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DRUG CLASS:

IL-7 agonist

3d
IL-7-primed bystander CD8 tumor-infiltrating lymphocytes optimize the antitumor efficacy of T cell engager immunotherapy. (PubMed, Cell Rep Med)
Notably, TCE treatment has no major effect on tumor-reactive CD8 TILs. Our results suggest that rhIL-7-hyFc treatment promotes the antitumor efficacy of TCE immunotherapy by increasing TCE-sensitive bystander CD8 TILs in solid tumors.
Journal • Tumor-infiltrating lymphocyte • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • PD-1 (Programmed cell death 1) • IL7 (Interleukin 7)
|
Hyleukin-7 (efineptakin alfa)
1m
IMPULSE-7: Recombinant Interleukin-7 (CYT107) to Treat Patients With Refractory Nontuberculous Mycobacterial Lung Disease (clinicaltrials.gov)
P2, N=8, Terminated, Revimmune | N=12 --> 8 | Trial completion date: Dec 2022 --> Mar 2024 | Recruiting --> Terminated | Trial primary completion date: Dec 2022 --> Dec 2023; non convincing results
Enrollment change • Trial completion date • Trial termination • Trial primary completion date • Nontuberculous mycobacteria
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CD8 (cluster of differentiation 8) • PD-1 (Programmed cell death 1) • IFNG (Interferon, gamma) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CD4 (CD4 Molecule) • IL10 (Interleukin 10) • IL7 (Interleukin 7)
|
CD8 expression
|
glycosylated recombinant human interleukin-7 (CYT107)
1m
InterLeukin-7 to Improve Clinical Outcomes in Lymphopenic Patients With COVID-19 Infection ( ILIAD-7-US-O ) (clinicaltrials.gov)
P2, N=10, Terminated, Revimmune | Active, not recruiting --> Terminated; POOR ACCRUAL
Trial termination
|
glycosylated recombinant human interleukin-7 (CYT107)
1m
Phase classification • Combination therapy • Metastases
|
Opdivo (nivolumab) • Hyleukin-7 (efineptakin alfa)
1m
New P1 trial
|
Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)
2ms
rhIL-7-hyFc and hIL-2/TCB2c combination promotes an immune-stimulatory tumor microenvironment that improves antitumor efficacy of checkpoint inhibitors. (PubMed, J Immunother Cancer)
rhIL-7-hyFc can expand and maintain the progenitor pool of exhausted CD8+ T cells, whereas hIL-2/TCB2c promotes their differentiation into TEX term. Together, this induces an immune-stimulatory TME that improves the efficacy of checkpoint blockade.
Journal • Checkpoint inhibition
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CD8 (cluster of differentiation 8) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • IL7 (Interleukin 7)
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CD8-H
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Hyleukin-7 (efineptakin alfa) • SLC-3010
2ms
KEYNOTE A60: NT-I7 (Efineptakin Alfa) in Combination With Pembrolizumab in Participants With Advanced Solid Tumors (clinicaltrials.gov)
P1/2, N=215, Active, not recruiting, NeoImmuneTech | Trial completion date: Jun 2024 --> Mar 2025 | Trial primary completion date: Jun 2024 --> Nov 2024 | Recruiting --> Active, not recruiting
Enrollment closed • Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
|
EGFR mutation • BRAF mutation • ALK translocation • ROS1 mutation
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Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)
3ms
A Study to Evaluate the Efficacy and Safety of TJ107 in Lympopenic Patients With Newly Diagnosed Glioblastoma Who Completed Standard Concurrent Chemoradiotherapy (CCRT) (clinicaltrials.gov)
P2, N=160, Active, not recruiting, I-Mab Biopharma Co. Ltd. | Recruiting --> Active, not recruiting | Trial completion date: Feb 2024 --> Dec 2024 | Trial primary completion date: Nov 2023 --> Dec 2024
Enrollment closed • Trial completion date • Trial primary completion date
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Hyleukin-7 (efineptakin alfa)
3ms
Enrollment change • Trial primary completion date • Metastases
|
PD-L1 (Programmed death ligand 1)
|
Keytruda (pembrolizumab) • Papitrol (tirvalimogene teraplasmid) • Hyleukin-7 (efineptakin alfa)
3ms
Phase classification
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
Keytruda (pembrolizumab) • cyclophosphamide • Hyleukin-7 (efineptakin alfa)
3ms
High-Risk Skin Cancers With Atezolizumab Plus NT-I7 (clinicaltrials.gov)
P1/2, N=31, Terminated, NeoImmuneTech | Phase classification: P1b/2a --> P1/2 | N=84 --> 31 | Trial completion date: May 2024 --> Aug 2023 | Active, not recruiting --> Terminated | Trial primary completion date: Feb 2024 --> Aug 2023; Strategic decision by sponsor
Phase classification • Enrollment change • Trial completion date • Trial termination • Trial primary completion date
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BRAF (B-raf proto-oncogene)
|
Tecentriq (atezolizumab) • Hyleukin-7 (efineptakin alfa)
3ms
Relapsed/Refractory Large B-cell Lymphoma With NT-I7 Post-CD19 CAR T-cell Therapy (clinicaltrials.gov)
P1, N=57, Recruiting, NeoImmuneTech | Phase classification: P1b --> P1
Phase classification
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Yescarta (axicabtagene ciloleucel) • Breyanzi (lisocabtagene maraleucel) • Kymriah (tisagenlecleucel-T) • Hyleukin-7 (efineptakin alfa)
3ms
KEYNOTE-B26: A Study of an Intratumoral Oncolytic Virus in Patients With Advanced Metastatic Solid Tumors (clinicaltrials.gov)
P1, N=72, Active, not recruiting, Astellas Pharma Global Development, Inc. | Trial completion date: Aug 2024 --> Apr 2024 | Trial primary completion date: Aug 2024 --> Apr 2024
Trial completion date • Trial primary completion date • Combination therapy • Oncolytic virus • Metastases
|
Keytruda (pembrolizumab)
4ms
Study to Evaluate Safety and Efficacy of TJ107 Combine With PD-1 in Patients With Solid Tumors (clinicaltrials.gov)
P2, N=133, Active, not recruiting, I-Mab Biopharma Co. Ltd. | Recruiting --> Active, not recruiting
Enrollment closed
|
Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)
4ms
rhIL-7-hyFc on Increasing Lymphocyte Counts in Patients With Newly Diagnosed Non-severe Lymphopenic Gliomas Following Radiation and Temzolomide (clinicaltrials.gov)
P1/2, N=70, Recruiting, Washington University School of Medicine | Trial completion date: Jan 2030 --> Jan 2032 | Trial primary completion date: Jan 2030 --> Jan 2032
Trial completion date • Trial primary completion date
|
IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • MGMT (6-O-methylguanine-DNA methyltransferase)
|
IDH1 R132H • IDH wild-type • IDH1 R132
|
temozolomide • Hyleukin-7 (efineptakin alfa)
5ms
NT-I7 for Kaposi Sarcoma in Patients With or Without HIV (clinicaltrials.gov)
P1, N=8, Terminated, Fred Hutchinson Cancer Center | Active, not recruiting --> Terminated; Terminated due to end of funding
Trial termination
|
Hyleukin-7 (efineptakin alfa)
5ms
A randomized phase II study of atezolizumab (atezo) plus recombinant human IL-7 (CYT107) in patients with locally advanced or metastatic urothelial carcinoma. (ASCO-GU 2024)
This is the first randomized trial of atezo +/- IL-7 (CYT107) in mUC. During the trial, the FDA approval for atezo in mUC was withdrawn, which limited enrollment. However, our results show that the addition of CYT107 to atezo is safe/tolerable, with comparable toxicity profile and efficacy to monotherapy.
Clinical • P2 data • Metastases
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IL7 (Interleukin 7)
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Tecentriq (atezolizumab) • glycosylated recombinant human interleukin-7 (CYT107)
5ms
Phase II study of GEN-001 in combination with avelumab in patients with PD-L1–positive locally advanced, or metastatic gastric cancer (GC) or gastroesophageal junction cancer (GEJC) who have progressed after second-line (2L) and beyond (GEN001-201 study). (ASCO-GI 2024)
Treatment of patients with GC/GEJC with GEN-001 in combination with avelumab in the ≥ 3L setting showed promising antitumor activities with an overall manageable safety profile. The results from this trial will be updated about its effects on clinical outcome, including survival, safety, and biomarker findings. Clinical trial information: NCT05419362.
Clinical • P2 data • Combination therapy • PD(L)-1 Biomarker • IO biomarker • Metastases
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PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
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Bavencio (avelumab) • GEN-001
6ms
An "off-the-shelf" CD2 universal CAR-T therapy for T-cell malignancies. (PubMed, Leukemia)
To evaluate the impact of CD2 on CAR-T function, we generated CD19 CAR-T cells (UCART19) with or without CD2 deletion, single-cell secretome analysis revealed that CD2 deletion in UCART19 reduced frequencies of the effector cytokines (Granzyme-B and IFN-γ). Treatment with rhIL-7-hyFc prolonged UCART2 persistence and increased survival in both the tumor re-challenge model and primary patient T-ALL model in vivo. Together, these data suggest that allogeneic fratricide-resistant UCART2, in combination with rhIL-7-hyFc, could be a suitable approach for treating T-cell malignancies.
Journal
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IFNG (Interferon, gamma) • GZMB (Granzyme B) • CD2 (CD2 Molecule)
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Hyleukin-7 (efineptakin alfa) • UCART19
6ms
Phase classification • Combination therapy • Metastases
|
BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
|
EGFR mutation • BRAF mutation • ALK translocation • ROS1 mutation
|
Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)
6ms
Long-acting recombinant interleukin-7, NT-I7, improves survival following oncolytic Zika virus treatment in the SB28 immunosuppressive and treatment-resistant murine glioma model (SNO 2023)
Timing the oncolytic ZIKV injection with the peak in peripheral CD8+ T-cells greatly improved survival in the immunotherapy resistant SB28 glioma model. These data suggest a role for NT-I7 as an adjunct to various T-cell mediated treatment strategies for GBM.
Preclinical • Oncolytic virus
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CD8 (cluster of differentiation 8) • IL7 (Interleukin 7)
|
Hyleukin-7 (efineptakin alfa)
6ms
Efficacy and safety study of neoadjuvant efineptakin alfa (NT-I7) and pembrolizumab in recurrent glioblastoma (SNO 2023)
This study opened in Jan 2023. Six (6) of the planned thirty (30) patients had been enrolled by time of submission.
Clinical
|
CD8 (cluster of differentiation 8) • IL7 (Interleukin 7)
|
Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)
7ms
Vaccine Response With NT-I7 (clinicaltrials.gov)
P1, N=0, Withdrawn, National Cancer Institute (NCI) | N=68 --> 0 | Trial completion date: Feb 2024 --> Nov 2023 | Active, not recruiting --> Withdrawn | Trial primary completion date: Feb 2024 --> Nov 2023
Enrollment change • Trial completion date • Trial withdrawal • Trial primary completion date
|
HER-2 positive • HR positive
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Hyleukin-7 (efineptakin alfa)
7ms
A mechanistically novel peptide agonist of the IL-7 receptor that addresses limitations of IL-7 cytokine therapy. (PubMed, PLoS One)
The novel peptide agonist reported here scores very low in predicted immunogenicity, and because the peptide lacks sequence similarity with IL-7, the problematic immunogenic neutralization of endogenous cytokine should not occur. The properties we report here implicate MDK-703 as a candidate for clinical evaluation in oncology, anti-viral and other infectious disease, vaccine enhancement, and treatment of lymphopenia.
Journal
|
IL7 (Interleukin 7)
7ms
Atezolizumab and CYT107 in Treating Participants With Locally Advanced, Inoperable, or Metastatic Urothelial Carcinoma (clinicaltrials.gov)
P2, N=47, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Dec 2023 --> Oct 2024 | Trial primary completion date: Dec 2023 --> Sep 2023
Trial completion date • Trial primary completion date • Metastases
|
PD-L1 (Programmed death ligand 1) • CD4 (CD4 Molecule)
|
PD-L1 expression
|
Tecentriq (atezolizumab) • glycosylated recombinant human interleukin-7 (CYT107)
7ms
Combination therapy • Enrollment closed • Metastases
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
PD-L1 IHC 22C3 pharmDx
|
Tecentriq (atezolizumab) • Hyleukin-7 (efineptakin alfa)
7ms
GEN-001 in Combination With Avelumab for Patients With PD-L1 Positive Gastric Cancer (clinicaltrials.gov)
P2, N=42, Active, not recruiting, Genome & Company | Recruiting --> Active, not recruiting
Enrollment closed • Combination therapy • Metastases
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
Bavencio (avelumab) • GEN-001
7ms
GEN-001 Plus Pembrolizumab for Patients With Advanced Refractory Biliary Tract Cancer (clinicaltrials.gov)
P2, N=148, Recruiting, Genome & Company | Not yet recruiting --> Recruiting
Enrollment open • Combination therapy • Metastases
|
Keytruda (pembrolizumab) • GEN-001
7ms
NT-I7 for Kaposi Sarcoma in Patients With or Without HIV (clinicaltrials.gov)
P1, N=8, Active, not recruiting, Fred Hutchinson Cancer Center | Trial completion date: Apr 2024 --> Nov 2023 | Trial primary completion date: Apr 2024 --> Nov 2023
Trial completion date • Trial primary completion date
|
CD4 (CD4 Molecule)
|
Hyleukin-7 (efineptakin alfa)
7ms
Study of the Effect NT-I7 on CD4 Counts in Patients With High Grade Gliomas (clinicaltrials.gov)
P1, N=12, Terminated, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Active, not recruiting --> Terminated; Terminated [NCI decided to terminate ABTC Consortium due to NCI moving in different direction for Brain Cancer]
Trial termination
|
CD4 (CD4 Molecule)
|
temozolomide • Hyleukin-7 (efineptakin alfa)
8ms
NT-I7 (efineptakin alfa), a long-acting IL-7, in combination with pembrolizumab improves T cell fitness in heavily pretreated subjects with gastrointestinal tumors (SITC 2023)
Conclusions NT-I7-driven T cell expansion, even when combined with an anti-PD-1 agent like pembrolizumab, promotes stemness and restores T cell fitness in heavily pretreated subjects showing signs of immune dysfunction. Combining NT-I7 with conventional immunotherapy or other anticancer agents has added systemic benefits that could impact long-term clinical response in these patients.
Clinical • Combination therapy • PD(L)-1 Biomarker • IO biomarker
|
CD8 (cluster of differentiation 8) • IL7 (Interleukin 7)
|
Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)
9ms
The Therapeutic Values of IL-7/IL-7R and the Recombinant Derivatives in Glioma: A Narrative Review. (PubMed, J Interferon Cytokine Res)
In recent years, the progression-free survival and overall survival of patients suffering from gliomas significantly increased by introducing C7R-expressing chimeric antigen receptor (CAR)-T cells and long-acting IL-7 agonists such as NT-I7 (rhIL-7-hyFc, Efineptakin alfa)...This article first reviews the pathophysiological roles of IL-7/IL-7R in tumors, focusing on gliomas. Subsequently, it discusses the therapeutic values of IL-7/IL-7R and the recombinant derivatives in gliomas.
Review • Journal
|
IL7 (Interleukin 7)
|
Hyleukin-7 (efineptakin alfa)
9ms
GEN-001 in Combination With Avelumab for Patients With PD-L1 Positive Gastric Cancer (clinicaltrials.gov)
P2, N=42, Recruiting, Genome & Company | Trial completion date: Sep 2024 --> Dec 2024 | Trial primary completion date: Sep 2024 --> Dec 2024
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
Bavencio (avelumab) • GEN-001
10ms
A randomized phase II study of atezolizumab (atezo) plus recombinant human IL-7 (CYT107) vs. atezo alone in patients with locally advanced or metastatic urothelial carcinoma (mUC) (ESMO 2023)
During the trial, the FDA approval for atezo in mUC was withdrawn, which limited enrollment. However, our results show that the addition of CYT107 to atezo is safe/tolerable, although there was no improvement in clinical outcomes compared to atezo monotherapy.
Clinical • P2 data • Metastases
|
IL7 (Interleukin 7)
|
Tecentriq (atezolizumab) • glycosylated recombinant human interleukin-7 (CYT107)
10ms
NT-I7 in Combination With Atezolizumab in Previously Untreated, PD-L1-expressing, Locally Advanced or Metastatic NSCLC (clinicaltrials.gov)
P2; Trial completion date: Jun 2024 --> Mar 2025 | Trial primary completion date: Sep 2023 --> Sep 2024
Combination therapy • Trial completion date • Trial primary completion date • Metastases
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
PD-L1 IHC 22C3 pharmDx
|
Tecentriq (atezolizumab) • Hyleukin-7 (efineptakin alfa)
11ms
Anti-myeloma efficacy of CAR-iNKT is enhanced with a long-acting IL-7, rhIL-7hyFc. (PubMed, Blood Adv)
Further, in CRS in vitro assays, CAR-iNKT induced less IL-6 than CAR-T, suggesting reduced likelihood for CAR-iNKT cell therapy to induce CRS in patients. These data suggest BCMA CAR-iNKT are potentially a safer, effective alternative to BCMA-CAR-T and BCMA CAR-iNKT efficacy is further potentiated with rhIL-7-hyFc.
Journal • IO biomarker
|
IL6 (Interleukin 6) • IL7 (Interleukin 7)
|
Hyleukin-7 (efineptakin alfa)
11ms
Vaccine Response With NT-I7 (clinicaltrials.gov)
P1, N=68, Active, not recruiting, National Cancer Institute (NCI) | Recruiting --> Active, not recruiting | Trial completion date: May 2025 --> Feb 2024
Enrollment closed • Trial completion date
|
HER-2 positive • HR positive
|
Hyleukin-7 (efineptakin alfa)
11ms
NT-I7 for Kaposi Sarcoma in Patients With or Without HIV (clinicaltrials.gov)
P1, N=8, Active, not recruiting, Fred Hutchinson Cancer Center | Recruiting --> Active, not recruiting | N=20 --> 8 | Trial primary completion date: Dec 2023 --> Apr 2024
Enrollment closed • Enrollment change • Trial primary completion date
|
CD4 (CD4 Molecule)
|
Hyleukin-7 (efineptakin alfa)
11ms
Efineptakin Alfa and Pembrolizumab for the Treatment of Recurrent Glioblastoma (clinicaltrials.gov)
P2, N=34, Suspended, Mayo Clinic | Active, not recruiting --> Suspended
Trial suspension • Tumor mutational burden
|
IDH wild-type
|
Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)
11ms
Study of GX-I7 in Combination With Pembrolizumab in Refractory or Relapsed (R/R) TNBC Subjects(GX-I7-CA-006/KEYNOTE-899) (clinicaltrials.gov)
P1b/2, N=84, Completed, Genexine, Inc. | Active, not recruiting --> Completed | Trial completion date: Apr 2024 --> May 2023
Trial completion • Trial completion date • Combination therapy
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
Keytruda (pembrolizumab) • cyclophosphamide • Hyleukin-7 (efineptakin alfa)
12ms
Efineptakin Alfa and Pembrolizumab for the Treatment of Recurrent Glioblastoma (clinicaltrials.gov)
P2, N=34, Active, not recruiting, Mayo Clinic | Recruiting --> Active, not recruiting
Enrollment closed • Tumor mutational burden
|
IDH wild-type
|
Keytruda (pembrolizumab) • Hyleukin-7 (efineptakin alfa)