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Immune-Oncology Molecules In Development & Articles on Topic in @pharmaceuticalintelligence.com

Curators: Stephen J Williams, PhD and Aviva Lev-Ari, PhD, RN

UPDATED on 06/16/2026

Since 2020, the FDA has significantly expanded the immuno-oncology (IO) landscape, approving several novel agents and expanding existing immunotherapies (e.g., checkpoint inhibitors, CAR-T, bispecific antibodies) for early-stage and metastatic solid and hematologic tumors. 
Major novel immuno-oncology drugs and foundational indication expansions include:
1. Novel Bispecific Antibodies & T-Cell Engagers (BiTEs)
    • Tarlatamab-dlle {Imdelltra}: Approved in 2024 for extensive-stage small cell lung cancer (SCLC) that has progressed on or after platinum-based chemotherapy.
    • Epcoritamab {Epkinly}: Approved in 2023-2024 for relapsed/refractory follicular lymphoma and diffuse large B-cell lymphoma (DLBCL).
    • Teclistamab {Tecvayli}: Approved in 2022 as the first bispecific T-cell engager for heavily pretreated relapsed or refractory multiple myeloma. 

2. Dual Checkpoint Inhibition & Novel Combinations
    • Nivolumab + Relatlimab {Opdualag}: Approved in 2022, introducing a first-in-class dual checkpoint inhibitor combination (LAG-3 and PD-1 blockade) for advanced melanoma. [1, 2, 3, 4]
    • Pembrolizumab {Keytruda}+ Enfortumab Vedotin {Padcev} Approved for previously untreated, locally advanced, or metastatic urothelial cancer, redefining first-line therapy. [1]
    • Durvalumab {Imfinzi}: Saw significant label expansions, including perioperative use in early-stage non-small cell lung cancer (NSCLC) and for biliary tract cancer. [1]

3. Cellular Therapies (CAR-T)
    • Lisocabtagene maraleucel {Breyanzi}: A CD19-directed CAR-T cell therapy approved in 2021 for relapsed or refractory large B-cell lymphoma, and later expanded.
    • Ciltacabtagene autoleucel{Carvykti}: Approved in 2022 for relapsed or refractory multiple myeloma. [1, 2, 3, 4, 5]

4. Cytokine Therapies & New Formulations
  • Subcutaneous Immunotherapies: The FDA approved faster, subcutaneous (under the skin) injection formulations of established blockbusters, such as Tecentriq Hybreza (atezolizumab and hyaluronidase) and Darzalex Faspro (daratumumab and hyaluronidase)

5. New NON CART cellular therapies

 

👑 𝗔𝗳𝘁𝗲𝗿 𝗞𝗲𝘆𝘁𝗿𝘂𝗱𝗮: 𝗪𝗵𝗲𝗿𝗲 𝗜𝘀 𝗠𝗲𝗿𝗰𝗸’𝘀 𝗡𝗲𝘅𝘁 𝗞𝗶𝗻𝗴?

Everyone talks about what comes after Keytruda.

Let’s see if Merck‘s acquisition history offers some clues!

Looking at 32 acquisitions over the past 20 years, one thing stands out:
It is not what Merck bought.
It is what Merck did NOT buy!

Despite Keytruda becoming one of the most successful oncology drugs in history, Merck has not made a major acquisition in several of the hottest post-Keytruda modalities:
• CAR-T
• T-cell engagers
• Radiopharmaceuticals
• Cell therapies

Instead, the company’s oncology acquisitions have largely focused on:
• Small molecules
• ADCs
• Cancer vaccines
• Immune-modulating platforms

Deals such as VelosBio, Tilos, Viralytics, Rigontec, Immune Design, and more recently, Terns Pharmaceuticals and Modifi Bio, expanded Merck’s oncology pipeline but were not obvious “next Keytruda” bets.

At the same time, Merck deployed significant capital outside oncology:
• Acceleron → Cardiovascular
• Prometheus → Immunology
• Verona → Pulmonology
• Cidara → Infectious Diseases

The acquisition record suggests a different strategy.
Rather than betting on a single successor to Keytruda, Merck appears to be building multiple future growth pillars across therapeutic areas and technologies.

Perhaps the real question is not:
“What will replace Keytruda?”
But:
“Does Merck even want a single replacement?”

Merck's M&A History

UPDATED on 10/2/2018

2018 Nobel Prize in Physiology or Medicine for contributions to Cancer Immunotherapy to James P. Allison, Ph.D., of the University of Texas, M.D. Anderson Cancer Center, Houston, Texas. Dr. Allison shares the prize with Tasuku Honjo, M.D., Ph.D.,of Kyoto University Institute, Japan

Reporter: Aviva Lev-Ari, PhD, RN

https://pharmaceuticalintelligence.com/2018/10/01/2018-nobel-prize-in-physiology-or-medicine-for-contributions-to-cancer-immunotherapy-to-james-p-allison-ph-d-of-the-university-of-texas-m-d-anderson-cancer-center-houston-texas-dr-allison-sh/

 

UPDATED on 9/5/2017

FDA has approved the world’s first CAR-T therapy, Novartis for Kymriah (tisagenlecleucel) and Gilead’s $12 billion buy of Kite Pharma, no approved drug and Canakinumab for Lung Cancer (may be?)

Curator: Aviva Lev-Ari, PhD, RN

https://pharmaceuticalintelligence.com/2017/08/30/fda-has-approved-the-worlds-first-car-t-therapy-novartis-for-kymriah-tisagenlecleucel-and-gileads-12-billion-buy-of-kite-pharma-no-approved-drug-and-canakinumab-for-lung-cancer-may-be/

Novartis’ Kymriah (tisagenlecleucel), FDA approved genetically engineered immune cells, would charge $475,000 per patient, will use Programs that Payers will pay only for Responding Patients

Curator: Aviva Lev-Ari, PhD, RN

https://pharmaceuticalintelligence.com/2017/08/31/novartis-kymriah-tisagenlecleucel-fda-approved-genetically-engineered-immune-cells-would-charge-475000-per-patient-will-use-programs-that-payers-will-pay-only-for-responding-patients/ 

UPDATED on 9/27/2016

Kite Pharma ($KITE) climbs after Phase II data tee up FDA filing for CAR-T

Kite Pharma ($KITE) has posted an interim analysis of Phase II CAR-T data it thinks are strong enough to support regulatory approval. The CAR-T triggered complete remissions in 47% of patients with an aggressive form of non-Hodgkin lymphoma (NHL), although a dropoff in the number of responders over the first three months has raised questions about durability.

At the time of the interim analysis, Kite had administered its CD19-targeting CAR-T to 51 patients with chemorefractory diffuse large B-cell lymphoma (DLBCL). More than three quarters of patients experienced an objective response. Close to half experienced complete remission. When paired to stronger data from a small group of patients with transformed follicular lymphoma (TFL) and primary mediastinal B-cell lymphoma (PMBCL), Kite thinks the interim analysis boosts its prospects.

http://www.fiercebiotech.com/biotech/kite-climbs-after-phii-data-tee-up-fda-filing-for-car-t?utm_medium=nl&utm_source=internal&mrkid=993697&mkt_tok=eyJpIjoiTURRM1pXWmpNVFZtTjJFMyIsInQiOiJmUmp3NlJKbVluZFYxWHQrQkxyblR6Njh3Q3lSa0dFVVRcL3pzdmNrZERPa091QWp2OXBWNnBwc1NnMWJqSDNjbHRUNTFDZnl3QWxQQUxubUNoQnlwNmNJengwOE9wUXNZSUNjT00yenNsY2s9In0%3D

 

UPDATED on 9/27/2016

Amgen Announces Top-Line Results From Phase 3 KYPROLIS® (Carfilzomib) CLARION Study In Newly Diagnosed Multiple Myeloma Patients

Amgen to Hold Analyst Call Today at 8:30 a.m. ET

THOUSAND OAKS, Calif., Sept. 27, 2016 /PRNewswire/ — Amgen (NASDAQ:AMGN) today announced top-line results of the Phase 3 CLARION trial, which evaluated an investigational regimen of KYPROLIS® (carfilzomib), melphalan and prednisone (KMP) versus Velcade® (bortezomib), melphalan and prednisone (VMP) for 54 weeks in patients with newly diagnosed multiple myeloma who were ineligible for hematopoietic stem-cell transplant. The trial did not meet the primary endpoint of superiority in progression-free survival (PFS) (median PFS 22.3 months for KMP versus 22.1 months for VMP, HR = 0.91, 95 percent CI, 0.75 – 1.10). While the data for overall survival, a secondary endpoint, are not yet mature, the observed hazard ratio (KMP versus VMP) was 1.21 (95 percent CI, 0.90 – 1.64). Neither result was statistically significant.

Overall, the adverse events in the KMP arm were consistent with the known safety profile of KYPROLIS. The incidence of Grade 3 or higher adverse events was 74.7 percent in the KMP arm and 76.2 percent in the VMP arm. Fatal treatment-emergent adverse events occurred in 6.5 percent of KMP patients and 4.3 percent of VMP patients. The incidence of Grade 2 or higher peripheral neuropathy, a secondary endpoint, was 2.5 percent in the KMP arm and 35.1 percent in the VMP arm.

http://www.amgen.com/media/news-releases/2016/09/amgen-announces-topline-results-from-phase-3-kyprolis-carfilzomib-clarion-study-in-newly-diagnosed-multiple-myeloma-patients/

UPDATED on 6/8/2016

Cancer researchers see promise in giving patients combinations of multiple drugs that are proving more effective than one or two. But the strategy poses a dilemma for health insurers and patients: even higher prices.

Combination Drug Therapies for Cancer Show Promise at Higher Potential Cost

‘Group discounts’ suggested as one means of cutting cost of medicines in a combination regimen

SOURCE

http://www.wsj.com/articles/combination-drug-therapies-for-cancer-show-promise-at-higher-potential-cost-1465141936

 

 

Immune-Oncology Molecules In Development consist of the following four Classes of Drugs:

  1.    Checkpoint Inhibitors
  • PD-1
  • PD-L1 (Programmed Death (PD)) 
  • LAG-3
  • TIM-3

 

2.    Co-Stimulatory Agents

  • CD137/41BB
  • OX40
  • CD27
  • GITR
  • CD40

 

3.    Immunomodulators

  • CTLA4 (cytotoxic T Lymphocyte Associated protein-4)
  • KIR
  • IDO IL-2
  • IL-21
  • CSF1R
  • Vaccines

SOURCE: Page 66 in

http://jpmorgan.metameetings.com/confbook/healthcare16/stash/misc/IO%20Combos.pdf

AND

4.    5th generation CAR Signaling

  • CAR-T (chimeric antigen receptor T- cell)

T cells are genetically engineered to produce special receptors on their surface called chimeric antigen receptors (CARs).

PART I:

Immune-Oncology Molecules In Development

 

Anti-Cancer – Four Drug Classes of Immune-Oncology Molecules in Development, including CAR-T

Curator: Stephen J Williams, PhD

 For a bigger version of this table in Word please click on the below file:

Table JPM2016 ImmuneTherapy in Development

Phase in
Develop-
ment
Checkpoint Inhibitors
Drug/Pharma
 Co-Stimulatory Agents
Drug/Pharma
 Immunomodulators
Drug/Pharma
5th generation CAR Signaling
Pharma/Partners
Listed as
Drug (Target/disease indication)
Pre-Clinical
 REGN2810/Regeneron
PD-1/Agenus
Anti-Lag3/Tesaro, AnaptyBio
IMP701/Prima BioMed
LAG3/Agenus, Incyte
Lag3/Merck
Anti-TIM3/Bristol
Anti-TIM3/Tesaro, AnaptyBio
Anti-TIM3/Agenus
 OX40/Amgen
GITR/Bristol
GITR/Pfizer
FPA154/Five Prime
Anti-GITR/TG Therapeutics
Anti-GITR/Incyte
CTLA4/Agenus
IDO1/Pfizer,iTEOS
F001287/Bristol,Flexus
IMA942/Roche
VIBR/Pfizer
 Kite Pharma/Amgen
Multiple targets/ hematologic & solid tumors
Bellicum Pharma
BPX-401 (CD19/leukemia)
BPX-601 (PSCA/prostate)
BPX-701 (PRAME/melanoma
Cellectis/PfizerCornel/Ohio State
UCART123 (CD123/AML)
UCARTCS1 (CD38/multiple myeloma)
UCART 38 (CD38 /multiple myeloma)
UCART 22 ( CD22/ALL)
Juno Therapeutics/Cellgene
MUC116 (IL12/ovarian)
ROR1 (ROR1/B-ALL)
Univ. of Penna/Novartis
CAR-T hPSMA (PSMA/prostate)
Phase I
 BMS986016/Bristol
Urelumab/ BristolMyers
MEDI-0562/ AstraZeneca
RG7888/Roche
OX40/Agonox
OX40/GSK
MK-4166/Merck
SEA-CD40/Seattle Genetics
CD40/Roche
 Anti-CEA Il2v/Roche
FPA008/Bristol, Five Prime
LY3022855/Lilly
AMG820/Amgen
ARRY382/Array, Celgene
 Ziopharm/Intrexon/ MD Anderson
CD19 (CD19/B-ALL)
Kite Pharma/Amgen
KTE-C19 (ZUMA-3/Adult ALL)
KTE-C19 (ZUMA-4/pediatric ALL)
EGFRvII (EGFR/glioblastoma)
Bluebird Bio/Cellgene/Baylor
bb2121 (BCMA/B-ALL)
Juno Therapeutics/Cellgene
JCAR017 (CD19/leukemias)
JCAR014 (CD19/NHLymphoma)
Phase I/II
 MEDI0680/AstraZenec
PF-05082566/Pfizer
Varilumab/Celldex, Bristol-Myers
 NKG2A/Innate,AstraZen.
dCellVax/BioMatrix
APN301/Apeiron, MerckKGA
 Juno Therapeutics/Cellgene
JCAR015 (CD19/ALL)
JTCR016 (WT-1/AML,CML)
Phase II
 Pidlizumab/Medivation
Avelumab/Pfizer, MerckKGa
Lirilumab/BMY/Innate
Epacadostat/Incyte, Merck
GDC-0919/NewLinkGenetics, Roche
TG4010/Transgene S.A.
Ontak/Esai, Lilly, Teva
Denenicokin/Bristol, NovoNordisk
PLX3397/Plexikon, Merck
MCS110/Novartis
JNJ40346527/JNJ
T-Vec/Amgen
Emactuzumab/Roche
 Univ. of Penna/Novartis
CTL019 (CD19/leukemia)
Kite Pharma/Amgen
KTE-C19 (ZUMA-1/leukemia)
KTE-C19 (ZUMA-2/mantle cell leukemia)
Phase III
 Duvalumab/AstraZenca
Atezolizumab/Roche
Tremelimumab/AstraZeneca
Approved
 Opdivo/Bristol-Myers
Keytruda/Merck
Yervoy/Bristol-Myers

 

Part II:

Articles on CTLA4 @ pharmaceuticalintelligence.com

Cancer Immunotherapy

Curator: Larry H. Bernstein, MD, FCAP

Combined anti-CTLA4 and anti-PD1 immunotherapy shows promising results against advanced melanoma

Reporter: Aviva Lev-Ari, PhD, RN

Pfizer bets $1 billion on BioAtla Conditionally Active Biologics | BioAcceleration™ for Protein Therapeutics

Reporter: Aviva Lev-Ari, PhD, RN

Gene expression and adaptive immune resistance mechanisms in lymphoma

Curator: Larry H Bernstein, MD, FCAP

The Delicate Connection: IDO (Indolamine 2, 3 dehydrogenase) and Cancer Immunology

Author and Curator: Demet Sag, PhD, CRA, GCP    

Pancreatic Cancer: Genetics, Genomics and Immunotherapy

Author: Tilda Barliya, PhD

 

Articles on ‘PD-L1’ @ pharmaceuticalintelligence.com

 

Myc and Cancer Resistance

Curator: Larry H. Bernstein, MD, FCAP

 

Merck and Pfizer Announces Global Strategic Alliance on Anti-PD-L1 to Accelerate Presence in Immuno-Oncology

Reporter: Aviva Lev-Ari, PhD, RN

Immuno-Oncology Combination Therapy: Implications For Major Pharma

Reporter: Aviva Lev-Ari, PhD, RN

PD1 Inhibitor atezolizumab may show promise in bladder cancer in patients with high PDL1 expression

Reporter: Stephen J Williams

In Cancer Volume 2 Melanoma

Cancer Immunotherapy Conference & Biomarkers for Cancer Immunotherapy Symposium, March 6-11, 2016 | Moscone North Convention Center | San Francisco, CA

Reporter: Aviva Lev-Ari, PhD, RN

Novel biomarkers for targeting cancer immunotherapy

Curator: Larry H. Bernstein, MD, FCAP

Metastatic Melanoma: Immunotherapy Drug Combination, Ipilimumab plus Nivolumab – Shrinks Tumor Size In 58% Skin Cancer Patients

Reporter: Aviva Lev-Ari, PhD, RN

New Findings in Endometrial Cancer: Mutations, Molecular Types and Immune Responses Evoked by Mutation-prone Endometrial, Ovarian Cancer Subtypes

Curator: Aviva Lev-Ari, PhD, RN

Articles on ‘CAR-T’ @ pharmaceuticalintelligence.com

Leaders in the CAR-T Field Are Proceeding With Cautious Hope

Reporter: Stephen J. Williams, Ph.D.

CAR-T therapy in leukemia

Curator: Larry H. Bernstein, MD, FCAP

In Cancer Volume 2 Steroids, Inflammation, and CAR-T Therapy

In Cancer Volume 2 NIH Considers Guidelines for CAR-T therapy: Report from Recombinant DNA Advisory Committee

Rosa’s to like

Curator & Reporter: Larry H. Bernstein, MD, FCAP

Juno’s approach eradicated cancer cells in 10 of 12 leukemia patients, indicating potential to transform the standard of care in oncology

Reporter: Aviva Lev-Ari, PhD, RN

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