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Table S3. Clinical trials regarding immunotoxins Conjugate Clinical trial identifier NCT00967577 NCT00077922 NCT00080535 NCT00389506 NCT00321555 NCT00295958 NCT00085150 NCT00002765 Drug Target Stage Cancer Effects Pseudomonas Aeruginosa exotoxin (PE38) Tac (CD25) Pilot study, I, II ATL, CLL, CTCL, HL, HCL, Metastatic Melanoma, Pediatric Leukemias Lymphomas 1, 2 BL22 NCT00126646 NCT00021983 NCT00074048 NCT00924040 Pseudomonas Aeruginosa exotoxin (PE38) CD22 I, II CLL, CD22+ Lymphomas 3, 4 SS1(dsFv)PE38 NCT00066651 NCT00006981 NCT01041118 NCT01051934 NCT01362790 Pseudomonas Aeruginosa exotoxin (PE38) Mesothelin I 5, 6 LMB-9 NCT00019435 NCT00005858 Pseudomonas Aeruginosa exotoxin (PE38) Lewis Y I LMB-1 NCT00001805 Pseudomonas Aeruginosa exotoxin (PE38) Lewis Y I MR1-1KDEL NCT01009866 EGFRvIII I CAT-8015 NCT01030536 NCT01086644 CD22 I, II NHL, CLL 3 RFT5-dgA NCT00667017 NCT01378871 NCT00586547 NCT00586274 Pseudomonas Aeruginosa exotoxin (PE38) Pseudomonas Aeruginosa exotoxin (PE38) deglycosylated ricin toxin Achain (dgA) Cervical Cancer, Fallopian Tube Cancer, Head and Neck Cancer, Lung Cancer, Malignant Mesothelioma, Ovarian Cancer, Pancreatic Cancer, Primary Peritoneal Cavity Cancer Bladder Cancer Breast Cancer Colorectal Cancer Esophageal Cancer Gastric Cancer Lung Cancer Pancreatic Cancer Breast Neoplasms Colonic Neoplasms Lung Neoplasms Pancreatic Neoplasms Stomach Neoplasms Supratentorial Malignant Brain Tumor CD25 I, II Relapsed/Refractory CTCL, Relapsed/Refractory ATL/Lymphoma 9-11 RFB4SMPT-dgA NCT00001271 NCT00007956 deglycosylated ricin toxin Achain (dgA) CD22 I Refractory CD22 Positive BCell Lymphoma 20 Denileukin diftitox NCT00224354 NCT00357448 NCT00945269 NCT00425672 NCT00117845 NCT00003615 Diphteria toxin (DT389) CD25 I, II CLL, Advanced Stage Ovarian Cancer, Metastatic Melanoma, Advanced Refractory Breast Cancer, ATL, Stage II, III, and IV Follicular Low-Grade NHL 9-13 LMB-2 and 7 8 Not yet available HuM195/rGel NCT00038051 recombinant plant toxin gelonin (rGel) CD33 I AML, CMML, Myeloproliferative Disorders, Anemia, Refractory, With Excess of Blasts Leukemia, Lymphoma 21 DT2219ARL NCT00889408 Diphteria toxin (DT389) I UCHT1 NCT00611208 ABR217620 NCT00420888 NCT00132379 NCT00056537 Diphtheria toxin (catalytic and translocation domains) staphylococcal enterotoxin E CD19, CD22 (bispecific antibody) CD3 I, II T-Cell Lymphomas, T-Cell Leukemias, Sezary Syndrome, Mycosis Fungoides 14 5T4 I, II, III Advanced Renal Clear Cell Carcinoma, Advanced Non-Small Cell Lung Cancer, Pancreatic Cancer 15,16 Denileukin diftitox NCT00224354 NCT00357448 NCT00945269 NCT00425672 NCT00117845 NCT00003615 Diphteria toxin (DT389) CD25 I, II 9-13 NCT00889408 Diphteria toxin (DT389) I UCHT1 NCT00611208 I, II T-Cell Lymphomas, T-Cell Leukemias, Sezary Syndrome, Mycosis Fungoides 14 ABR217620 NCT00420888 NCT00132379 NCT00056537 Diphtheria toxin (catalytic and translocation domains) staphylococcal enterotoxin E CD19, CD22 (bispecific antibody) CD3 CLL, Advanced Stage Ovarian Cancer, Metastatic Melanoma, Advanced Refractory Breast Cancer, ATL, Stage II, III, and IV Follicular Low-Grade NHL Leukemia, Lymphoma DT2219ARL 5T4 I, II, III Advanced Renal Clear Cell Carcinoma, Advanced Non-Small Cell Lung Cancer, Pancreatic Cancer 15,16 Not yet available Not yet available AML = Acute Myeloid Leukaemia; ATL = Adult T-Cell Leukaemia; CMML = Chronic Myelomonocytic Leukaemia; CLL = Chronic Lymphocytic Leukaemia; CTCL = Cutaneous T-Cell Lymphoma; HCL = Hairy Cell Leukaemia; HL = Hodgkin’s Lymphoma; NHL = Non-Hodgkin’s Lymphoma References 1. 2. 3. 4. Kreitman RJ, Fitzgerald DJ, Pastan I. Approach to the patient after relapse of hairy cell leukemia. Leuk Lymphoma. Oct 2009;50 Suppl 1:32-37. Kreitman RJ, Wilson WH, White JD, et al. Phase I trial of recombinant immunotoxin anti-Tac(Fv)PE38 (LMB-2) in patients with hematologic malignancies. J Clin Oncol. Apr 2000;18(8):1622-1636. Kreitman RJ, Arons E, Stetler-Stevenson M, Fitzgerald DJ, Wilson WH, Pastan I. Recombinant immunotoxins and other therapies for relapsed/refractory hairy cell leukemia. Leuk Lymphoma. Jun 2011;52 Suppl 2:82-86. Kreitman RJ, Squires DR, Stetler-Stevenson M, et al. Phase I trial of recombinant immunotoxin RFB4(dsFv)-PE38 (BL22) in patients with B-cell malignancies. J Clin Oncol. Sep 20 2005;23(27):6719-6729. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Kreitman RJ, Hassan R, Fitzgerald DJ, Pastan I. Phase I trial of continuous infusion anti-mesothelin recombinant immunotoxin SS1P. Clin Cancer Res. Aug 15 2009;15(16):5274-5279. Hassan R, Bullock S, Premkumar A, et al. Phase I study of SS1P, a recombinant anti-mesothelin immunotoxin given as a bolus I.V. infusion to patients with mesothelin-expressing mesothelioma, ovarian, and pancreatic cancers. Clin Cancer Res. Sep 1 2007;13(17):5144-5149. Hausner PF, Karp JE, Edelma NL, et al. Phase I study of LMB-9 (B3(dsFv)PE38), a recombinant disulfide stabilized anti-Lewis Y immunotoxin ad- ministered by continuous infusion. Proc. Am. Soc. Clin. Oncol. 2003;122(abstract 736). Hassan R, Williams-Gould J, Watson T, Pai-Scherf L, Pastan I. Pretreatment with rituximab does not inhibit the human immune response against the immunogenic protein LMB-1. Clin Cancer Res. Jan 1 2004;10(1 Pt 1):16-18. Foss F, Demierre MF, DiVenuti G. A phase-1 trial of bexarotene and denileukin diftitox in patients with relapsed or refractory cutaneous T-cell lymphoma. Blood. Jul 15 2005;106(2):454-457. Kuzel TM, Li S, Eklund J, et al. Phase II study of denileukin diftitox for previously treated indolent non-Hodgkin lymphoma: final results of E1497. Leuk Lymphoma. Dec 2007;48(12):2397-2402. Gerena-Lewis M, Crawford J, Bonomi P, et al. A Phase II trial of Denileukin Diftitox in patients with previously treated advanced non-small cell lung cancer. Am J Clin Oncol. Jun 2009;32(3):269273. Prince HM, Duvic M, Martin A, et al. Phase III placebo-controlled trial of denileukin diftitox for patients with cutaneous T-cell lymphoma. J Clin Oncol. Apr 10 2010;28(11):1870-1877. Natarajan N, Telang S, Miller D, Chesney J. Novel immunotherapeutic agents and small molecule antagonists of signalling kinases for the treatment of metastatic melanoma. Drugs. Jul 9 2011;71(10):1233-1250. Woo JH, Lee YJ, Neville DM, Frankel AE. Pharmacology of anti-CD3 diphtheria immunotoxin in CD3 positive T-cell lymphoma trials. Methods Mol Biol. 2010;651:157-175. Borghaei H, Alpaugh K, Hedlund G, et al. Phase I dose escalation, pharmacokinetic and pharmacodynamic study of naptumomab estafenatox alone in patients with advanced cancer and with docetaxel in patients with advanced non-small-cell lung cancer. J Clin Oncol. Sep 1 2009;27(25):4116-4123. Robinson MK, Alpaugh RK, Borghaei H. Naptumomab estafenatox: a new immunoconjugate. Expert Opin Biol Ther. Feb 2010;10(2):273-279. Castelletti D, Fracasso G, Righetti S, et al. A dominant linear B-cell epitope of ricin A-chain is the target of a neutralizing antibody response in Hodgkin's lymphoma patients treated with an anti-CD25 immunotoxin. Clin Exp Immunol. May 2004;136(2):365-372. Schnell R, Borchmann P, Staak JO, et al. Clinical evaluation of ricin A-chain immunotoxins in patients with Hodgkin's lymphoma. Ann Oncol. May 2003;14(5):729-736. Schnell R, Vitetta E, Schindler J, et al. Treatment of refractory Hodgkin's lymphoma patients with an anti-CD25 ricin A-chain immunotoxin. Leukemia. Jan 2000;14(1):129-135. Sausville EA, Headlee D, Stetler-Stevenson M, et al. Continuous infusion of the anti-CD22 immunotoxin IgG-RFB4-SMPT-dgA in patients with B-cell lymphoma: a phase I study. Blood. Jun 15 1995;85(12):3457-3465. TargaTherapeutics. Human Clinical Trials Results with HuM195/rGel. http://www.targatherapeutics.com/payloads.html. Table S3: Details of the clinical trials involving immunotoxins (data gathered from US clinicaltrials.gov, Clinical Trials register EU and available bibliography in sponsor an PubMed websites).