TABLE 5.
Published clinical trials involving GPC3, ALK-1, and PD-1 in HCC immunotherapy.
Drug | Combination | Route, dose | Enrollment | Efficacy | Adverse effect | Phase | Ref |
GPC3 derived peptide vaccine | None | Intracutaneously, on days 1, 15 and 29, at doses 0.3, 1.0, 3.0, 10, 30 mg/body surface area. | Non-randomized, open label | 24/33 lymph node regression, 2 liver tumors disappeared. | Grade III hematologic adverse events (impaired liver function) in 4 patients | I | Sawada et al., 2012 |
GC33 | 75% patients received sorafenib | Dose escalation, 2.5–20 mg/kg, weekly i.v. | Multicenter, open label, single arm | AFP levels decreased or stabilized | Grade III, NK cell numbers in plasma decreased. | I | Zhu et al., 2013 |
Anti-ALK-1 McAb PF-03446962 | Antiangiogenic or sorafenib therapy | 1 h iv on days 1 and 29 and every 2 weeks thereafter, RP2D of 7 mg/kg. | Single-arm | Disease control rate at 12 weeks was 29%. | Grade III Thrombocytopenia in 33%, grade IV abdominal pain in 1 patient. | I | Simonelli et al., 2016 |
SHR-1210, an anti-PD-1 McAb | Apatinib, a VEGFR2 Inhibitor | Oral apatinib once-daily combined with SHR-1210 administered intravenously every 2 weeks. | Single center, open label. | Objective response rate is 30.8%, partial response is 50%. | Grade III Lipases rise (6.7%), preumonitis (20%) Hypertension (15.2%), increased AAT 15.2%. | Ia and Ib | Xu et al., 2019 |