Table 3

Outcome of interference with human coinhibitory molecules

MoleculeTherapyTumorOutcomeReference
CTLA-4 Ipilimumab, in vivo NHL Two of 4 tumor regression, no increase in vaccine-specific T-cell responses, reduction in TREG number early after treatment; toxicity: mainly grade 1 or 2, 1 times grade 3 24  
CTLA-4 Ipilimumab, in vivo Relapsed/refractory B-cell NHL Two of 18 clinical response, 5 of 16 enhanced T-cell response to recall Ag; toxicity: mainly grade 1 or 2, 6 of 18 grade 3 25  
CTLA-4 Ipilimumab after alloSCT, in vivo AML, CML, CLL, HL, NHL, MM Three of 29 clinical response; toxicity: no induction of GVHD, 4 of 29 organ-specific immune adverse events 29  
CTLA-4 Anti–CTLA-4, ex vivo HL Abrogated TREG suppression 17  
CTLA-4 Anti–CTLA-4, ex vivo CLL Enhanced tumor-specific T-cell response 109  
PD-1 BMS-936,558, ex vivo ALL, AML, CML, NHL, MM Enhanced alloreactive T-cell response 20  
PD-1 Anti–PD-L1, ex vivo NHL Enhanced T-cell response 52  
PD-1 Anti–PD-L1 and anti–PD-L2, ex vivo HL Restored T-cell response 53  
PD-1 Anti–PD-L1, ex vivo HCV lymphoma Abrogated TREG suppression, reduction in Treg number 55  
PD-1 CT-011, in vivo AML, CLL, HL, NHL, MDS, MM Six of 17 clinical response, 1 complete remission, no toxicity 57  
PD-1 CT-011 with or without lenalidomide, ex vivo MM Enhanced NK cytotoxicity, additive effect of lenalidomide 58  
PD-1 CT-011 + tumor/DC vaccination, ex vivo MM Reduction in TREG number, enhanced T-cell response 59  
PD-1 DC vaccination with PD-L silencing, ex vivo AML, CML Enhanced alloreactive T-cell response 105  
BTLA Anti-BTLA, ex vivo ALL, AML, CML, NHL, MM Enhanced alloreactive T-cell response 67  
CD200 Anti-CD200, ex vivo AML Enhanced NK cytotoxicity 84  
CD200 Anti-CD200, ex vivo CLL Enhanced antigen-specific T-cell responses, reduction in Treg number 85  
MoleculeTherapyTumorOutcomeReference
CTLA-4 Ipilimumab, in vivo NHL Two of 4 tumor regression, no increase in vaccine-specific T-cell responses, reduction in TREG number early after treatment; toxicity: mainly grade 1 or 2, 1 times grade 3 24  
CTLA-4 Ipilimumab, in vivo Relapsed/refractory B-cell NHL Two of 18 clinical response, 5 of 16 enhanced T-cell response to recall Ag; toxicity: mainly grade 1 or 2, 6 of 18 grade 3 25  
CTLA-4 Ipilimumab after alloSCT, in vivo AML, CML, CLL, HL, NHL, MM Three of 29 clinical response; toxicity: no induction of GVHD, 4 of 29 organ-specific immune adverse events 29  
CTLA-4 Anti–CTLA-4, ex vivo HL Abrogated TREG suppression 17  
CTLA-4 Anti–CTLA-4, ex vivo CLL Enhanced tumor-specific T-cell response 109  
PD-1 BMS-936,558, ex vivo ALL, AML, CML, NHL, MM Enhanced alloreactive T-cell response 20  
PD-1 Anti–PD-L1, ex vivo NHL Enhanced T-cell response 52  
PD-1 Anti–PD-L1 and anti–PD-L2, ex vivo HL Restored T-cell response 53  
PD-1 Anti–PD-L1, ex vivo HCV lymphoma Abrogated TREG suppression, reduction in Treg number 55  
PD-1 CT-011, in vivo AML, CLL, HL, NHL, MDS, MM Six of 17 clinical response, 1 complete remission, no toxicity 57  
PD-1 CT-011 with or without lenalidomide, ex vivo MM Enhanced NK cytotoxicity, additive effect of lenalidomide 58  
PD-1 CT-011 + tumor/DC vaccination, ex vivo MM Reduction in TREG number, enhanced T-cell response 59  
PD-1 DC vaccination with PD-L silencing, ex vivo AML, CML Enhanced alloreactive T-cell response 105  
BTLA Anti-BTLA, ex vivo ALL, AML, CML, NHL, MM Enhanced alloreactive T-cell response 67  
CD200 Anti-CD200, ex vivo AML Enhanced NK cytotoxicity 84  
CD200 Anti-CD200, ex vivo CLL Enhanced antigen-specific T-cell responses, reduction in Treg number 85  

ALL indicates acute lymphoid leukemia; CLL, chronic lymphoid leukemia; NHL, non-Hodgkin lymphoma; MDS, myelodysplastic syndrome; HCV, hepatitis C virus; and GI, gastrointestinal tract.

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