Table 1.

Checkpoint targets and agents in clinical development

TargetAgent(s)TypeFDA approvalTrials in myeloma
CTLA-4 Ipilimumab Human IgG1 Melanoma Combination and in transplant setting 
Tremelimumab Human IgG2 NA In transplant setting 
PD-1 Pembrolizumab Humanized IgG4 Melanoma, lung 50% ORR with len/dex (KEYNOTE-023), 60% ORR with pom/dex (KEYNOTE-183), phase III combinations ongoing 
Nivolumab Human IgG4 Melanoma, kidney, lung 63% SD (1 CR) as single agent, ongoing combination trials 
PDR001 Humanized IgG4 NA Combination trial 
PD-L1 Atezolizumab Humanized IgG1 Bladder Single-agent, combination, and in transplant setting 
Durvalumab Human IgG1 NA Combination and in transplant setting 
KIR Lirilumab Human IgG4 NA Single agent and combination 
LAG-3 BMS986016 Human IgG4 NA Phase 1 trial including myeloma 
LAG525 Humanized IgG4 NA In other malignancies 
NKG2A Monalizumab Humanized IgG4 NA In other malignancies 
TIM-3 MBG453 Antibody NA Alone and in combination in other malignancies 
TSR-022 Antibody NA Alone and in combination in other malignancies 
VISTA JNJ-61610588 Human IgG1 NA In other malignancies 
CA-170 Oral small molecule NA In other malignancies 
CD47 TTI-621 Ab-like fusion NA Phase 1 trial including myeloma 
CC-90002 Antibody NA Phase 1 trial including myeloma 
TargetAgent(s)TypeFDA approvalTrials in myeloma
CTLA-4 Ipilimumab Human IgG1 Melanoma Combination and in transplant setting 
Tremelimumab Human IgG2 NA In transplant setting 
PD-1 Pembrolizumab Humanized IgG4 Melanoma, lung 50% ORR with len/dex (KEYNOTE-023), 60% ORR with pom/dex (KEYNOTE-183), phase III combinations ongoing 
Nivolumab Human IgG4 Melanoma, kidney, lung 63% SD (1 CR) as single agent, ongoing combination trials 
PDR001 Humanized IgG4 NA Combination trial 
PD-L1 Atezolizumab Humanized IgG1 Bladder Single-agent, combination, and in transplant setting 
Durvalumab Human IgG1 NA Combination and in transplant setting 
KIR Lirilumab Human IgG4 NA Single agent and combination 
LAG-3 BMS986016 Human IgG4 NA Phase 1 trial including myeloma 
LAG525 Humanized IgG4 NA In other malignancies 
NKG2A Monalizumab Humanized IgG4 NA In other malignancies 
TIM-3 MBG453 Antibody NA Alone and in combination in other malignancies 
TSR-022 Antibody NA Alone and in combination in other malignancies 
VISTA JNJ-61610588 Human IgG1 NA In other malignancies 
CA-170 Oral small molecule NA In other malignancies 
CD47 TTI-621 Ab-like fusion NA Phase 1 trial including myeloma 
CC-90002 Antibody NA Phase 1 trial including myeloma 

FDA, US Food and Drug Administration; NA, not applicable.

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