An updated patent review on PD-1/PD-L1 antagonists (2022-present)

Wiktor Uzar1,2, Beata Kaminska1,2, Hubert Rybka1,2

  • 1Faculty of Chemistry, Jagiellonian University, Cracow, Poland.

Abstract

Insights

Small-molecule inhibitors targeting programmed cell death-ligand 1 (PD-L1) offer an alternative to antibody therapies. Research is rapidly advancing, with new inhibitors showing promise in clinical trials for cancer treatment.

Area of Science:

  • Oncology
  • Immunology
  • Medicinal Chemistry

Background:

  • Programmed cell death-ligand 1 (PD-L1) is a key immune checkpoint enabling cancer cells to evade immune surveillance.
  • Monoclonal antibodies (mAbs) targeting PD-1/PD-L1 have shown success in cancer treatment but have limitations and can cause immune-related adverse events (iRAEs).
  • This has spurred research into small-molecule inhibitors of PD-L1 as an alternative therapeutic strategy.

Purpose of the Study:

  • To review small-molecule and macrocyclic inhibitors of PD-L1 reported in patents from 2022-2023.
  • To provide a landscape of these inhibitors, including their chemical structures, activity, and developmental stages.
  • To assess the potential of these inhibitors as alternatives or complements to current mAb-based therapies.

Main Methods:

  • Systematic review of patents from the World Intellectual Property Organization and European Patent Office (2022-2023).
  • Analysis of reported chemical structures, biological activity, and clinical development status of PD-L1 inhibitors.
  • Comparison of small-molecule and macrocyclic inhibitor mechanisms of action.

Main Results:

  • A growing number of small-molecule and macrocyclic inhibitors targeting PD-L1 have been reported in recent patents.
  • Most small-molecule inhibitors function by inducing PD-L1 dimerization and subsequent internalization.
  • Macrocyclic peptides act as protein-protein interaction inhibitors by competing for PD-L1/PD-1 binding.

Conclusions:

  • Small-molecule inhibitors represent a promising alternative to mAbs for targeting the PD-1/PD-L1 pathway.
  • Different mechanisms of action (dimerization vs. competitive inhibition) are employed by small-molecule and macrocyclic inhibitors.
  • Ongoing clinical trials are crucial to determine the therapeutic potential and clinical utility of these novel PD-L1 inhibitors.