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Table 1 Overview of studies using immune checkpoint inhibitors (ICIs) alone or in combination with other drugs in sarcomas

From: Biomarkers for immune checkpoint inhibition in sarcomas – are we close to clinical implementation?

ICI

Combination

NCT

Phase (Status)

Type of Tumor

Clinical Efficacy

 ≥ G3 TRAE

Atezolizumab

Cabozantinib

NCT05019703

Phase II (recruiting)

OGS

NA

NA

 ± CMB305

NCT02609984

Phase II (terminated due to failure to meet efficacy objective)

NY-ESO-1 + sarcoma

Atezolizumab only: 0 CR, 0 PR, 17 SD, 25 PD (n = 44)

Atezolizumab + CMB305: 1.8% ORR (95%CI: 0.8–4.2%), 0 CR, 1 PR, 23 SD, 19 SD (n = 45)

mPFS: 1.6 months in atezolizumab only arm (n = 43), 2.6 months in atezolizumab + CMB305 arm (n = 45) (HR: 0.9, 95% CI: 0.6–1.3)

mOS: 18 months in both arms (atezolizumab only arm: 95% CI, 15.3 to 26.5 and atezolizumab + CMB305 arm: 95% CI, 10.1 to 22.1; HR, 1.2; p = 0.47)

13 ≥ G3 TRAE reported in atezolizumab only arm

18 ≥ G3 TRAE reported in atezolizumab + CB305 arm

Bevacizumab

NCT03141684

Phase II (recruiting)

ASPS

1 CR, 14 PR, 1 unconfirmed PR, 25 SD (n = 43)

10 ≥ G3 TRAE

Bevacizumab + rucaparib

NCT03694262

Phase II (active, not recruiting)

Endometrial cancer, uterine carcinosarcoma

1 CR, 9 PR, 13 SD (n = 26)

 ≥ G3 TRAE reported in 50% patients

Cobimetinib

NCT04216953

Phase I/II (recruiting)

STS

NA

NA

Irinotecan + temozolomide + vincristine

NCT04796012

Phase I/II (recruiting)

Rhabdomyosarcoma, solid tumor

NA

NA

NA

NCT04273061

Phase II (recruiting)

Cancers (breast, gastrointestinal, genitourinary, gynecologic, head and neck, lung, skin, unknown primary tumor), sarcoma

NA

NA

NCT04458922

Phase II (active, not recruiting)

Chondrosarcoma, clear cell sarcoma of soft tissue

3 SD (n = 9 in grade 2/3 chondrosarcoma cohort)

No RECIST objective responses observed (n = 9 in dedifferentiated chondrosarcoma cohort)

Grade 3 TRAEs occurred in 2 patients in dedifferentiated chondrosarcoma cohort (22%), included infusion reaction, myonecrosis, and anemia

RT + surgical resection

NCT03474094

Phase II (recruiting)

STS

NA

NA

SABR

NCT02992912

Phase II (unknown)

Metastatic tumors (colorectal cancer, NSCLC, RCC, sarcoma)

NA

NA

Selinexor

NCT05333458

Phase II (recruiting)

ASPS, STS

NA

NA

Tiragolumab

NCT05286801

Phase I/II (recruiting)

Epithelioid sarcoma, SMARCB1 or SMARCA4 deficient tumors

NA

NA

Tivozanib

NCT05000294

Phase I/II (recruiting)

Bile duct cancer, breast cancer, gall bladder cancer, neuroendocrine cancer, ovarian cancer, pancreatic adenocarcinoma, prostate cancer, STS, vulvar cancer

NA

NA

 ± Atezolizumab

SBRT

NCT03548428

Phase II (recruiting)

Sarcoma

NA

NA

Avelumab

NA

NCT03006848

Phase II (active, not recruiting)

OGS

No objective responses occurred (17 PD) (n = 18)

mPFS: 8 weeks (95% CI: 6.7–9.1 months)

6 ≥ G3 TRAE

Trabectedin

NCT03074318

Phase I/II (terminated due to investigator leaving institute)

LMS, LPS

2 DLT reported (n = 6)

2 PR (1 confirmed), 11 SD (n = 23)

mPFS: 23.4 months

Most common G3 TRAE attributed to study drug were neutropenia and ALT increase

No G4/5 TRAE at the Phase 2 dose

Camrelizumab

Apatinib

NCT04239443

Phase II (unknown)

NSCLC, STS, uterine cancer

NA

NA

Cisplatin + doxorubicin + ifosfamide + methotrexate

NCT04294511

Phase II (recruiting)

OGS

31 showed good response (n = 65)

Most common grade 3–4 adverse events were decreased platelet count (44.0%), decreased white blood cell (37.3%), decreased neutrophil count (29.3%), oral mucositis (14.7%), increased alanine aminotransferase (12.0%), and increased aspartate aminotransferase (10.7%)

Ifosfamide + liposome doxorubicin

NCT04606108

Phase II (recruiting)

STS

NA

NA

 ± Camrelizumab

Famitinib ± ifosfamide

NCT04044378

Phase I/II (withdrawn due to toxicity)

OGS

NA

NA

Durvalumab + ipilimumab + pembrolizumab

NA

NCT05187338

Phase I/II (recruiting)

Sarcoma, solid tumors

NA

NA

Envafolimab ± ipilimumab

NA

NCT04480502

Phase II (recruiting)

MFS, UPS

NA

NA

Envafolimab + YH001 (anti-CTLA4 antibody)

 ± Doxorubicin

NCT05448820

Phase I/II (recruiting)

Sarcoma

NA

NA

FAZ053 (anti-PD-L1 antibody) ± spartalizumab

NA

NCT02936102

Phase I (active, not recruiting)

ASPS, chordoma, solid tumors, TNBC

NA

NA

Ipilimumab

CD4+ T cells + cyclophosphamide

NCT02210104

Phase I (withdrawn due to issues with tetramer staining)

Melanoma, sarcoma

NA

NA

Dasitinib

NCT01643278

Phase I (completed)

GIST, STS

DLT included grade 3 gastric hemorrhage and anemia

0 CR, 0 PR (n = 28)

mPFS: 2.8 months (95% CI: 2.7–3.0 months) (n = 18)

mOS: 13.5 months (95% CI: 11.4 months – NR)

19 ≥ G3 TRAE

NA

NCT00140855

Phase II (terminated due to poor accrual)

SS

0 CR, 0 PR, 0 SD, 6 PD (n = 6)

3 ≥ G3 TRAE

NCT01445379

Phase I (completed)

Lymphoma, neuroblastoma, sarcoma, Wilms’ tumor

DLT observed at 10 mg/kg (n = 2)

6 SD for four to ten cycles (clear cell sarcoma, melanoma, OGS, SS)

11 ≥ G3 TRAE

Ipilimumab + nivolumab

Cabozantinib

NCT04149275

Phase II (withdrawn due to stoppage of funding by sponsor)

Gynecologic carcinosarcoma

NA

NA

NCT04551430

Phase II (active, not recruiting)

STS

NA

NA

 ± Cabozantinib

NCT05836571

Phase II (not yet recruiting)

Extraskeletal myxoid chondrosarcoma, LMS, LPS, UPS

NA

NA

Cryoablation

NCT04118166

Phase II (active, not recruiting)

STS

0 CR, 3 PR, 7 SD, 19 PD (n = 29)

41 ≥ G3 TRAE

NCT05302921

Phase II (recruiting)

ES, hepatoblastoma, hepatocellular carcinoma, melanoma, neuroblastoma, OGS, rhabdomyosarcoma, Wilms’ tumor

NA

NA

Lurbinectedin

NCT05876715

Phase II (recruiting)

STS

NA

NA

NA

NCT02982486

Phase II (unknown)

BS, STS

NA

NA

NCT03219671

Phase II (unknown)

Classic Kaposi sarcoma

87% ORR (n = 15)

2 ≥ G3 TRAE

NCT04416568

Phase II (recruiting)

Epithelioid sarcoma, INI1-negative cancers

NA

NA

NCT04465643

Phase I (recruiting)

MPNST

NA

NA

Pazopanib alone

NCT04741438

Phase III (recruiting)

Sarcoma

NA

NA

Tazemetostat

NCT05407441

Phase I/II (recruiting)

INI1-negative/SMARCA4-deficient cancers

NA

NA

Trabectedin

NCT03138161

Phase I/II (recruiting)

STS

8 CR, 11 PR, 58 SD and 11 PD with 21.6% BORR and 87.5% DCR (n = 88)

mPFS: 7 months (1–44 months)

mOS: 14 months (1–46 months)

76 ≥ G3 TRAE

 ± Ipilimumab

XmAb23104

NCT03752398

Phase I (recruiting)

Solid tumors, UPS

No DLT reported (n = 62)

3 PR in HNSCC, RCC, sarcoma

 ≥ G3 TRAE reported in 6 patients

2 ≥ G3 irAEs

 ± Ipilimumab or pembrolizumab

INT230-6

NCT03058289

Phase I/II (completed)

Cancer, sarcoma

No DLT reported

Incidence of ≥ G3 TRAE was 11% and 14% in INT230-6 only and INT230-6 + pembrolizumab arm

1 G4 neutrophil count decrease reported in INT230-6 + pembrolizumab arm

 ± Ipilimumab with nivolumab

Aldesleukin + autologous TIL LN-145 + autologous TIL LN-145-S1

NCT03449108

Phase II (recruiting)

Anaplastic thyroid cancer, BS, STS, relapsed/refractory ovarian cancer, TNBC, undifferentiated high grade pleomorphic sarcoma of bone

NA

NA

LAG525 + spartalizumab

NA

NCT03365791

Phase II (completed)

Solid and hematologic malignancies, STS

7.3% ORR (n = 75)

mPFS: 2.8 months (95% CI: 2.6–3.1 months)

Serious adverse events in 35 patients reported (n = 76)

Nivolumab

Anlotinib hydrochloride

NCT04165330

Phase I/II (active, not recruiting)

NSCLC, SCLC, STS

NA

NA

 ± Azacitidine

NCT03628209

Phase I/II (recruiting)

OGS, sarcoma

NA

NA

Bempegaldesleukin

NCT03282344

Phase II (active, not recruiting)

Sarcoma

9 PR (n = 77)

mPFS: 1.8–7.3 months

mOS: 5.9–21.7 months (NR in ASPS and angiosarcoma)

32 ≥ G3 TRAE

1 possible treatment related death

NCT04730349

Phase I/II (terminated due to changes in business objectives)

ES, recurrent/treatment-resistant cancers

NA

NA

BMS-986205

NCT04106414

Phase II (closed to accrual due to lack of observed clinical efficacy)

Endometrial adeno-, carcino-sarcoma

No response in nivolumab only arm (n = 12)

1 PR in nivolumab + BMS-986205 arm (n = 12)

mPFS: 7.3 weeks (80% CI: 6.4–15.1 weeks) (nivolumab only), 12.3 weeks (80% CI: 4.1–22.1 weeks) (nivolumab + BMS-986205)

mOS: 27.5 weeks (80% CI: 17-NA) (nivolumab only), NR (nivolumab + BMS-986205)

3 ≥ G3 TRAE in nivolumab only arm

2 ≥ G3 TRAE in nivolumab + BMS-986205 arm

BO-112 + RT + surgical resection

NCT04420975

Phase I (active, not recruiting)

STS

NA

NA

Cabozantinib

NCT04514484

Phase I (recruiting)

Advanced cancer, HIV, Kaposi sarcoma

NA

NA

 ± Cabozantinib S-malate or paclitaxel or paclitaxel only

NCT04339738

Phase II (active, not recruiting)

Angiosarcoma

Taxane only: 13 PR (n = 21), 13 ORR (n = 18)

mPFS: 9.6 months (5.3 months – NR)

mOS: 20.5 months (14.4 months – NR)

G3 hypertension reported in 10% patients only

Cisplatin + dacarbazine + doxorubicin + epirubicin + ifosfamide + methotrexate + sunitinib

NCT03277924

Phase I/II (recruiting)

BS, STS

1 CR, 1 PR, 22 SD, 16 PD (n = 40)

mPFS: 3.7 months (95% CI: 3.4–4 months)

mOS: 14.2 months (95% CI: 7.1–21.3 months)

21 ≥ G3 TRAE

Docetaxel + doxorubicin + gemcitabine

NCT04535713

Phase II (recruiting)

Sarcoma

8 PR, 44SD, 7 PD (n = 59 in intention-to-treat cohort)

mPFS: 5.1 months (2.837–7.363 months)

mOS: 15.3 months (95%CI: 5.48–25.12 months)

60 ≥ G3 TRAE

NA

NCT03241745

Phase II (active, not recruiting)

Carcinosarcoma, clear cell carcinoma, endometrial carcinoma, high grade endometrial stromal sarcoma, LMS, undifferentiated sarcoma, uterine cancer

NA

NA

NCT03316274

Phase I (completed)

HIV/AIDS, Kaposi sarcoma

NA

NA

NCT03465592

Phase I/II (recruiting)

Sarcoma

NA

NA

NCT05224999

Phase II (recruiting)

Carcinosarcoma

NA

NA

Nab-rapamycin

NCT03190174

Phase I/II (completed)

Sarcoma and certain cancers

Two DLTs reported at 150 mg/m2 (grade 3 aspartate aminotransferase elevation and grade 4 thrombocytopenia) and 125 mg/m2 (grade 3 suicidal ideation and grade 3 hypophosphatemia) each (n = 26)

12 ≥ G3 TRAE

 ± Pazopanib

NCT03149120

Phase II (withdrawn)

STS

NA

NA

Pomalidomide

NCT04902443

Phase I (recruiting)

Kaposi sarcoma, viral Associated Malignancies

NA

NA

Regorafenib

NCT04803877

Phase II (active, not recruiting)

OGS

NA

NA

Rucaparib

NCT04624178

Phase II (active, not recruiting)

LMS

NA

NA

Trabectedin

NCT03590210

Phase II (completed)

STS

mPFS: 5.5 months in LMS/LPS cohort (n = 43), 2.3 months in others (n = 49)

mOS: 18.7 months in LMS/LPS cohort (n = 43), 5.6 months in others (n = 49)

NA

Trabectedin + T-VEC

NCT03886311

Phase II (recruiting)

Sarcoma

3 PR, 30 SD, 6 PD, 7.7% BORR (n = 39)

mPFS: 7.8 months (95% CI: 4.1–13.1 months)

mOS: 19.3 months (95% CI: 12.8 months-NR)

3 ≥ G3 TRAE related to nivolumab

38 ≥ G3 TRAE related to trabectedin

1 ≥ G3 TRAE related to T-VEC

 ± Nivolumab

Bempegaldesleukin ± NKTR-262

NCT03435640

Phase I/II (terminated due to poor overall results)

CRC, HNSCC, melanoma, Merkel cell carcinoma, RCC, sarcoma, TNBC

1 DLT reported at 3.84 mg NKTR-262

2 PR (n = 17)

Most frequent treatment-related adverse events were flu-like symptoms, fatigue, nausea, and pruritus

TPST-1120

NCT03829436

Phase I (active, not recruiting)

Advanced cancer, sarcoma

G3 hypertension reported in TPST-1120 monotherapy

3 G3 TRAE reported in combination therapy arm

10 SD (n = 19 in monotherapy arm)

3 ≥ G3 TRAE in combination therapy arm

Nivolumab ± Ipilimumab

NA

NCT02304458

Phase I/II (completed)

Lymphoma, recurrent/refractory solid tumors or sarcomas

No DLT reported (n = 12)

Hodgkin lymphoma (n = 10): 1 CR, 2 PR, 5 SD

Neuroblastoma (n = 10): 5 SD

Sarcoma (n = 33): 11 SD

54 ≥ G3 TRAE

NCT02428192

Phase II (active, not recruiting)

LMS

mPFS: 1.8 months (95% CI: 0.8 months – unknown) (n = 12)

mOS: NR

14 ≥ G3 TRAE

NCT02500797

Phase II (active, not recruiting)

Sarcoma

Nivolumab only: 3 PR, 5% ORR (92% CI:1–15%) (n = 38)

Nivolumab + Ipilimumab arm: 15% adjusted ORR (92% CI: 6–30%) (n = 41)

mPFS: 1.7 months (95% CI: 1.4–4.3 months) (n = 42 in nivolumab only arm), 4.1 months (95% CI: 2.6–4.7 months) (n = 41 in nivolumab + ipilimumab arm)

mOS: 10.7 months (95% CI: 5.5–15.4 months) (n = 42 in nivolumab only arm), 14.3 months (95% CI: 9.6 months – not estimable) (n = 41 in nivolumab + ipilimumab arm)

44 ≥ G3 TRAE in nivolumab only arm

66 ≥ G3 TRAE in nivolumab + ipilimumab arm

RT

NCT03463408

Phase I (active, not recruiting)

Sarcoma

NA

NA

 ± RT

NCT03307616

Phase II (active, not recruiting)

DDLPS, UPS

mPFS: 18 months (IQR:8 months – NR in DDLPS), NR (IQR:19 – NR in UPS)

mOS: NR

NA

Nivolumab ± relatlimab

NA

NCT04095208

Phase II (recruiting)

STS

NA

NA

ONC-392 (anti-CTLA4 IgG1 monoclonal antibody) ± pembrolizumab

NA

NCT04140526

Phase I/II (recruiting)

Sarcoma, solid tumors

NA

NA

 ± PD-1 inhibitor (not specified)

Anlotinib hydrochloride

NCT05193188

Phase II (recruiting)

Chondrosarcoma

NA

NA

CAB-AXL-ADC

NCT03425279

Phase I/II (recruiting)

BS, ES, LMS, LPS, melanoma, NSCLC, OGS, refractory sarcoma, solid tumor, SS, STS

NA

NA

Pembrolizumab

Antiretroviral therapy

NCT02595866

Phase I (active, not recruiting)

HIV/AIDS related cancer, Kaposi sarcoma

NA

 ≥ G3 TRAE reported in 20% of patients

APG-115

NCT03611868

Phase I/II (recruiting)

Melanomas, MPNST, solid tumors

Cutaneous/uveal melanoma:2 CR, 2 PR (n = 17)

Melanoma: 2 CR, 3 PR (n = 38)

MPNST: 4 SD (n = 10)

LPS: 1 PR (n = 17)

 ≥ G3 TRAE reported in ≥ 5% patients

Axitinib

NCT02636725

Phase II (completed)

STS

0 CR, 8 PR, 9 SD (n = 32)

mPFS: 4.7 months in intention-to-treat analysis (95% CI: 3.0–9.4 months) (n = 33), 6.9 months in per-protocol analysis (95% CI: 3.0–9.4 months) (n = 30)

mOS: 18.7 months (95% CI: 12.0 months – NR) (n = 33)

26 ≥ G3 TRAE

Cabozantinib

NCT05182164

Phase II (recruiting)

ES, OGS, STS

NA

NA

Cyclophosphamide

NCT02406781

Phase II (unknown)

Sarcoma

9 PR, 10 SD (n = 30)

mPFS: 4.1 months (95%CI: 1.4–12.5 months)

mOS: 18.3 months (95%CI: 8.5 months – NR)

9 ≥ G3 TRAE (n = 35)

Cyclophosphamide + fludarabine

NCT03697824

Phase II (withdrawn due to internal decision, study will be replaced with a larger monotherapy trial)

NY-ESO-1 and/or LAGE-1a + SS

NA

NA

Dactinomycin + melphalan

NCT04332874

Phase II (recruiting)

ASPS, myxofibrosarcoma, UPS

NA

NA

Docetaxel + gemcitabine or + gemcitabine or gemcitabine + vinorelbine or irinotecan or liposomal doxorubicin

NCT02331251

Phase I/II (terminated as investigator is no longer at site)

Advanced cancer, sarcoma

2 DLT reported

 ≥ G3 TRAE reported in 12 patients (n = 17)

Doxorubicin

NCT03056001

Phase II (completed)

STS

1 CR, 8 PR, 12 SD, 33% ORR (n = 27)

mPFS: 6.9 months

mOS: 15 months

26 ≥ G3 TRAE

Doxorubicin hydrochloride

NCT02888665

Phase I/II (completed)

Sarcoma

No DLT reported

Overall: 7 PR, 2 unconfirmed PR, 11 SD, 19% ORR (n = 37)

Phase II: 4 PR (n = 31)

mPFS: 8.1 months (95%CI: 7.6–10.8 months)

mOS: 27.6 months (95%CI: 18.7%—NR)

24 ≥ G3 TRAE

Notable pembrolizumab-related toxic effects included grade 3 adrenal insufficiency (n = 1) and hypothyroidism (n = 7)

Epacadostat

NCT03414229

Phase II (active, not recruiting)

Sarcoma

1 PR, 47% DCR (CR + PR + SD) (n = 30)

mPFS: 7.6 weeks (95% CI: 6.9–26.7 weeks)

mOS: 16.9 weeks (95% CI: 9.4 weeks – not estimable)

7 ≥ G3 TRAE

Eribulin

NCT03899805

Phase II (active, not recruiting)

LPS, LMS, UPS

1 PR, 5SD, 5.3% ORR (n = 19 in LMS cohort)

mPFS: 11.1 weeks in LMS cohort

68% ≥ G3 TRAE in LMS cohort

Gemcitabine

NCT03123276

Phase I/II (unknown)

LMS, UPS

DLT observed at gemcitabine 1000 mg/m2, but not confirmed in the expansion cohort

LMS: 8 SD, 3 PD (n = 11)

UPS: 2 PR (n = 2)

mPFS: 5.1 months (95% CI: 2–9 months)

NA

IFN-γ-1β

NCT03063632

Phase II (active, not recruiting)

Mycosis Fungoides and Sezary syndrome, myxoid LPS, round cell LPS, SS

NA

NA

Lenvatinib

NCT04784247

Phase II (recruiting)

Sarcoma

NA

NA

NCT05147558

Phase II (recruiting)

Uterine carcinosarcoma

NA

NA

NCT05846724

Phase II (not yet recruiting)

Relapsed/refractory Kaposi sarcoma

NA

NA

Modified vaccinia virus Ankara vaccine expressing p53

NCT02432963

Phase I (not recruiting)

Solid tumors, STS

1 DLT reported

3 SD (n = 11)

1 fatal G5 myocarditis reported

10 ≥ G3 TRAE

NA

NCT02301039

Phase II (completed)

BS, STS

5.0% PR (95% CI: 71.0–16.9%) (n = 40 in BS), 17.5% PR (95% CI: 7.3–32.8%) (n = 40 in STS), 13.0% PR (95% CI: 5.5–25.3%) (n = 53 in expansion cohort)

mPFS: 8 weeks (95% CI: 7–9 weeks) (n = 39 in BS), 18 weeks (95% CI: 8–22 weeks) (n = 37 in STS), 8 weeks (95% CI: 7–13 weeks) (n = 53 in expansion cohort)

mOS: 52 weeks (95% CI: 40–72 weeks) (n = 42 in BS), 49 weeks (95% CI: 34–73 weeks) (n = 42 in STS), 57 weeks (95% CI: 33–86 weeks) (n = 60 in expansion cohort)

15 ≥ G3 TRAE in BS

19 ≥ G3 TRAE in STS cohort

19 ≥ G3 TRAE in expansion cohort

NCT02691026

Phase II (terminated due to slow enrollment as a result of low incidence of MPNST and the COVID-19 pandemic)

MPNST

NA

NA

NCT03012620

Phase II (active, not recruiting)

CNS neoplasm, germ cell/embryonal neoplasms, neuroendocrine carcinoma, NK/T cell lymphoma, ovarian neoplasm, sarcoma, thyroid cancer

1 CR, 14 PR, 33 SD (n = 98)

mPFS: 2.75 months (n = 98 in overall), 7.5 months (ASPS), 6.6 months (chordoma), 2.1 months (DSRCT)

mOS: 19/7 months (n = 98 in overall), 10 months (DSRCT)

NA

NCT03013127

Phase II (terminated due to poor clinical benefits)

OGS

9 PD with no clinical benefit after 18 weeks of treatment (n = 12)

mPFS: 1.7 months (95% CI: 1.2–2.2 months)

mOS: 6.6 months (95% CI: 3.8–9.3 months)

0 ≥ G3 TRAE

NCT03316573

Phase II (suspended due to low accrual)

Follicular dendritic cell sarcoma, histiocytic sarcoma, interdigitating dendritic cell sarcoma, lymphoma

NA

NA

NCT03469804

Phase II (active, not recruiting)

Classic and endemic Kaposi sarcoma

2 CR, 10 PR, 5 SD, 71% BORR (95%CI: 44–90%) (n = 17)

2 ≥ G3 TRAE

Olaparib

NCT05156268

Phase II (recruiting)

Endometrial carcinosarcoma

NA

NA

Olaratumab

NCT03126591

Phase I (completed)

STS

0 CR, 6 CR, 9 SD (n = 28)

mPFS: 2.7 months (95% CI:1.3–4.07 months)

mOS: 14.8 months (95% CI: 12.6 months – NR)

 ≥ G3 TRAE in 2 patients reported

 ± Pazopanib

NCT05679921

Phase II (not yet recruiting)

STS

NA

NA

RT

NCT03338959

Phase I/II (active, not recruiting)

STS

NA

NA

 + RT or SOC alone

NCT03092323

Phase II (recruiting)

STS

NA

NA

T-VEC

NCT03069378

Phase II (active, not recruiting)

Cutaneous angiosarcoma, epithelioid sarcoma, MFS, UPS (expansion cohort)

43% BORR (95%CI: 0.1–0.82) (n = 7 in cutaneous angiosarcoma cohort), 0% BORR (n = 3 in epithelioid sarcoma), 11% BORR (95% CI: 0.0–0.48) (n = 9 in MFS/UPS cohort)

mPFS: 54 weeks (95% CI: 3 weeks – NR in cutaneous angiosarcoma cohort), NA in cutaneous angiosarcoma cohort, 14.9 weeks (95% CI: 7–110 weeks in MFS/UPS cohort)

1 ≥ G3 TRAE in cutaneous angiosarcoma cohort

Ziv-Aflibercept

NCT02298959

Phase I (active, not recruiting)

Advanced cancer, sarcoma

No DLT reported

Melanoma: 1 CR, 1 PR

Mesothelioma: 1 PR

RCC: 1 PR

mOS: 3.3 months (CRC), (90% CI: 0.6–3.4 months), NR (melanoma), 12.5 months (ovarian), (90% CI: 3.8–13.6 months), NR (others), 15.7 months (RCC) (90% CI: 2.5–15.7 months),

G3 TRAE reported in 19 patients (n = 33)

 ± Pembrolizumab

Bevacizumab ± pegcetacoplan

NCT04919629

Phase II (recruiting)

Fallopian tube carcinosarcoma, primary peritoneal cancer, recurrent ovarian, fallopian tube cancer

NA

NA

BT-001

NCT04725331

Phase I/II (recruiting)

Sarcoma, solid tumors

NA

NA

Eribulin mesylate

NCT05619913

Phase II (recruiting)

Ovarian carcinosarcoma, uterine carcinosarcoma

NA

NA

GI-101 ± lenvatinib or RT

NCT04977453

Phase I/II (recruiting)

Advanced solid tumors, sarcoma

1 PR (n = 16 in GI-101 monotherapy), 2 PR (n = 9 in GI-101 + pembrolizumab arm)

 ≥ G3 TRAE reported in 3 patients in GI-101 monotherapy arm

No ≥ G3 TRAE reported in GI-101 + pembrolizumab arm

KVA12123

NCT05708950

Phase I/II (recruiting)

Sarcoma, solid tumors

NA

NA

MQ719

NCT05859074

Phase I (recruiting)

Kaposi sarcoma, solid tumors

NA

NA

Mupadolimab ± or ciforadenant

NCT03454451

Phase I (active, not recruiting)

Advanced cancer, sarcoma

No objective responses by RECIST criteria were observed (n = 34)

28 ≥ G3 TRAE

Nanatinostat + valganciclovir

NCT05166577

Phase I/II (recruiting)

EBV + LMS, EBV + sarcoma, EBV + solid tumors

NA

NA

RT

NCT05488366

Phase I (recruiting)

STS

NA

NA

T3011

NCT04370587

Phase I/II (recruiting)

HNSCC, melanoma, NSCLC, sarcoma, solid tumor, squamous cell carcinoma

No DLT reported

No treatment related serious adverse events reported

LY3435151

NCT04099277

Phase I (terminated due to strategic business decision)

LMS, solid tumors, UPS

NA

NA

Pembrolizumab/nivolumab

Autologous HER2 CAR T cells

NCT04995003

Phase I (recruiting)

HER2 + sarcoma

NA

NA

Retifanlimab

Docetaxel + gemcitabine

NCT04577014

Phase I/II (recruiting)

STS

17% ORR (95% CI: 1%-64%) and 50% (95%: 19%-81%) in the run in (n = 7) and de-escalation (n = 6) cohort, 100% DCR (95% CI: 52%-100%)

11 ≥ G3 TRAE

 ± Retifanlimab

Doxorubicin + ifosfamide

NCT04968106

Phase II (recruiting)

Resectable sarcoma

NA

NA

Sintilimab

Doxorubicin hydrochloride + ifosfamide

NCT04356872

Phase II (unknown)

DDLPS, myxoid liposarcoma, UPS, SS

62.5% ORR (n = 24)

1/6 DLT

Surufatinib + RT

NCT05839275

Phase Ib/II (recruiting)

High risk localized STS

NA

NA

Spartalizumab

NA

NCT04802876

Phase II (active, not recruiting)

PD-1-high mRNA expressing tumors, sarcoma

NA

NA

Toripalimab

NA

NCT03474640

Phase I (active, not recruiting)

Advanced malignancies, chondrosarcoma, STS

NA

NA

  1. AIDS Acquired immunodeficiency syndrome, ASPS Alveolar soft part sarcoma, BORR Best overall response rate, BS Bone sarcoma, CAB-AXL-ADC Conditionally active biologic AXL-targeted antibody drug conjugate, CAR Chimeric antigen receptor, CI Confidence interval, CNS Central nervous system, CR Complete response, CRC Colorectal cancer, CTLA4 Cytotoxic T-lymphocyte-associated protein 4, DCR Disease control rate, DDLPS Dedifferentiated liposarcoma, DLT Dose-limiting toxicity, DSRCT Desmoplastic small round cell tumor, EBV Epstein-Barr virus, ES Ewing sarcoma, GIST Gastrointestinal stromal tumor, HER2 Human epidermal growth factor receptor 2, HIV Human immunodeficiency virus, HNSCC Head and neck squamous cell carcinoma, HR Hazard ratio, IFN-γ-1β Interferon-γ-1β, IgG Immunoglobulin G, INI1 Integrase interactor 1, IQR Interquartile range, irAEs Immune-related adverse events, LMS Leiomyosarcoma, LPS Liposarcoma, MFS Myxofibrosarcoma, mOS Median overall survival, mPFS Median progression-free survival, MPNST Malignant peripheral nerve sheath tumor, mRNA Messenger ribonucleic acid, NA Not available, NCT National Clinical Trial, NK cells Natural killer cells, NR Not reached, NSCLC Non-small cell lung cancer, NY-ESO-1 New York Esophageal Squamous Cell Carcinoma 1 gene, OGS Osteosarcoma, ORR Objective response rate, PD-1 Programmed cell death 1, PD-L1 Programmed death-ligand 1, PD Progressive disease, PR Partial response, RCC Renal cell carcinoma, RT Radiotherapy, SABR Stereotactic ablative radiotherapy, SBRT Stereotactic body radiation therapy, SCLC Small cell lung cancer, SD Stable disease, SOC Standard of care, SS Synovial sarcoma, STS Soft-tissue sarcoma, TIL Tumor infiltrating lymphocyte, TNBC Triple-negative breast cancer, TRAE Treatment-related adverse event (G3 = grade 3), T-VEC Talimogene Laherparepvec, UPS Undifferentiated pleomorphic sarcoma