4.7 Review

Targeting CD47 for cancer immunotherapy

Journal

JOURNAL OF HEMATOLOGY & ONCOLOGY
Volume 14, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s13045-021-01197-w

Keywords

CD47; Signal regulatory protein alpha (SIRP alpha); Monoclonal antibody (mAbs); Bi-specific antibody (BsAbs); Fusion proteins; Cancer immunotherapy; Clinical trials

Funding

  1. Project of Henan Provincial Education Department, China [20A320062]
  2. Project of Science and Technology Department of Henan Province, China [SBGJ20202076, LHGJ20190039]
  3. Talent Research Fund of the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

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Significant progress has been made in targeting CD47 for cancer immunotherapy in solid tumors and hematological malignancies, with a total of 46 clinical trials related to CD47 in the USA and 23 in China. Most of the trials are in early phases, and the new generation CD47 antibodies have shown promising results.
Much progress has been made in targeting CD47 for cancer immunotherapy in solid tumors (ST) and hematological malignancies. We summarized the CD47-related clinical research and analyzed the research trend both in the USA and in China. As of August 28, 2021, there are a total 23 related therapeutic agents with 46 clinical trials in the NCT registry platform. Among these trials, 29 are in ST, 14 in hematological malignancies and 3 in both solid tumor and hematological malignancy. The ST include gastric cancer, head and neck squamous cell carcinoma and leiomyosarcoma, while the hematological malignancies include non-Hodgkin's lymphoma, acute myeloid leukemia, myelodysplastic syndrome, multiple myeloma and chronic myeloid leukemia. Majority of the CD47-related clinical trials are at the early phases, such as 31 at phase I, 14 at phase II and 1 at phase III in the USA and 9, 6, 1, in China, respectively. The targets and spectrums of mechanism of action include 26 with mono-specific and 20 with bi-specific targets in the USA and 13 with mono-specific and 3 with bi-specific targets in China. The new generation CD47 antibodies have demonstrated promising results, and it is highly hopeful that some candidate agents will emerge and make into clinical application to meet the urgent needs of patients.

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