Table 2:
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.