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DRUG:

maplirpacept (TTI-622)

i
Other names: TTI-622, PF-07901801, TTI622, TTI 622, SIRPa-IgG4-Fc
Associations
Company:
Pfizer
Drug class:
CD47 inhibitor
Associations
9d
Trial primary completion date • Combination therapy
|
carfilzomib • Elrexfio (elranatamab-bcmm) • maplirpacept (TTI-622)
1m
Study of Maplirpacept (PF-07901801) in Combination With PLD in Patients With Platinum-Resistant Ovarian Cancer (clinicaltrials.gov)
P1/2, N=10, Terminated, Pfizer | Active, not recruiting --> Terminated; A business decision was made by Pfizer to terminate and remove the Phase 2 expansion of this study for administrative reasons. The reason for study termination is not due to any safety concerns or requests from regulatory authorities.
Trial termination • Combination therapy
|
pegylated liposomal doxorubicin • maplirpacept (TTI-622)
1m
Phase classification • Combination therapy
|
Gazyva (obinutuzumab) • Columvi (glofitamab-gxbm) • maplirpacept (TTI-622)
1m
Enrollment change • Combination therapy
|
carfilzomib • Elrexfio (elranatamab-bcmm) • maplirpacept (TTI-622)
3ms
A Study to Learn About the Study Medicine (Called Maplirpacept (PF-07901801)) in Japanese With Hematologic Malignancies (clinicaltrials.gov)
P1, N=7, Active, not recruiting, Pfizer | Recruiting --> Active, not recruiting | N=13 --> 7
Enrollment closed • Enrollment change
|
maplirpacept (TTI-622)
3ms
A Study of TTI-622 in Combination With Daratumumab Hyaluronidase-fihj in People With Multiple Myeloma (clinicaltrials.gov)
P1, N=7, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Recruiting --> Active, not recruiting | N=32 --> 7
Enrollment closed • Enrollment change • Combination therapy
|
Darzalex Faspro (daratumumab/hyaluronidase) • maplirpacept (TTI-622)
4ms
A Study to Learn About the Study Medicine (Maplirpacept) in People With Advanced Non-Hodgkin Lymphoma or Multiple Myeloma in China (clinicaltrials.gov)
P1, N=9, Recruiting, Pfizer | Trial completion date: Nov 2024 --> May 2025 | Trial primary completion date: Aug 2024 --> Feb 2025
Trial completion date • Trial primary completion date • Metastases
|
maplirpacept (TTI-622)
5ms
Phase classification • Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
5ms
Phase classification • Combination therapy
|
Gazyva (obinutuzumab) • Columvi (glofitamab-gxbm) • maplirpacept (TTI-622)
5ms
Phase classification
|
lenalidomide • Monjuvi (tafasitamab-cxix) • maplirpacept (TTI-622)
5ms
A Multicenter, Open-Label, Phase 1b/2 Study to Evaluate the Effects of Maplirpacept in Combination with Tafasitamab and Lenalidomide in People with Relapsed or Refractory Diffuse Large B-Cell Lymphoma (ASH 2023)
Participants must provide a baseline tumor tissue sample (fresh or archival), for biomarker analysis. Exclusion criteria include previous treatment with anti-CD47, anti-CD19 (other than CAR-T) or immunomodulatory agents, prior allogeneic stem cell transplantation or autologous stem cell transplantation within 12 weeks prior to enrolment, and participants with active, uncontrolled viral, bacterial or fungal infections.
Clinical • P1/2 data • Combination therapy • IO biomarker
|
lenalidomide • Monjuvi (tafasitamab-cxix) • maplirpacept (TTI-622)
5ms
A Multicenter, Open-Label, Phase 1b/2 Study to Evaluate the Effects of Maplirpacept in Combination with Glofitamab in People with Relapsed or Refractory Diffuse Large B Cell Lymphoma (ASH 2023)
Background Maplirpacept (PF-07901801) is an anti-CD47 fusion protein constructed to enhance phagocytosis and antitumor activity via inhibition of CD47-mediated signaling. All patients should have adequate bone marrow, hepatic, and renal function (eGFR ≥45 mL/min) and ECOG performance status ≤2. Exclusion criteria include prior treatment with an anti-CD47 agent, prior anti-CD20xCD3 containing regimen, refractoriness to an obinutuzumab monotherapy containing regimen, prior allogeneic stem cell transplantation or autologous stem cell transplantation within 12 weeks prior to enrolment, high grade B-cell lymphoma with BCL2 and Myc rearrangement, active bacterial, viral, fungal, mycobacterial, parasitic, or other infection.
Clinical • P1/2 data • Combination therapy
|
BCL2 (B-cell CLL/lymphoma 2)
|
MYC rearrangement • BCL2 rearrangement
|
Gazyva (obinutuzumab) • Columvi (glofitamab-gxbm) • maplirpacept (TTI-622)
6ms
Phase classification • Combination therapy
|
carfilzomib • Elrexfio (elranatamab-bcmm) • maplirpacept (TTI-622)
6ms
Study of Maplirpacept (PF-07901801) in Combination With PLD in Patients With Platinum-Resistant Ovarian Cancer (clinicaltrials.gov)
P1/2, N=10, Active, not recruiting, Pfizer | N=50 --> 10 | Trial completion date: Dec 2025 --> Feb 2024 | Trial primary completion date: Dec 2024 --> Feb 2024
Enrollment change • Trial completion date • Trial primary completion date • Combination therapy
|
pegylated liposomal doxorubicin • maplirpacept (TTI-622)
6ms
Trial completion date • Trial primary completion date • Combination therapy
|
Gazyva (obinutuzumab) • Columvi (glofitamab-gxbm) • maplirpacept (TTI-622)
6ms
The CD47-Blocking Immune Checkpoint Inhibitor Maplirpacept Does Not Interfere with Blood Transfusion Compatibility Testing (ASH 2023)
CD47 expression on RBCs was shown to interfere with pre-transfusion laboratory testing in patients treated with the anti-CD47 mAb, Hu5F9-G4 (Velliquette et al. Here we demonstrate that interference with blood compatibility testing is dependent upon the type of CD47-blocking agent. Decoy receptors such as Maplirpacept, unlike anti-CD47 mAb, do not interfere with blood group serologic testing, which may confer a significant clinical advantage by negating the need for additional approaches to prevent interference.
Checkpoint inhibition • IO biomarker
|
CD47 (CD47 Molecule) • SIRPA (Signal Regulatory Protein Alpha)
|
CD47 expression
|
magrolimab (GS-4721) • maplirpacept (TTI-622)
7ms
Effects of Maplirpacept (PF-07901801),Tafasitamab, and Lenalidomide in People With Relapsed or Refractory Diffuse Large B-cell Lymphoma (clinicaltrials.gov)
P1b/2, N=70, Recruiting, Pfizer | Trial completion date: Jul 2026 --> Mar 2029 | Trial primary completion date: Jan 2026 --> Mar 2027
Trial completion date • Trial primary completion date
|
lenalidomide • Monjuvi (tafasitamab-cxix) • maplirpacept (TTI-622)
7ms
TTI-622-01: A Clinical Trial to Learn About the Study Medicine Called Maplirpacept (PF-07901801), Alone and When Used in Combination With Other Medicines to Treat Participants With Advanced Hematological Malignancies, Including Lymphoma, Leukemia and Multiple Myeloma (clinicaltrials.gov)
P1a/1b, N=177, Active, not recruiting, Pfizer | Recruiting --> Active, not recruiting | N=476 --> 177 | Trial completion date: Oct 2025 --> Apr 2025 | Trial primary completion date: Oct 2024 --> Apr 2024
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
10ms
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
10ms
Enrollment open • Metastases
|
maplirpacept (TTI-622)
10ms
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
11ms
Enrollment change • Combination therapy
|
carfilzomib • Elrexfio (elranatamab-bcmm) • maplirpacept (TTI-622)
11ms
New P1 trial • Metastases
|
maplirpacept (TTI-622)
12ms
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
12ms
A Study of TTI-622 in Combination With Daratumumab Hyaluronidase-fihj in People With Multiple Myeloma (clinicaltrials.gov)
P1, N=32, Recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Oct 2023 --> Oct 2025 | Trial primary completion date: Oct 2023 --> Oct 2025
Trial completion date • Trial primary completion date • Combination therapy
|
Darzalex Faspro (daratumumab/hyaluronidase) • maplirpacept (TTI-622)
12ms
MagnetisMM-20: A Clinical Trial of Four Medicines (Elranatamab Plus Carfilzomib and Dexamethasone or Maplirpacept) in People With Relapsed Refractory Multiple Myeloma (clinicaltrials.gov)
P1b, N=56, Recruiting, Pfizer | N=14 --> 56 | Trial completion date: Aug 2026 --> Jul 2027 | Trial primary completion date: Nov 2024 --> Aug 2025
Enrollment change • Trial completion date • Trial primary completion date • Combination therapy
|
carfilzomib • Elrexfio (elranatamab-bcmm) • maplirpacept (TTI-622)
1year
Study of Maplirpacept (PF-07901801) in Combination With PLD in Patients With Platinum-Resistant Ovarian Cancer (clinicaltrials.gov)
P1/2, N=50, Recruiting, Pfizer | Phase classification: P2 --> P1/2 | Trial completion date: Sep 2025 --> Dec 2025 | Trial primary completion date: Sep 2024 --> Dec 2024
Phase classification • Trial completion date • Trial primary completion date • Combination therapy
|
pegylated liposomal doxorubicin • maplirpacept (TTI-622)
1year
Enrollment open • Combination therapy
|
PD-L1 (Programmed death ligand 1) • ALK (Anaplastic lymphoma kinase) • BCL2 (B-cell CLL/lymphoma 2) • BCL6 (B-cell CLL/lymphoma 6) • IRF4 (Interferon regulatory factor 4)
|
ALK positive • BCL6 rearrangement • BCL2 rearrangement
|
Keytruda (pembrolizumab) • maplirpacept (TTI-622) • ontorpacept (PF-07901800)
1year
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
over1year
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
over1year
Serological Interference in Pretransfusion Testing in Patients Receiving TTI-622 (SIRPα-IgG4 Fc), a CD47-Innate Immune Checkpoint Inhibitor (AABB 2022)
Study Design/ Samples from ten patients receiving TTI-622 (combination with azacitidine (AZA), AZA + venetoclax or carfilzomib + dexamethasone) were studied. We and others have reported interference in pretransfusion testing with anti-CD47 therapeutics (Transfusion 2019;59;730) and noted that interference characteristics will vary depending on drug IgG subclass and design. For TTI-622, no interference was observed in tube testing with PEG or LISS with Immucor or Ortho anti-IgG. Gel methods were the most sensitive to interference, particularly Bio-Rad.
Clinical • Checkpoint inhibition
|
CD47 (CD47 Molecule) • SIRPA (Signal Regulatory Protein Alpha)
|
Venclexta (venetoclax) • azacitidine • carfilzomib • maplirpacept (TTI-622)
over1year
New P2 trial • Combination therapy
|
PD-L1 (Programmed death ligand 1) • ALK (Anaplastic lymphoma kinase) • BCL2 (B-cell CLL/lymphoma 2) • BCL6 (B-cell CLL/lymphoma 6) • IRF4 (Interferon regulatory factor 4)
|
ALK positive • BCL6 rearrangement • BCL2 rearrangement
|
Keytruda (pembrolizumab) • maplirpacept (TTI-622) • ontorpacept (PF-07901800)
almost2years
Trial completion date • Trial primary completion date • Combination therapy
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • Sarclisa (isatuximab-irfc) • dexamethasone injection • maplirpacept (TTI-622)
almost2years
CD47-BLOCKER TTI-622 COMBINED WITH AZACITIDINE IN PATIENTS WITH TP53-MUTATED ACUTE MYELOID LEUKEMIA (AML) AND WITH AZACITIDINE + VENETOCLAX IN ELDERLY OR UNFIT PATIENTS WITH TP53-WILDTYPE AML (EHA 2022)
Response assessment is per the ELN2017 criteria. Results Results N/A (trial-in-progress) Conclusion Conclusion N/A (trial-in-progress)
Clinical
|
TP53 (Tumor protein P53) • CD47 (CD47 Molecule) • SIRPA (Signal Regulatory Protein Alpha)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • azacitidine • maplirpacept (TTI-622)
2years
TTI-622-01: A Trial of TTI-622 in Patients With Advanced Hematologic Malignancies (clinicaltrials.gov)
P1a/1b, N=350, Recruiting, Trillium Therapeutics Inc. | N=150 --> 350 | Trial completion date: Dec 2022 --> Jun 2024 | Trial primary completion date: Apr 2022 --> Jun 2023
Enrollment change • Trial completion date • Trial primary completion date
|
TP53 (Tumor protein P53)
|
TP53 mutation • TP53 wild-type
|
Venclexta (venetoclax) • Rituxan (rituximab) • azacitidine • carfilzomib • maplirpacept (TTI-622)
over2years
CD47-Blocker TTI-622 Shows Single-Agent Activity in Patients with Advanced Relapsed or Refractory Lymphoma: Update from the Ongoing First-in-Human Dose Escalation Study (ASH 2021)
Updated data including additional patients will be presented at the conference. Based on these results demonstrating promising single-agent activity as well as good tolerability, TTI-622 is currently being investigated in combination regimens in a range of hematologic malignancies.
Clinical • P1 data • IO biomarker
|
CD47 (CD47 Molecule) • SIRPA (Signal Regulatory Protein Alpha)
|
CD47 overexpression
|
maplirpacept (TTI-622)
over3years
[VIRTUAL] Investigational CD47-Blocker TTI-622 Shows Single-Agent Activity in Patients with Advanced Relapsed or Refractory Lymphoma: Update from the Ongoing First-in-Human Dose Escalation Study (ASH 2020)
TTI-622 has shown activity in R/R lymphoma with objective responses across a broad dose range (0.8–8 mg/kg) and in multiple histologies. The study is currently evaluating the 8 mg/kg dose level.
Clinical • P1 data • IO biomarker
|
TNFRSF8 (TNF Receptor Superfamily Member 8)
|
maplirpacept (TTI-622)