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. Author manuscript; available in PMC: 2023 Feb 1.
Published in final edited form as: Lancet Oncol. 2022 Feb;23(2):e62–e74. doi: 10.1016/S1470-2045(21)00596-9

Table 2:

Select completed and ongoing clinical trials targeting the tumour–nerve axis

Therapy Target* Phase Actual or target accrual Primary endpoint Status Outcome Reference

H3K27M spinal cord glioma ONC201 DRD2/DRD3 antagonist Phase 2 76 Progression-free survival Ongoing 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 No dose-limiting toxicity NCT03295396
Thalamic H3K27M glioma ONC201 DRD2/DRD3 antagonist Phase 2 95 Objective response rate Ongoing 26·3% 6-month progression-free survival NCT03295396
Recurrent glioblastoma ONC201 DRD2/DRD3 antagonist Phase 2 17 Progression-free survival Completed No difference in 6-month progression-free survival NCT02525692
Neuroendocrine tumours ONC201 DRD2/DRD3 antagonist Phase 2 25 Tumour response Ongoing 56% progressed NCT03034200
Paediatric diffuse intrinsic pontine glioma ONC201 DRD2/DRD3 antagonist Phase 1 130 Recommended phase 2 dose Ongoing Not reported NCT03416530
Endometrial cancer ONC201 DRD2/DRD3 antagonist Phase 2 30 Progression-free survival Ongoing Not reported NCT03485729
Acute myeloid leukaemia ONC101 DRD2/DRD3 antagonist Phase 1 20 Dose-limiting toxicity Ongoing Not reported NCT03932643
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 28 Adverse events Ongoing Not reported NCT04295759
Glioblastoma Talampanel AMPAR regulator Phase 2 72 Overall survival Completed Improved overall survival compared with historical controls NCT00943826, NCT00689221, NCT00813943, NCT00884741
Glioblastoma Memantine, mefloquine, metformin NMDAR regulator Phase 1/2 85 Dose-limiting toxicity Completed Dose-limiting toxicity: dizziness, gastrointestinal symptoms, lymphopenia NCT01430351
Glioblastoma Memantine NMDAR regulator Phase 2 4 Overall survival Terminated Not reported NCT01260467
Glioblastoma Meclofenamic acid NSAID64 Phase 1/2 72 Dose-limiting toxicity, progression-free survival Ongoing Not reported EudraCT2021-000708-39
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 26 Feasibility Completed Improved quality of life NCT01308944
Colorectal cancer Propranolol, COX2 inhibitor β-adrenergic antagonist Phase 3 34 3-year recurrence Completed No difference in recurrence NCT00888797
Breast cancer Propranolol, COX2 inhibitor β-adrenergic antagonist Phase 2 38 Pro-metastatic cell markers Completed Decreased pro-metastatic and invasive markers NCT00502684
Breast cancer Propranolol, chemotherapy β-adrenergic antagonist Phase 2 10 Compliance Ongoing Not reported NCT01847001
Breast cancer Propranolol β-adrenergic antagonist Phase 2 60 Gene expression biomarkers Completed Reduced metastatic potential ACTRN12615000889550
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 18 Change in Ki-67 Ongoing Not reported NCT03572283
Cancer pain Tanezumab Antibody against NGF Phase 3 156 Change in pain Completed Not reported NCT00545129 NCT02609828
Cancer pain Resiniferatoxin Capsaicin analogue Phase 1 45 Safety Ongoing Not reported NCT00804154
Melanoma Propranolol, pembrolizumab β-adrenergic antagonist Phase 1 9 Safety Completed No dose-limiting toxicity; objective response rate 78% NCT03384836
Bladder cancer Propranolol, pembrolizumab β-adrenergic antagonist Phase 2 25 Objective response rate Ongoing Not reported NCT04848519

COX-2=cyclooxygenase 2. DRD2=dopamine receptor D2. DRD3=dopamine receptor D3. NGF=nerve growth factor. NSAID=non-steroidal anti-inflammatory drug.

*

Where multiple therapies are listed, this column relates only to drugs targeting the tumour–nerve axis.