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B7-H3 Inhibitors in Oncology Clinical Trials: A Review
Kavanya Feustel1, Jared Martin2, Gerald S Falchook1
1Early Phase Clinical Trials Unit, Sarah Cannon Research Institute at HealthONE, Denver, CO, USA.
Abstract:
B7-H3 is a transmembrane receptor highly prevalent on malignant cells and plays an important role in adaptive immunity that is not fully elucidated. Targeted B7-H3 inhibitors, including antibody-drug conjugates, radioimmunotherapy, and monoclonal antibodies, are a new class of antineoplastic agents showing promising preliminary clinical efficacy, observed with several of these agents against multiple tumor types. Particularly promising treatments are enoblituzumab for prostate cancer, 131I-omburtamab for central nervous system malignancies, and HS-20093 for small-cell lung cancer but further studies are warranted. There are clinical trials on the horizon that have not yet enrolled patients examining chimeric antigen receptor T-cell therapies, bi- and tri-specific killer engagers, and dual-affinity retargeting proteins. These data will be telling of the efficacy of B7-H3 inhibitors in both hematologic and solid malignancies. This study aimed to compile available results of B7-H3 inhibitors in oncology clinical trials.
Insights
B7-H3 inhibitors show promise as cancer treatments. This review compiles clinical trial data on antibody-drug conjugates, radioimmunotherapy, and monoclonal antibodies targeting B7-H3 for various malignancies.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- B7-H3 is a transmembrane receptor frequently found on malignant cells.
- Its precise role in adaptive immunity requires further elucidation.
- B7-H3 is a promising target for novel cancer therapies.
Purpose of the Study:
- To compile and review available clinical trial results for B7-H3 inhibitors in oncology.
- To assess the efficacy of various B7-H3 targeting agents across different cancer types.
Main Methods:
- Systematic review of published clinical trial data.
- Analysis of preliminary efficacy and safety data for B7-H3 inhibitors.
- Identification of ongoing and upcoming clinical trials.
Main Results:
- B7-H3 inhibitors, including antibody-drug conjugates and monoclonal antibodies, demonstrate promising preliminary clinical efficacy.
- Specific agents like enoblituzumab, 131I-omburtamab, and HS-20093 show potential in prostate, CNS, and lung cancers, respectively.
- Emerging therapies such as CAR T-cell therapies targeting B7-H3 are under investigation.
Conclusions:
- Targeted B7-H3 inhibition represents a new frontier in antineoplastic therapy.
- Further clinical studies are essential to fully establish the efficacy and safety of B7-H3 inhibitors in both solid and hematologic malignancies.
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