7 | Beth Israel Deaconess Medical Center | Ovarian Cancer Primary Peritoneal Cancer Fallopian Tube Cancer |
D | II | NCT00799110 | O |
| Imiquimod | 7 | Memorial Sloan Kettering Cancer Center | Vulvar Cancer | D | Non Applicable | NCT00504023 | C | |
| Imiquimod | 7 | Medical University of Vienna | Cervical Intraepithelial Neoplasia | D | II, III | NCT00941252 | C | |
| Imiquimod | 7 | Medical University of Graz | Lentigo Maligna | D | II, III | NCT01088737 | O | |
| Imiquimod | 7 | Jerry Marsden, University Hospital Birmingham NHS Foundation Trust | Lentigo Maligna | D | IV | NCT01161888 | C | |
| Imiquimod | 7 | Medical University of Graz | Vulvar intraepithelial Neoplasia | D | III | NCT01861535 | O | |
| Imiquimod | 7 | University Medical Center Nijmegen | Paget Disease | D | III | NCT02385188 | C | |
| Imiquimod | Radiotherapy | 7 | Melanoma and Skin Cancer Trials Limited | Lentigo Maligna | D | III | NCT02394132 | O |
|
TMX-101 (liquid formulation of imiquimod) Vesimune |
7 | Telormedix SA | non-invasive bladder cancer, including patients with CIS bladder cancer. | A | II | NCT01731652 | C | |
| TMX-101 | 7 | Telormedix SA | Non-Muscle-Invasive Bladder Cancer | D | I | EudraCT2009-014757-33 | C | |
|
Resiquimod R848 |
7/8 | 3M Pharmaceuticals | Hepatitis C Infection Herpes |
D | II/III | – | S | |
| Resiquimod | 7/8 | University of British Columbia |
Influenza vaccination in seniors | A | I | NCT01737580 | C | |
| Resiquimod | 7/8 | Vincent S. Fan, VA Puget Sound Health Care System, University of Washington, Novartis Pharmaceuticals |
Chronic Obstructive Pulmonary Disease, Chronic Bronchitis |
A | Unknown (observational non-interventional trial) | NCT02637219 | C | |
| Resiquimod | NY-ESO-1 protein | 7/8 | CRI New York City, Icahn School of Medicine at Mount Sinai | Tumors expressing NY-ESO-1 protein |
A | I | NCT00821652 | C |
| Resiquimod | 7/8 | M.D. Anderson Cancer Center, Houston, Texas | Melanoma | A | II | NCT00960752 | O | |
| Resiquimod | poly-ICLC | 7/8 | Jonsson Comprehensive Cancer Center |
Glioma, anaplastic astrocytoma, anaplastic astro-oligodendroglioma |
A | II | NCT01204684 | O |
| Resiquimod | 7/8 | University of Virginia | Melanoma and its metastatic mucosal variants | A | I and II | NCT02126579 | C | |
|
AZD8848 DSP-3025 AZD-3025 |
7 | Sumitomo Dainippon Pharma Co., Ltd. | Healthy volonteers | D | I | NCT01124396 | C | |
| AZD8848 | 7 | AstraZeneca | Allergy Asthma |
D | II | NCT00999466 | C | |
| GSK2245035 | 7 | GSK, PATH | Asthma Rhinitis |
D | II | NCT01607372 | C | |
| GSK2245035 | 7 | GSK | Mild asthma and allergic rhinitis (to examine the safety and effects on the immune system) | D | II | NCT01788813 | C | |
| GSK2245035 | 7 | GSK | Allergy rhinitis, asthma, and respiratory tract allergy | D | I and II | NCT02833974 | C | |
| GSK2245035 | 7 | GSK | Allergy rhinitis | D | II | EudraCT2015-005645-31 | C | |
| GSK2445035 | 7 | GSK | Allergic Rhinitis (to collect tolerability, pharmacokinetic and pharmacodynamic information) | D | I | NCT01480271 | C | |
| GS-9620 vesatolimod | 7 | Gilead Sciences | Chronic hepatitis B in virally suppressed patients | A | II |
NCT02166047 GS-US-283-1059 |
C | |
| GS-9620 | Tenofovir Disoproxil Fumarate | 7 | Gilead Sciences | Chronic hepatitis B | D | II | NCT02579382 | C |
| GS-9620 | 7 | AELIX Therapeutics | HIV vaccine | A | II | EudraCT2018-002125-30 | S | |
|
Single or multiple GS-9620 |
7 | Gilead Sciences | Hepatitis B | A | I | NCT01590654 | C | |
| GS-9620 | ARV Regimen | 7 | Gilead Sciences | Latent reservoir HIV (suppressive ART) | D | I | NCT02858401 | C |
| GS-9620 | ART | 7 | Gilead Sciences | Latent reservoir HIV (HIV infected controllers) | D | I | NCT03060447 | O |
| RO7020531 | 7 | Hoffmann-La Roche | Healthy volunteers | D | I | NCT03530917 | C | |
| RO7020531 | 7 | Hoffmann-La Roche | Chronic Hepatitis B | D | I | NCT02956850 | O | |
| RO6864018 (aka-ANA773, ANA773, RG7795) | 7 | Hoffmann-La Roche | Healthy volunteers | D | I | NCT02015715 | C | |
| ANA773 | 7 | Anadys Pharmaceuticals | Cancer | A | I | EudraCT2011-000728-14 | O | |
| ANA773 | 7 | Anadys Pharmaceuticals | Hepatitis C | A | I | EudraCT2011-000728-14 | O | |
| ANA773 | 7 | Hoffmann-La Roche | Chronic Hepatitis B | D | II | NCT02391805 | C | |
| RO6871765 or RO7011785 | 7 | Hoffmann-La Roche | Chronic Hepatitis B | D | Unknown | NCT02498275 | T | |
| DSP-0509 | Pembrolizumab | 7 | Boston Biomedical, Inc Syneos Health |
Advanced Solid Tumors | D | I and II | NCT03416335 | O |
| NJH395 | 7 | Novartis Pharmaceuticals | non-breast HER2+ Malignancies (NJH395 = Immune stimulator antibody conjugate (ISAC), consisting of a monoclonal antibody which targets HER2 conjugated to an immune-stimulatory agent) | A | I | NCT03696771 | O | |
| BNT411 | with or without atezolizumab, carboplatin and etoposidz | 7 | BioNTech Small Molecules GmbH | Solid Tumor Extensive-stage Small Cell Lung Cancer (combination with combination with cytotoxic therapies and immune checkpoint inhibitors) | D | I and II | NCT04101357 | O |
|
TQ-A3334 JNJ-4964 AL-034 |
entecavir | 7 | Chia Tai Tianqing Pharmaceutical Group Co., Ltd. | Chronic Hepatitis B | D | II | NCT04180150 | O |
| LHC165 | PDR-1 | 7 | Novartis Pharmaceuticals | Advanced Solid Tumors | D | I | NCT03301896 | O |
| Hydroxychloroquine | 7/9 | Seoul National University Hospital | Dry Eye/dry mouth of Primary Sjogren’s Syndrome, Autoimmune Diseases | D | III | NCT01601028 | C | |
| MEDI9197 | durvalumab and/or palliative radiation | 7/8 | MedImmune LLC | Solid tumor CTLC |
D | I | NCT02556463 | T (compagny strategy) |
| NKTR-262 | bempegaldesleukin with or without nivolumab | 7/8 | Nektar Therapeutics | Locally Advanced or Metastatic Solid Tumor Malignancies (Melanoma, Merkel Cell, Triple Negative Breast, Head and Neck Squamous Cell, Renal Cell and Colorectal Cancers) | D | I and II | NCT03435640 | O |
| CV8102 | IMA970A Cyclophosphamide |
7/8 | CureVac | Early and intermediate stages hepatocellular carcinoma | A | I and II | NCT03203005 | O |
| CV8102 | anti-PD-1 | 7/8 | CureVac | Solid tumors (Melanoma, Squamous Cell Carcinoma of the Skin, Squamous Cell of Head and Neck Carcinoma, Adenoid Cystic) | D | I | NCT03291002 | O |
| VTX-1463 | 8 | VeniRx Pharmaceuticals Inc | Allergy | D | I | O | ||
|
VTX-2337 Motolimod |
cetuximab | 8 | University of Washington, NCI | Different stages of locally advanced, recurrent, or metastatic squamous cell cancer of the head and neck | A | I | NCT01334177 | C |
| VTX-2337 | Cetuximab, Nivolumab |
8 | Celgene | Squamous Cell Carcinoma of the head and neck | D | I | NCT02124850 | T |
| VTX-2337 | cyclophosphamide | 8 | Mayo Clinic, NCI | Metastatic, persistent, recurrent or progressive solid tumors (various types and stages of colorectal, pancreatic, breast, melanoma, non-small cell lung carcinoma, pancreatic, renal cell carcinoma and solid neoplasm) | A | I | NCT02650635 | T |
| VTX-2337 | paclitaxel or doxorubicin | 8 | Gynecologic Oncology Group, NCI | Recurrent or persistent ovarian epithelial, fallopian tube, or peritoneal cavity cancer | A | I | NCT01294293 | C |
| VTX-2337 | radiotherapy | 8 | VentiRx Pharmaceuticals Inc, Stanford University, Celgene |
Low grade B-Cell lymphoma | A | I and II | NCT01289210 | T (The study was stopped due to slow rate of recruitment) |
| VTX-2337 | cisplatin | 8 | VentiRx Pharmaceuticals Inc | Carcinoma, squamous cell of head and neck | A | II | NCT01836029 | C |
| VTX-2337 | doxorubicin | 8 | Gynecologic Oncology Group, Celgene | Recurrent or persistent, epithelial ovarian, fallopian tube or primary peritoneal cancer | A | II | NCT01666444 | C |
| VTX-2337 | anti-PD- L1 antibody durvalumab (MEDI4736) |
8 | Ludwig Institute for Cancer Research, MedImmune LLC, VentiRx Pharmaceuticals Inc, CRI New York City |
Ovarian cancer | A | I and II | NCT02431559 | O |
| VTX-2337 | anti-PD- L1 antibody nivolumab |
8 | Celgene | Squamous cell carcinoma of the head and neck | A | I | NCT03906526 | O |
| GS-9688 | TAF | 8 | Gilead Sciences | Chronic Hepatitis B | D | II | NCT03615066 | O |
| Antagonists | ||||||||
|
IMO-8400 Bazlitoran |
7/8/9 | Idera Pharmaceuticals, Inc | Dermatomyositis | II | NCT02612857 | O | ||
| IMO-8400 | 7/8/9 | Idera Pharmaceuticals, Inc | Diffuse large B-cell lymphoma | D | I/II | NCT02252146 | C | |
| IMO-8400 | 7/8/9 | Idera Pharmaceuticals, Inc | Waldenstrom’s macroglobulinemia | A | I/II | NCT02092909 | T (lack of efficacy) | |
| IMO-8400 | 7/8/9 | Idera Pharmaceuticals, Inc | Plaque psoriasis | D | II | NCT01899729 | C | |
| IMO-3100 | 7/8 | Idera Pharmaceuticals, Inc | SLE Rheumatoid Arthritis Multiple sclerosis |
Preclinical | – | – | ||
|
IRS-954 DV-1079 |
7/9 | Dynavax Technologies | SLE | Preclinical | – | – | ||
| IRS-954 | 7/9 | Dynavax Technologies | HIV | Preclinical | – | – | ||
| CPG-52364 | 7/8/9 | Pfizer | SLE | D | I | NCT00547014 | O | |
D for drug, A for adjuvant.
C for completed, T for terminated, O for ongoing, S for suspended.