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DRUG:

Zynyz (retifanlimab-dlwr)

i
Other names: INCMGA0012, MGA 012, MGA012, INCMGA 0012 , INCMGA00012, ZL-1306
Company:
Incyte, MacroGenics
Drug class:
PD1 inhibitor
Related drugs:
2d
Retifanlimab (Anti-PD-1 Antibody) With Gemcitabine and Docetaxel in Patients With Advanced Soft Tissue Sarcoma (clinicaltrials.gov)
P1/2, N=67, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Recruiting --> Active, not recruiting
Enrollment closed • Checkpoint inhibition • Checkpoint block • Metastases
|
gemcitabine • docetaxel • Zynyz (retifanlimab-dlwr)
4d
Retifanlimab and Epacadostat in Combination With Radiation and Bevacizumab in Patients With Recurrent Gliomas (clinicaltrials.gov)
P2, N=51, Active, not recruiting, Washington University School of Medicine | Trial primary completion date: Apr 2024 --> Jul 2024
Trial primary completion date • Combination therapy
|
Avastin (bevacizumab) • Zynyz (retifanlimab-dlwr) • epacadostat (INCB024360)
5d
New P2 trial • Metastases
|
Pemazyre (pemigatinib) • Zynyz (retifanlimab-dlwr)
11d
Merkel Cell Carcinoma: Integrating Epidemiology, Immunology, and Therapeutic Updates. (PubMed, Am J Clin Dermatol)
Starting in 2017, four programmed cell death protein 1 (PD-1)/programmed cell death-ligand 1 (PD-L1) immune checkpoint inhibitors-avelumab, pembrolizumab, nivolumab (utilized in both neoadjuvant and adjuvant settings), and retifanlimab-have demonstrated efficacy in treating patients with disseminated MCC on the basis of prospective clinical trials. Nevertheless, while randomized studies directly comparing immune checkpoint inhibitors and chemotherapy in MCC are lacking, immunotherapy shows response rates comparable to those previously reported with chemotherapy but with more enduring responses. Notably, adjuvant nivolumab has proven superiority to the standard-of-care therapy (observation) in the adjuvant setting.
Review • Journal • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1)
|
Keytruda (pembrolizumab) • Opdivo (nivolumab) • Bavencio (avelumab) • Zynyz (retifanlimab-dlwr)
15d
The Purpose of the Study is to Continue to Provide Pemigatinib to Patients With Advanced Malignancies. (clinicaltrials.gov)
P2, N=10, Terminated, Incyte Corporation | Active, not recruiting --> Terminated; A business decision due to availability of commercial drug and other options for accessing study drug treatment.
Trial termination • Metastases
|
Keytruda (pembrolizumab) • Pemazyre (pemigatinib) • Zynyz (retifanlimab-dlwr)
29d
NCI-2020-02940: INCMGA00012 and Pelareorep for the Treatment of Metastatic Triple Negative Breast Cancer, IRENE Study (clinicaltrials.gov)
P2, N=25, Recruiting, Mridula George, MD | Trial primary completion date: Jan 2024 --> Jun 2024
Trial primary completion date • Oncolytic virus • IO biomarker • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
PD-L1 expression • HER-2 expression • ER expression
|
Irene (pyrotinib) • Zynyz (retifanlimab-dlwr) • Reolysin (pelareorep)
1m
Atezolizumab plus modified docetaxel, cisplatin, and fluorouracil as first-line treatment for advanced anal cancer (SCARCE C17-02 PRODIGE 60): a randomised, non-comparative, phase 2 study. (PubMed, Lancet Oncol)
Despite a higher incidence of adverse events, combining atezolizumab with mDCF is feasible, with similar dose intensity in both groups, although the primary efficacy endpoint was not met. The predictive value of a PD-L1 combined positive score of 5 or greater now needs to be confirmed in future studies.
P2 data • Journal • Metastases
|
PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1)
|
Keytruda (pembrolizumab) • Opdivo (nivolumab) • cisplatin • Tecentriq (atezolizumab) • docetaxel • 5-fluorouracil • Bavencio (avelumab) • Zynyz (retifanlimab-dlwr)
1m
New P1/2 trial • Combination therapy • Metastases
|
paclitaxel • Zynyz (retifanlimab-dlwr) • axatilimab (SNDX-6352)
1m
Enrollment open • Metastases
|
Zynyz (retifanlimab-dlwr) • SX-682 • Anktiva (nogapendekin alfa inbakicept-pmln)
2ms
INCB106385 Alone or in Combination With Immunotherapy in Advanced Solid Tumors (clinicaltrials.gov)
P1, N=54, Completed, Incyte Corporation | Active, not recruiting --> Completed
Trial completion • Combination therapy • Metastases
|
CD8 (cluster of differentiation 8)
|
Zynyz (retifanlimab-dlwr) • INCB106385
2ms
PD-1, LAG-3 and TIM-3 Checkpoint Blockade in DLBCL (clinicaltrials.gov)
P1, N=18, Not yet recruiting, University of Alabama at Birmingham
New P1 trial • CAR T-Cell Therapy • Checkpoint inhibition • Checkpoint block
|
Zynyz (retifanlimab-dlwr) • INCAGN2390 • tuparstobart (INCAGN2385)
2ms
BRIA-ABC: Study of the Bria-IMT Regimen and CPI vs Physicians' Choice in Advanced Metastatic Breast Cancer. (clinicaltrials.gov)
P3, N=404, Recruiting, BriaCell Therapeutics Corporation | Initiation date: Oct 2023 --> Feb 2024
Trial initiation date • Metastases
|
ER (Estrogen receptor) • PGR (Progesterone receptor)
|
HER-2 negative
|
carboplatin • capecitabine • cyclophosphamide • Halaven (eribulin mesylate) • Zynyz (retifanlimab-dlwr) • Bria-IMT (SV-BR-1-GM)
2ms
A phase II study of retifanlimab, a humanized anti-PD-1 monoclonal antibody, in patients with solid tumors (POD1UM-203). (PubMed, ESMO Open)
Retifanlimab demonstrated durable antitumor activity in patients with melanoma, NSCLC, UC, or RCC. The efficacy and safety of retifanlimab were as expected for a PD-(L)1 inhibitor. These data support further study of retifanlimab in solid tumors.
P2 data • Journal • PD(L)-1 Biomarker • IO biomarker
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
Zynyz (retifanlimab-dlwr)
3ms
Optimus: An Umbrella Study to Determine the Safety and Efficacy of Various Monotherapy or Combination Therapies in Neoadjuvant Urothelial Carcinoma (clinicaltrials.gov)
P2, N=30, Terminated, Incyte Corporation | Trial completion date: Jun 2024 --> Jan 2024 | Active, not recruiting --> Terminated | Trial primary completion date: Apr 2024 --> Jan 2024; Business Decision. No safety concerns contributed to this decision.
Trial completion date • Trial termination • Trial primary completion date • Combination therapy
|
Zynyz (retifanlimab-dlwr) • epacadostat (INCB024360) • INCAGN2390 • tuparstobart (INCAGN2385)
4ms
The Purpose of the Study is to Continue to Provide Pemigatinib to Patients With Advanced Malignancies. (clinicaltrials.gov)
P2, N=10, Active, not recruiting, Incyte Corporation | Trial completion date: Dec 2023 --> Mar 2024 | Trial primary completion date: Dec 2023 --> Mar 2024
Trial completion date • Trial primary completion date • Metastases
|
Keytruda (pembrolizumab) • Pemazyre (pemigatinib) • Zynyz (retifanlimab-dlwr)
4ms
Enrollment open • Metastases
|
KRAS (KRAS proto-oncogene GTPase)
|
Erbitux (cetuximab) • Zynyz (retifanlimab-dlwr)
4ms
Trial completion date • Trial primary completion date • Combination therapy • IO biomarker
|
PD-L1 (Programmed death ligand 1) • MSI (Microsatellite instability) • CD8 (cluster of differentiation 8) • PD-1 (Programmed cell death 1) • CD4 (CD4 Molecule) • ICOS (Inducible T Cell Costimulator)
|
temozolomide • carmustine • Zynyz (retifanlimab-dlwr)
4ms
Study of INCA 0186 in Subjects With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=57, Active, not recruiting, Incyte Corporation | Trial completion date: Jan 2024 --> Jun 2025 | Trial primary completion date: Jan 2024 --> Jun 2025
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
CD8 (cluster of differentiation 8)
|
Zynyz (retifanlimab-dlwr) • INCA00186 • INCB106385
4ms
MAHOGANY: Combination Margetuximab, Retifanlimab, Tebotelimab, and Chemotherapy Phase 2/3 Trial in HER2+ Gastric/GEJ Cancer (clinicaltrials.gov)
P2/3; Trial completion date: Dec 2023 --> Mar 2024 | Trial primary completion date: Dec 2023 --> Mar 2024
Combination therapy • Trial completion date • Trial primary completion date • Metastases
|
PD-L1 (Programmed death ligand 1) • MSI (Microsatellite instability)
|
PD-L1 expression • HER-2 positive
|
PD-L1 IHC 22C3 pharmDx
|
Herceptin (trastuzumab) • 5-fluorouracil • capecitabine • oxaliplatin • Margenza (margetuximab-cmkb) • Zynyz (retifanlimab-dlwr) • tebotelimab (MGD013)
5ms
New P1 trial • Metastases
|
KRAS (KRAS proto-oncogene GTPase)
|
Erbitux (cetuximab) • Zynyz (retifanlimab-dlwr)
5ms
A Study Exploring the Safety and Tolerability of INCB081776 in Participants With Advanced Malignancies (clinicaltrials.gov)
P1, N=84, Active, not recruiting, Incyte Corporation | Phase classification: P1a/1b --> P1 | Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Nov 2023 --> Nov 2024
Phase classification • Trial completion date • Trial primary completion date • Metastases
|
FLT3 (Fms-related tyrosine kinase 3) • MSI (Microsatellite instability) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2)
|
MSI-H/dMMR • FLT3-ITD mutation • FLT3 wild-type • IDH wild-type
|
Zynyz (retifanlimab-dlwr) • INCB81776
5ms
New P2 trial • Combination therapy
|
Avastin (bevacizumab) • Vegzelma (bevacizumab-adcd) • Avzivi (bevacizumab-tnjn) • Zynyz (retifanlimab-dlwr)
5ms
A phase 1 trial of combined MEK, STAT3 and PD-1 inhibition in metastatic pancreatic ductal adenocarcinoma (PDAC). (ASCO-GI 2024)
NCT05440942 is an open-label, prospective, single-institution phase 1 trial testing the safety, preliminary efficacy, and biomarkers of response to the combination of trametinib (MEKi), ruxolitinib (JAK2/STAT3 inhibitor) and retifanlimab (PD-1 inhibitor) in patients with metastatic PDAC. These results will be correlated with clinical response to therapy to determine biomarkers of response and resistance. Clinical trial information: NCT05440942.
P1 data • PD(L)-1 Biomarker • IO biomarker • Metastases
|
JAK2 (Janus kinase 2) • CD8 (cluster of differentiation 8) • IL6 (Interleukin 6) • STAT3 (Signal Transducer And Activator Of Transcription 3) • CD34 (CD34 molecule) • CXCL1 (Chemokine (C-X-C motif) ligand 1)
|
Mekinist (trametinib) • Jakafi (ruxolitinib) • Zynyz (retifanlimab-dlwr)
5ms
New P1/2 trial • Metastases
|
Zynyz (retifanlimab-dlwr) • SX-682 • Anktiva (nogapendekin alfa inbakicept-pmln)
5ms
Enrollment closed • Enrollment change
|
BRAF (B-raf proto-oncogene)
|
BRAF mutation
|
Zynyz (retifanlimab-dlwr) • INCAGN2390 • tuparstobart (INCAGN2385)
6ms
NCI-2020-02940: INCMGA00012 and Pelareorep for the Treatment of Metastatic Triple Negative Breast Cancer, IRENE Study (clinicaltrials.gov)
P2, N=25, Recruiting, Mridula George, MD | Trial completion date: Sep 2023 --> Sep 2024 | Trial primary completion date: Jun 2023 --> Jan 2024
Trial completion date • Trial primary completion date • Oncolytic virus • IO biomarker • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
PD-L1 expression • HER-2 expression • ER expression
|
Irene (pyrotinib) • Zynyz (retifanlimab-dlwr) • Reolysin (pelareorep)
6ms
Enrollment closed • Enrollment change • Combination therapy
|
Zynyz (retifanlimab-dlwr) • epacadostat (INCB024360) • INCAGN2390 • tuparstobart (INCAGN2385)
6ms
Combined MEK, STAT3 and PD-1 Inhibition in Metastatic Pancreatic Ductal Adenocarcinoma (clinicaltrials.gov)
P1, N=35, Recruiting, Peter Hosein, MD | Active, not recruiting --> Recruiting
Enrollment open • Metastases
|
TMB (Tumor Mutational Burden) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • MSI (Microsatellite instability)
|
BRCA2 mutation • BRCA1 mutation • MSI-H/dMMR
|
Mekinist (trametinib) • Jakafi (ruxolitinib) • Zynyz (retifanlimab-dlwr)
6ms
Enrollment open
|
IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • MGMT (6-O-methylguanine-DNA methyltransferase) • CD8 (cluster of differentiation 8)
|
IDH2 mutation • MGMT promoter methylation • IDH wild-type
|
Zynyz (retifanlimab-dlwr) • neoantigen DNA vaccine
6ms
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
PD-L1 (Programmed death ligand 1) • MSI (Microsatellite instability) • POLE (DNA Polymerase Epsilon)
|
PD-L1 expression • MSI-H/dMMR • FGFR mutation • FGFR1 mutation
|
Pemazyre (pemigatinib) • Zynyz (retifanlimab-dlwr) • epacadostat (INCB024360) • INCAGN2390 • tuparstobart (INCAGN2385)
6ms
RiLEY: 9-ING-41 Plus Retifanlimab and Gemcitabine/Nab-Paclitaxel in Patients With Advanced Pancreatic Adenocarcinoma (clinicaltrials.gov)
P2, N=32, Active, not recruiting, Anwaar Saeed | Trial primary completion date: Aug 2024 --> Dec 2024
Trial primary completion date • Metastases
|
gemcitabine • albumin-bound paclitaxel • Zynyz (retifanlimab-dlwr) • elraglusib (9-ING-41)
6ms
BRIA-ABC: Study of the Bria-IMT Regimen and CPI vs Physicians' Choice in Advanced Metastatic Breast Cancer. (clinicaltrials.gov)
P3, N=404, Recruiting, BriaCell Therapeutics Corporation | Not yet recruiting --> Recruiting
Enrollment open • Metastases
|
ER (Estrogen receptor) • PGR (Progesterone receptor)
|
HER-2 negative
|
carboplatin • capecitabine • cyclophosphamide • Halaven (eribulin mesylate) • Zynyz (retifanlimab-dlwr) • Bria-IMT (SV-BR-1-GM)
7ms
New P3 trial • Metastases
|
ER (Estrogen receptor) • PGR (Progesterone receptor)
|
HER-2 negative
|
carboplatin • capecitabine • cyclophosphamide • Halaven (eribulin mesylate) • Zynyz (retifanlimab-dlwr) • Bria-IMT (SV-BR-1-GM)
7ms
Combination Study of SV-BR-1-GM With Retifanlimab (clinicaltrials.gov)
P1/2, N=36, Enrolling by invitation, BriaCell Therapeutics Corporation | Recruiting --> Enrolling by invitation
Enrollment status • Combination therapy • Metastases
|
ER (Estrogen receptor) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • PGR (Progesterone receptor)
|
HER-2 positive • HER-2 negative • PGR positive • PGR negative
|
cyclophosphamide • Zynyz (retifanlimab-dlwr) • Bria-IMT (SV-BR-1-GM)
8ms
Combined MEK, STAT3 and PD-1 Inhibition in Metastatic Pancreatic Ductal Adenocarcinoma (clinicaltrials.gov)
P1, N=35, Active, not recruiting, Peter Hosein, MD | Recruiting --> Active, not recruiting
Enrollment closed • Metastases
|
TMB (Tumor Mutational Burden) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • MSI (Microsatellite instability)
|
BRCA2 mutation • BRCA1 mutation • MSI-H/dMMR
|
Mekinist (trametinib) • Jakafi (ruxolitinib) • Zynyz (retifanlimab-dlwr)
8ms
Trial primary completion date • Combination therapy • Metastases
|
BRAF (B-raf proto-oncogene)
|
BRAF mutation
|
Zynyz (retifanlimab-dlwr) • INCAGN2390 • tuparstobart (INCAGN2385)
9ms
Neoantigen-based Personalized DNA Vaccine With Retifanlimab PD-1 Blockade Therapy in Patients With Newly Diagnosed, Unmethylated Glioblastoma (clinicaltrials.gov)
P1, N=12, Not yet recruiting, Washington University School of Medicine | Trial completion date: Jun 2027 --> Oct 2027 | Initiation date: Jun 2023 --> Oct 2023 | Trial primary completion date: Sep 2024 --> Jan 2025
Trial completion date • Trial initiation date • Trial primary completion date
|
IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • MGMT (6-O-methylguanine-DNA methyltransferase) • CD8 (cluster of differentiation 8)
|
IDH2 mutation • MGMT promoter methylation • IDH wild-type
|
Zynyz (retifanlimab-dlwr) • neoantigen DNA vaccine
9ms
Phase Ib Trial of Multivalent Autophagosome Vaccine With or Without GITR Agonist, With Anti-PD-1 Immunotherapy in HNSCC (clinicaltrials.gov)
P1, N=56, Active, not recruiting, Providence Health & Services | Recruiting --> Active, not recruiting
Enrollment closed • Checkpoint inhibition • Metastases
|
CD4 (CD4 Molecule)
|
Zynyz (retifanlimab-dlwr) • DPV-001 • ragifilimab (INCAGN1876)
9ms
Updated results from POD1UM-201: A phase II study of retifanlimab in patients with advanced or metastatic Merkel cell carcinoma (MCC) (ESMO 2023)
Efficacy and safety results for the full study population will be presented. Conclusions Retifanlimab has shown notable clinical activity with an acceptable safety in advanced/metastatic chemotherapy-naive MCC, and is a promising new treatment option for eligible pts.
Clinical • P2 data • PD(L)-1 Biomarker • IO biomarker • Metastases
|
PD-L1 (Programmed death ligand 1)
|
PD-L1 expression
|
Zynyz (retifanlimab-dlwr)
9ms
Retifanlimab in patients with recurrent microsatellite instability-high (MSI-H) or deficient mismatch repair (dMMR) endometrial cancer: Final results from the POD1UM-101 study (Cohort H) (ESMO 2023)
Final results for this cohort including safety and secondary efficacy endpoints will be presented. Conclusions Retifanlimab has shown notable clinical activity in previously treated MSI-H or dMMR endometrial cancer, which is consistent with other checkpoint immunotherapies.
Clinical • Mismatch repair • Microsatellite instability
|
MSI (Microsatellite instability)
|
MSI-H/dMMR
|
Zynyz (retifanlimab-dlwr)
10ms
A Study Exploring the Safety and Tolerability of INCB081776 in Participants With Advanced Malignancies (clinicaltrials.gov)
P1a/1b, N=84, Active, not recruiting, Incyte Corporation | Recruiting --> Active, not recruiting | N=140 --> 84
Enrollment closed • Enrollment change • Metastases
|
FLT3 (Fms-related tyrosine kinase 3) • MSI (Microsatellite instability) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2)
|
MSI-H/dMMR • FLT3-ITD mutation • FLT3 wild-type • IDH wild-type
|
Zynyz (retifanlimab-dlwr) • INCB81776
10ms
Retifanlimab and Epacadostat in Combination With Radiation and Bevacizumab in Patients With Recurrent Gliomas (clinicaltrials.gov)
P2, N=49, Active, not recruiting, Washington University School of Medicine | Recruiting --> Active, not recruiting | Trial completion date: Apr 2028 --> Apr 2026 | Trial primary completion date: Jan 2025 --> Apr 2024
Enrollment closed • Trial completion date • Trial primary completion date • Combination therapy
|
Avastin (bevacizumab) • Zynyz (retifanlimab-dlwr) • epacadostat (INCB024360)