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DRUG CLASS:

GD2 ganglioside inhibitor

1d
NANT 2021-02: Randomized MIBG With Vorinostat/Dinutuximab/Vorinostat + Dinutuximab (clinicaltrials.gov)
P2, N=118, Not yet recruiting, New Approaches to Neuroblastoma Therapy Consortium
New P2 trial
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Zolinza (vorinostat) • Unituxin (dinutuximab) • Azedra (iobenguane I 131)
8d
Naxitamab plus stepped-up dosing of granulocyte-macrophage colony-stimulating factor for primary refractory high-risk neuroblastoma: results of a phase I/II trial. (PubMed, J Hematol Oncol)
Naxitamb + GM-CSF is an attractive option for primary refractory osteomedullary disease, including in patients with a high disease burden.
P1/2 data • Journal
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CSF2 (Colony stimulating factor 2)
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Danyelza (naxitamab-gqgk)
10d
Ganglioside therapy in cancer molecular insights and therapeutic opportunities. (PubMed, Discov Oncol)
Dinutuximab, approved for high-risk neuroblastoma, improved event-free survival when combined with cytokines with standard therapy alone (NCT00026312). Similarly, Naxitamab, in combination with GM-CSF, achieved an overall response rate in relapsed/refractory neuroblastoma (NCT03363373)...Additionally, Racotumomab (anti-NeuGcGM3) demonstrated a survival benefit in advanced non-small cell lung cancer, extending median overall survival compared to placebo (NCT01240447). Despite these advances, challenges remain in improving patient selection, reducing off-target toxicities such as neuropathic pain, and addressing resistance mechanisms. This review examines the latest developments in ganglioside-mediated cancer therapy, emphasizing current clinical outcomes, highlighting the need for more precise targeting approaches, and exploring rational combination strategies to enhance therapeutic efficacy.
Review • Journal • IO biomarker
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CSF2 (Colony stimulating factor 2)
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Danyelza (naxitamab-gqgk) • Unituxin (dinutuximab)
1m
NANT 2021-01 Phase II STING (Sequential Temozolomide, Irinotecan, NK Cells and GD2 mAb) Trial (clinicaltrials.gov)
P2, N=62, Recruiting, New Approaches to Neuroblastoma Therapy Consortium | Active, not recruiting --> Recruiting
Enrollment open
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temozolomide • irinotecan • Unituxin (dinutuximab) • Leukine (sargramostim)
1m
Prolonged overall survival in a child with multimetastatic retinoblastoma treated with anti-GD2 monoclonal antibody dinutuximab beta: a case report. (PubMed, Front Oncol)
The patient was treated with systemic conventional and high-dose chemotherapy combined with intrathecal Topotecan. This case suggests that anti-GD2 immunotherapy, used as consolidation treatment, may improve the prognosis of patients with advanced retinoblastoma and potentially reduce the toxicity associated with standard therapies. Further clinical investigation is warranted to validate these findings.
Journal • IO biomarker
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RB1 (RB Transcriptional Corepressor 1)
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topotecan • Qarziba (dinutuximab beta)
1m
Trial completion date
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MYCN (MYCN Proto-Oncogene BHLH Transcription Factor)
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temozolomide • irinotecan • Qarziba (dinutuximab beta) • Unituxin (dinutuximab) • Leukine (sargramostim)
1m
Study of Naxitamab and Sacituzumab Govitecan in Patients With Metastatic Triple-negative Breast Cancer (TNBC) (clinicaltrials.gov)
P1/2, N=31, Recruiting, M.D. Anderson Cancer Center | Trial completion date: Nov 2030 --> Jul 2030
Trial completion date
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Trodelvy (sacituzumab govitecan-hziy) • Danyelza (naxitamab-gqgk)
1m
Inbraced: Phase I Study of 131-I mIBG Followed by Nivolumab & Dinutuximab Beta Antibodies in Children With Relapsed/Refractory Neuroblastoma (clinicaltrials.gov)
P1, N=44, Active, not recruiting, University Hospital Southampton NHS Foundation Trust | Trial completion date: Jul 2025 --> Nov 2025
Trial completion date
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PD-L1 expression
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Opdivo (nivolumab) • Qarziba (dinutuximab beta) • Azedra (iobenguane I 131)
1m
The role of dinutuximab beta with beta cell function, apoptosis, and proliferation: new approaches to proteomic analysis of insulinoma. (PubMed, Invest New Drugs)
Several proteins not previously associated, or only indirectly linked, with beta cell function, apoptosis, or proliferation were identified and characterized for the first time in insulinoma. These findings provide new insights and potential targets for the treatment of pancreatic cancer.
Journal • IO biomarker
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PTEN (Phosphatase and tensin homolog) • BCL2 (B-cell CLL/lymphoma 2) • CASP3 (Caspase 3) • FN1 (Fibronectin 1) • PCNA (Proliferating cell nuclear antigen) • PDX1 (Pancreatic And Duodenal Homeobox 1) • NEUROD1 (Neuronal Differentiation 1) • HSPA8 (Heat Shock Protein Family A (Hsp70) Member 8)
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Qarziba (dinutuximab beta)
2ms
Study of Naxitamab and Sacituzumab Govitecan in Patients With Metastatic Triple-negative Breast Cancer (TNBC) (clinicaltrials.gov)
P1/2, N=31, Recruiting, M.D. Anderson Cancer Center | Not yet recruiting --> Recruiting
Enrollment open
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Trodelvy (sacituzumab govitecan-hziy) • Danyelza (naxitamab-gqgk)
2ms
A pharmacological and clinical profile of Naxitamab for the treatment of high-risk neuroblastoma. (PubMed, Expert Rev Clin Pharmacol)
Ongoing clinical studies and expanded global use continue to evaluate its safety and efficacy, to optimize its integration with standard care, and to fully exploit its therapeutic potential. Advances in protein engineering can further extend the utility of anti-GD2 mAbs, enabling the creation of radioimmunoconjugates, novel bispecific antibodies, and pre-targeting strategies, offering potent tumor selectivity while mitigating off-target toxicity.
Review • Journal
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CSF2 (Colony stimulating factor 2)
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Danyelza (naxitamab-gqgk)
2ms
NCI-2018-03732: Dinutuximab, Sargramostim, and Combination Chemotherapy in Treating Patients With Newly Diagnosed High-Risk Neuroblastoma (clinicaltrials.gov)
P2, N=42, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Sep 2025 --> Sep 2026
Trial completion date
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MYCN (MYCN Proto-Oncogene BHLH Transcription Factor)
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cisplatin • carboplatin • doxorubicin hydrochloride • cyclophosphamide • etoposide IV • vincristine • daunorubicin • topotecan • melphalan • thiotepa • Qarziba (dinutuximab beta) • Unituxin (dinutuximab) • Leukine (sargramostim) • dexrazoxane