Immune checkpoints
The brakes and accelerators on immune cells, drawn where they sit: receptors on the T cell, NK cell and macrophage, their ligands on the tumour cell or antigen-presenting cell, and the enzymes and secreted signals in between. Pink means an approved drug exists against it.
The synapse
Hover or focus a node for where it is expressed and its best drug; click for its row. Lines join partners.
approved drug against itInhibitory brakeCo-stimulatory acceleratorLigand on the other cellDon't eat me pairMetabolic brakeSoluble signal
Inhibitory receptors on T and NK cells
Brakes carried by the immune cell itself. When the receptor meets its ligand on a tumour cell or an antigen-presenting cell, the T cell or NK cell stands down. Antibodies that block the receptor release the brake.
“PD-1 and CTLA-4 antibodies shaped treatment, most patients still show primary or adaptive resistance, and LAG-3, TIM-3, TIGIT and VISTA are the next checkpoints characterised.” Qin et al. 2019, Mol Cancer: novel immune checkpoint targets beyond PD-1 and CTLA-4
- MemberExpressed on
Antigen-activated T cells; delivers inhibitory signals on binding PD-L1 or PD-L2. UniProt Q15116
Best drug statusApprovedPembrolizumabAntibody · Bispecific · Cell therapy · Fusion protein · Small moleculeApprovals by cancerAcral melanomaAdvanced and metastatic small bowel adenocarcinomaAdvanced cutaneous squamous cell carcinomaAdvanced hepatocellular carcinoma (BCLC C)Advanced melanoma (unresectable stage III and stage IV)Advanced or recurrent endometrial cancerand 50 more →35 approvals by region
- US 2014, Pembrolizumab: Melanoma (first of >40 indications)
- US 2014, Nivolumab: Melanoma
- US 2017, Pembrolizumab: MSI-H/dMMR solid tumours (tumour-agnostic)
- China 2018, Toripalimab: Melanoma (first of many indications)
- China 2018, Sintilimab: Relapsed or refractory classical Hodgkin lymphoma after two or more lines
- US 2018, Cemiplimab: Advanced cutaneous squamous cell carcinoma
- China 2019, Tislelizumab: Classical Hodgkin lymphoma (first); subsequently urothelial, NSCLC, HCC, ESCC, gastric, nasopharyngeal
- China 2019, Camrelizumab: Classical Hodgkin lymphoma; subsequently HCC, NSCLC, ESCC (second line 2020, first line with chemotherapy 2021), nasopharyngeal
- US 2020, Pembrolizumab: Metastatic TNBC, PD-L1 CPS ≥10, with chemotherapy
- China 2021, Sintilimab: First-line non-squamous NSCLC with pemetrexed and platinum (ORIENT-11); first-line squamous NSCLC with gemcitabine and platinum (ORIENT-12); first-line unresectable hepatocellular carcinoma with IBI305 (ORIENT-32)
- CN 2021, Penpulimab: Relapsed/refractory classical Hodgkin lymphoma; later NPC, NSCLC
- CN 2021, Zimberelimab: Relapsed or refractory classical Hodgkin lymphoma after two or more lines of therapy
- US 2021, Pembrolizumab: High-risk early TNBC, neoadjuvant + adjuvant (KEYNOTE-522)
- US 2021, Dostarlimab: dMMR recurrent/advanced endometrial cancer; dMMR solid tumours
- China 2022, Sintilimab: First-line oesophageal squamous cell carcinoma with chemotherapy (ORIENT-15)
- China 2022, Serplulimab: First-line ES-SCLC with chemotherapy
- China 2022, Cadonilimab: Recurrent/metastatic cervical cancer after platinum
- EU 2022, Relatlimab + nivolumab: Melanoma, PD-L1 <1% restriction
- US 2022, Relatlimab + nivolumab: Unresectable or metastatic melanoma, age ≥12
- China 2023, Sintilimab: First-line gastric or gastro-oesophageal junction adenocarcinoma with chemotherapy (ORIENT-16)
- US 2023, Pembrolizumab: Locally advanced unresectable or metastatic biliary tract cancer (gallbladder cancer included) with gemcitabine and cisplatin (KEYNOTE-966)
- US 2023, Toripalimab: Recurrent/metastatic nasopharyngeal carcinoma, first line with chemotherapy and later lines
- US 2023, Retifanlimab: Metastatic or recurrent locally advanced Merkel cell carcinoma
- China 2024, Cadonilimab: First-line persistent/recurrent/metastatic cervical cancer with chemotherapy ± bevacizumab; first-line gastric cancer with chemotherapy
- China 2024, Ivonescimab: EGFR-mutant NSCLC after TKI (with chemotherapy); first-line PD-L1+ NSCLC
- EU 2024, Retifanlimab: Merkel cell carcinoma
- US 2024, Dostarlimab: Primary advanced/recurrent endometrial cancer with chemotherapy (all-comers)
- US 2024, Tislelizumab: Second-line ESCC after chemotherapy; first-line HER2-negative gastric/GEJ with chemotherapy (PD-L1 ≥1)
- EU 2025, Serplulimab: First-line ES-SCLC with carboplatin-etoposide
- US 2025, Cemiplimab: Adjuvant high-risk CSCC after surgery and radiation
- US 2025, Tislelizumab: First-line ESCC, PD-L1 ≥1%, with platinum chemotherapy
- US 2025, Retifanlimab: Locally recurrent or metastatic anal SCC with carboplatin-paclitaxel; monotherapy after platinum
- US 2025, Penpulimab: Recurrent or metastatic non-keratinising NPC with cisplatin-gemcitabine; monotherapy after platinum and ≥1 other line
- US 2026, Pembrolizumab: Platinum-resistant PD-L1+ ovarian cancer; adjuvant RCC with belzutifan; with sacituzumab govitecan in 1L TNBC
- US 2026, Nivolumab: Untreated advanced classical Hodgkin lymphoma with AVD, age ≥12
- MemberPartnerExpressed on
Activated T cells, at 30- to 50-fold lower surface levels than CD28; widely expressed with the highest levels in lymphoid tissues. UniProt P16410
Approvals by cancerAcral melanomaAdvanced hepatocellular carcinoma (BCLC C)Advanced melanoma (unresectable stage III and stage IV)Cervical cancerColorectal cancerGastric & gastro-oesophageal junction cancerand 9 more →5 approvals by region
- US 2011, Ipilimumab: Metastatic melanoma
- China 2022, Cadonilimab: Recurrent/metastatic cervical cancer after platinum
- US 2022, Tremelimumab: Metastatic NSCLC without EGFR/ALK, with durvalumab and platinum chemotherapy; unresectable HCC with durvalumab
- China 2024, Cadonilimab: First-line persistent/recurrent/metastatic cervical cancer with chemotherapy ± bevacizumab; first-line gastric cancer with chemotherapy
- CN 2024, Iparomlimab and tuvonralimab: Recurrent or metastatic cervical cancer after platinum chemotherapy
- PartnerExpressed on
Primarily activated T cells and a subset of NK cells. UniProt P18627
Approvals by cancer2 approvals by region
- EU 2022, Relatlimab + nivolumab: Melanoma, PD-L1 <1% restriction
- US 2022, Relatlimab + nivolumab: Unresectable or metastatic melanoma, age ≥12
- MemberPartnerExpressed on
Th1 lymphocytes, regulatory T cells after TCR stimulation, dendritic cells and NK cells; also epithelial tissues. UniProt Q8TDQ0
Best drug statusPhase 3CobolimabAntibody · Bispecific1 stopped
- Sabatolimab (MBG453): In December 2023 Novartis decided to terminate the sabatolimab clinical development programme early after the phase 2 (STIMULUS MDS1) and phase 3 (STIMULUS MDS2) studies failed to meet their primary objectives; not due to safety concerns. ClinicalTrials.gov NCT04266301
Approvals by cancerNone - MemberPartnerExpressed on
Low levels on peripheral memory and regulatory CD4 T cells and NK cells, up-regulated on activation (protein level). UniProt Q495A1
Best drug statusPhase 3DomvanalimabAntibody · Bispecific · Fusion protein3 stopped
- Tiragolumab (SKYSCRAPER programme): The sponsor's decision was based on the negative results of SKYSCRAPER-02. ClinicalTrials.gov NCT04308785
- Vibostolimab (MK-7684A-007): Terminated early due to futility. ClinicalTrials.gov NCT05226598
- Domvanalimab in gastro-oesophageal cancer: The interim analysis of STAR-221 showed that the domvanalimab combination did not improve overall survival compared with standard of care. ClinicalTrials.gov NCT07134556
Approvals by cancerNone - MemberPartnerExpressed on
Lymphocytes; an inhibitory receptor that dampens antigen-receptor signalling through SHP-1 and SHP-2. UniProt Q7Z6A9
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- Tifcemalimab (anti-BTLA) with toripalimab is in a phase 3 consolidation study in small-cell lung cancer (recruiting). ClinicalTrials.gov NCT06095583
- MemberPartnerLigands are not settled; the receptor inhibits the T-cell…Expressed on
Myeloid cells including CD11b monocytes and CD66b neutrophils, at low levels on CD4 and CD8 T cells and a subset of NK cells; not on B cells (protein level). UniProt Q9H7M9
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- HMBD-002 (anti-VISTA) completed a phase 1 study alone and with pembrolizumab. ClinicalTrials.gov NCT05082610
- CI-8993 (anti-VISTA) completed a phase 1 study in advanced solid tumours. ClinicalTrials.gov NCT04475523
- PartnerExpressed on
Predominantly NK cells, with CD94; subsets of intraepithelial and memory CD8 T cells (protein level). UniProt P26715
Approvals by cancerNoneDrugs - MemberPartnerHLA-C group 2 alleles (KIR2DL1) and HLA-Cw1, Cw3, Cw7 (KI…Expressed on
NK cells; receptors for HLA-C alleles that inhibit NK-cell lysis. UniProt P43626
Best drug statusNo product with a status1 stopped
- Lirilumab in myeloid malignancies: Enrolment was stopped after the sponsor's decision not to pursue the development of lirilumab for myeloid malignancies. ClinicalTrials.gov NCT02599649
Approvals by cancerNoneDrugsNo product in the corpus- Lirilumab (anti-KIR2DL1/2/3) reached phase 1/2 with nivolumab in solid tumours. ClinicalTrials.gov NCT01714739
- MemberPartnerExpressed on
Activated T and NK cells; expressed on normal T-cell lines and clones and at very low levels on activated B cells. UniProt P40200
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- GSK6097608 (anti-CD96) is in phase 2 platform studies with dostarlimab in non-small-cell lung cancer. ClinicalTrials.gov NCT05565378
- MemberPartnerExpressed on
Low levels on freshly isolated T and NK cells, predominantly memory and effector CD8 T cells and both CD16-positive and CD16-negative NK cells; not on B cells, naive or helper T cells, monocytes or neutrophils (protein level). UniProt Q6DKI7
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- COM701 (anti-PVRIG) completed phase 1/2 with a TIGIT antibody and nivolumab and is recruiting in platinum-sensitive ovarian cancer. ClinicalTrials.gov NCT06888921
Their ligands on tumour and antigen-presenting cells
The other half of each pair. Tumours borrow these molecules from normal tissue so that the brakes on nearby T cells are pressed. Blocking the ligand works as well as blocking the receptor for PD-1.
- MemberPartnerExpressed on
Activated T and B cells, dendritic cells, keratinocytes and monocytes; widely expressed in tissue, highest in lung, liver and pituitary. UniProt Q9NZQ7
Best drug statusApprovedAtezolizumabAntibody · Bispecific · Fusion protein · Vaccine · Antibody-drug conjugate · Small molecule · Cell therapyApprovals by cancerAdvanced cutaneous squamous cell carcinomaAdvanced hepatocellular carcinoma (BCLC C)Advanced or recurrent endometrial cancerAlveolar soft part sarcomaBiliary tract cancer (cholangiocarcinoma)Bladder & urothelial cancerand 20 more →16 approvals by region
- US 2016, Atezolizumab: Urothelial carcinoma (later withdrawn); NSCLC
- US 2017, Durvalumab: Locally advanced or metastatic urothelial carcinoma after platinum (accelerated; indication withdrawn 2021)
- US 2017, Avelumab: Merkel cell carcinoma; urothelial cancer after platinum (accelerated)
- US 2018, Durvalumab: Unresectable stage III NSCLC after chemoradiation
- US 2020, Avelumab: Maintenance after first-line platinum in advanced urothelial cancer
- China 2021, Sugemalimab: First-line metastatic squamous and non-squamous NSCLC with platinum chemotherapy (GEMSTONE-302)
- China 2021, Envafolimab: Previously treated MSI-H or dMMR advanced solid tumours
- China 2022, Sugemalimab: Unresectable stage III NSCLC without progression after chemoradiotherapy (GEMSTONE-301)
- US 2022, Durvalumab: Locally advanced or metastatic biliary tract cancer (gallbladder cancer included) with gemcitabine and cisplatin (TOPAZ-1)
- China 2023, Adebrelimab: First-line extensive-stage small cell lung cancer with carboplatin and etoposide (CAPSTONE-1)
- CN 2024, Benmelstobart: Extensive-stage small-cell lung cancer, first line, with anlotinib and platinum-etoposide chemotherapy
- EU 2024, Sugemalimab: First-line metastatic NSCLC with platinum chemotherapy, no sensitising EGFR, ALK, ROS1 or RET alterations
- UK 2024, Durvalumab: Locally advanced, unresectable or metastatic biliary tract cancer with gemcitabine and cisplatin; NICE TA944 recommended 10 January 2024 with a commercial arrangement
- US 2024, Cosibelimab: Metastatic or locally advanced cutaneous SCC not curable by surgery or radiation
- US 2026, Atezolizumab: Adjuvant muscle-invasive bladder cancer, ctDNA-positive after cystectomy
- US 2026, Durvalumab: High-risk NMIBC with BCG
- MemberPartnerExpressed on
Highly expressed in heart, placenta, pancreas, lung and liver; weakly in spleen, lymph nodes and thymus. UniProt Q9BQ51
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberExpressed on
The surface of antigen-presenting cells. UniProt P33681
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberExpressed on
The surface of antigen-presenting cells. UniProt P42081
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberPartnerExpressed on
Professional antigen-presenting cells: macrophages, dendritic cells and B cells; thymic epithelial cells (protein level). UniProt P01903
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - PartnerExpressed on
Liver-specific under normal conditions; secreted by hepatocytes and certain tumour cells, and binds LAG-3 independently of MHC class II. UniProt Q08830
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberPartnerExpressed on
Peripheral blood leukocytes and lymphatic tissues; lung, liver, breast and kidney, with higher levels in tumour endothelial cells than normal endothelium (protein level). UniProt O00182
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - PartnerExpressed on
Columnar epithelial cells of the colon (protein level); granulocytes and lymphocytes, T cells carrying the long cytoplasmic isoforms. UniProt P13688
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberExpressed on
Barely or weakly expressed in normal human tissues but frequently over-expressed in malignant tumours; the ligand for the co-stimulatory receptor CD226 and the co-inhibitory receptors TIGIT and CD96 on NK and T cells. Kučan Brlić et al. 2017, Cell Mol Immunol: CD155, an onco-immunologic molecule
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberPartnerExpressed on
Ubiquitous; a co-stimulator through CD226 and a co-inhibitor through PVRIG, the two binding competitively. UniProt Q92692
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberPartnerExpressed on
Widely expressed, highest in lung, spleen and thymus; a subpopulation of B cells and monocytes, and naive T cells. UniProt Q92956
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - PartnerExpressed on
Endothelial cells of all vessel types outside lymphoid tissue; in lymphoid organs, endothelial venules, B and T cells, monocytes, macrophages, NK cells and megakaryocytes (protein level). UniProt P13747
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus
Innate 'don't eat me' checkpoints
Signals a cell shows to macrophages to say it is self and should not be eaten. Tumours over-express them; blocking the pair lets macrophages engulf the cancer cell.
“The CD24-Siglec-10 interaction inhibits macrophage-mediated phagocytosis as well as NK-cell cytotoxicity.” Panagiotou et al. 2022, Cancers: CD24 as a target for cancer immunotherapy
- PartnerExpressed on
Very broadly distributed on normal adult tissues as well as ovarian tumours, especially abundant in some epithelia and the brain. UniProt Q08722
Best drug statusPhase 3EvorpaceptAntibody · Fusion protein · Bispecific2 stopped
- Magrolimab with azacitidine in higher-risk MDS (ENHANCE): Study discontinued due to futility based on a planned analysis. ClinicalTrials.gov NCT04313881
- Magrolimab programme in MDS: Termination due to discontinuation of magrolimab development in MDS. ClinicalTrials.gov NCT05835011
Approvals by cancerNone - MemberPartnerExpressed on
Myeloid cells but not T cells; ubiquitous at lower levels, highly expressed in brain. UniProt P78324
Approvals by cancerNoneDrugs - PartnerExpressed on
B cells and the T-cell surface; erythroleukaemia and small-cell lung carcinoma cell lines. UniProt P25063
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- IMM47 (anti-CD24) entered a phase 1 study in advanced solid tumours; the registry status is unknown. ClinicalTrials.gov NCT05985083
- MemberPartnerExpressed on
Peripheral blood leukocytes: eosinophils, monocytes and an NK-cell subpopulation; an inhibitory receptor that recruits phosphatases on ligand binding. UniProt Q96LC7
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus - MemberPartnerClassical and non-classical HLA class I (HLA-A, B, C, G a…Expressed on
B cells, monocytes and myeloid, plasmacytoid and tolerogenic dendritic cells; decidual macrophages and NK cells (protein level). UniProt Q8NHL6
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- NGM707 (anti-LILRB1/LILRB2) reached phase 1/2 with pembrolizumab; a later phase 2 study was withdrawn by the sponsor. ClinicalTrials.gov NCT04913337
- MemberPartnerHLA class I including HLA-G; LILRB receptors negatively r…Expressed on
Monocytes, at lower levels myeloid and plasmacytoid dendritic cells; tolerogenic IL-10-producing dendritic cells, myeloid-derived suppressor cells, B cells and low levels in NK cells. UniProt Q8N423
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- MK-4830 (anti-LILRB2) is in phase 2 with pembrolizumab, including a completed study with chemotherapy in ovarian cancer. ClinicalTrials.gov NCT05446870
Co-stimulatory receptors and agonist targets
Accelerators rather than brakes. These receptors tell a T cell, or the dendritic cell that primes it, to go harder; the drugs are agonists that press them, or bispecifics that press them only where the other arm has found the tumour.
“CD40 activation licenses dendritic cells to promote antitumour T-cell activation and re-educates macrophages to destroy tumour stroma.” Vonderheide 2020, Annu Rev Med: CD40 agonist antibodies in cancer immunotherapy
- PartnerExpressed on
T cells and plasma cells, not less mature B cells; the receptor for CD80 and CD86 that amplifies T-cell receptor signals. UniProt P10747
Approvals by cancerNoneDrugs - PartnerICOS ligand (ICOSL) on antigen-presenting cells.Expressed on
Activated and antigen-experienced T cells; highly expressed on tonsillar T cells in germinal centres. UniProt Q9Y6W8
Best drug statusPhase 2FeladilimabAgonist1 stopped
- Feladilimab (INDUCE-3 and INDUCE-4, head and neck cancer): The trial was stopped by the sponsor based on assessment of the clinical data. ClinicalTrials.gov NCT04128696
Approvals by cancerNoneDrugs - MemberPartnerOX40 ligand (TNFSF4).Expressed on
Activated T cells; OX40 ligation augments CD4 and CD8 T-cell clonal expansion, effector differentiation and survival. Croft 2009, Immunol Rev: OX40-mediated co-stimulation
Approvals by cancerNoneDrugs - MemberPartner4-1BB ligand (TNFSF9).Expressed on
The surface of activated T cells; signalling enhances CD8 T-cell survival, cytotoxicity and mitochondrial activity. UniProt Q07011
Best drug statusPhase 3AcasunlimabBispecific · Agonist · Fusion protein2 stopped
- Acasunlimab (GEN1046): Genmab decided to discontinue further clinical development of acasunlimab following strategic portfolio prioritisation; not related to safety concerns. ClinicalTrials.gov NCT03917381
- Utomilumab (PF-05082566): Development programme terminated. ClinicalTrials.gov NCT03704298
Approvals by cancerNone - MemberPartnerGITR ligand (TNFSF18).Expressed on
Lymph node and peripheral blood leukocytes, weakly in spleen. UniProt Q9Y5U5
Best drug statusNo product with a status1 stopped
- TRX518 (GITR agonist): Product development discontinued unrelated to safety. ClinicalTrials.gov NCT03861403
Approvals by cancerNoneDrugsNo product in the corpus- BMS-986156 (GITR agonist) completed phase 1/2 alone and with nivolumab. ClinicalTrials.gov NCT02598960
- MemberPartnerCD70, which has its own target page.Expressed on
Most T lymphocytes, also NK and B cells; a co-stimulatory receptor activated by CD70 on B cells. UniProt P26842
Best drug statusNo product with a status1 stopped
- Varlilumab combination studies: Portfolio re-prioritisation. ClinicalTrials.gov NCT02386111
Approvals by cancerNoneDrugsNo product in the corpus- Varlilumab (CD27 agonist) reached phase 2 with nivolumab in aggressive B-cell lymphoma. ClinicalTrials.gov NCT03038672
- MemberPartnerCD40 ligand (CD40LG, CD154) on activated T cells.Expressed on
B cells and primary carcinomas (UniProt); agonists license dendritic cells and re-educate macrophages. Vonderheide 2020, Annu Rev Med: CD40 agonist antibodies in cancer immunotherapy
Best drug statusPhase 2SelicrelumabAgonist1 stopped
- Selicrelumab (intratumoural, with atezolizumab): End of drug development. ClinicalTrials.gov NCT03892525
Approvals by cancerNone
Metabolic checkpoints
Enzymes and receptors that change the chemistry around the tumour: they use up tryptophan or turn spilt ATP into adenosine, and either change starves or sedates T cells.
“CD39 and CD73 are cell-surface enzymes that catabolise extracellular ATP into adenosine; ectonucleotidases and adenosine receptors have emerged as therapeutic targets.” Allard et al. 2019, Immunol Rev: targeting the CD73-adenosine axis
- PartnerConverts tryptophan to kynurenine, which activates the ar…Expressed on
Mature dendritic cells in lymphoid organs, some epithelial cells of the female genital tract, endothelial cells of term placenta and lung parenchyma; weak in most normal tissues but inducible. UniProt P14902
Best drug statusPhase 3IO102-IO103Small molecule · Vaccine1 stopped
- Epacadostat programme after ECHO-301: Terminated due to emergent data from another study and unrelated to safety (registry text on a companion Incyte study). ClinicalTrials.gov NCT03277352
Approvals by cancerNone - MemberPartnerNot pairedExpressed on
Catalyses the same tryptophan-to-kynurenine commitment step as IDO1; the cited review treats IDO1 and TDO2 together as drivers of tumour immune escape. UniProt gives no tissue distribution. Cheong and Sun 2018, Trends Pharmacol Sci: the IDO1/TDO2-kynurenine-AhR pathway
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- No TDO2-selective agent was found in ClinicalTrials.gov under the drug names the corpus knows; the LY3381916 study is an IDO1 programme and was terminated for business reasons. ClinicalTrials.gov NCT03343613
- PartnerExpressed on
Broadly expressed; the ectonucleotidase that finishes the breakdown of extracellular ATP into adenosine. Allard et al. 2019, Immunol Rev: targeting the CD73-adenosine axis
Best drug statusPhase 3OleclumabAntibody · Small molecule1 stopped
- Oleclumab plus durvalumab doublet (platform arms): Overall clinical activity (ORR) for oleclumab plus durvalumab is minimal across tumour types and does not support further evaluation of this doublet. ClinicalTrials.gov NCT04262388
Approvals by cancerNone - PartnerExpressed on
Primarily activated lymphoid cells; also endothelium, and highly in placenta, lung, skeletal muscle and kidney. UniProt P49961
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- TTX-030 (anti-CD39) completed a phase 2 study with chemotherapy, with or without budigalimab, in first-line metastatic pancreatic cancer. ClinicalTrials.gov NCT06119217
- MemberPartnerExpressed on
Broadly expressed adenosine receptor; G-protein coupled, raising cyclic AMP in the cells that carry it. Allard et al. 2019, Immunol Rev: targeting the CD73-adenosine axis
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- Ciforadenant (A2A antagonist) is in phase 1b/2 with ipilimumab and nivolumab. ClinicalTrials.gov NCT05501054
- Etrumadenant (A2A/A2B antagonist) is in phase 2 combinations in pancreatic cancer. ClinicalTrials.gov NCT06048484
- Inupadenant (A2A antagonist) is in phase 2 with chemotherapy in non-squamous non-small-cell lung cancer. ClinicalTrials.gov NCT05403385
Other B7 family members
Relatives of PD-L1 and CD80 whose receptors are only partly known. Because tumours over-express them, most drugs treat them as an address for an antibody-drug conjugate rather than as a brake to release.
“B7-H3, B7x (B7-H4) and HHLA2 form the third phylogenetic group of the B7-CD28 family, with antagonistic antibodies and agonistic fusion proteins emerging for cancer.” Janakiram et al. 2017, Immunol Rev: the third group of the B7-CD28 family
- MemberPartnerReceptor not established; the protein may inhibit NK-medi…Expressed on
Ubiquitous transcript but not detectable on peripheral blood lymphocytes or granulocytes; weak on resting monocytes, present on monocyte-derived dendritic cells and sinonasal epithelium. UniProt Q5ZPR3
Approvals by cancerNone - MemberPartnerNot pairedExpressed on
Over-expressed in breast, ovarian, endometrial, renal cell and non-small-cell lung cancers; on activated T and B cells, monocytes and dendritic cells but not most normal tissues (protein level). UniProt Q7Z7D3
Approvals by cancerNone - MemberPartnerTMIGD2 (CD28H), through which it co-stimulates T cells.Expressed on
High in colon, kidney, testis, lung and pancreas; among immune cells, B cells, dendritic cells and macrophages, not T cells. UniProt Q9UM44
Best drug statusNo product with a statusApprovals by cancerNoneDrugsNo product in the corpus- No HHLA2-directed agent is in the corpus, and none was looked up in the registry for this map; the family review lists antagonistic antibodies and agonistic fusion proteins as emerging. Janakiram et al. 2017, Immunol Rev: the third group of the B7-CD28 family
Soluble brakes of the microenvironment
Not receptors but secreted signals that quieten immune cells across a whole tumour. The cited review frames them as immunosuppressive cytokines rather than checkpoints in the strict sense; they are listed here because the drugs against TGF-beta are fused to checkpoint antibodies.
“HPV up-regulates IL-10 and TGF-beta1 to produce a local immunosuppressive environment that inhibits the antitumour immune response.” Torres-Poveda et al. 2014, Infect Agent Cancer: IL-10 and TGF-beta1 in local immunosuppression
- MemberPartnerTGF-beta receptors I and II; the drugs in the corpus are …Expressed on
Stored latent in the extracellular matrix; highly expressed in bone and articular cartilage (UniProt). Up-regulated with IL-10 in HPV-driven cervical lesions to form a local immunosuppressive environment. Torres-Poveda et al. 2014, Infect Agent Cancer: IL-10 and TGF-beta1 in local immunosuppression
Best drug statusPhase 3Retlirafusp alfaFusion protein · Antisense2 stopped
- Bintrafusp alfa (PD-L1 x TGF-beta trap) in biliary tract cancer: Discontinued as it was unlikely to meet the primary endpoint of overall survival (registry text on the neoadjuvant companion study). ClinicalTrials.gov NCT04727541
- Bintrafusp alfa programme: The sponsor decided to no longer develop the drug and stop support of studies using the drug. ClinicalTrials.gov NCT04220775
Approvals by cancerNone - PartnerThe clinical programme ran the other way: pegylated IL-10…Expressed on
Produced by T cells, macrophages, mast cells and other cell types; a major anti-inflammatory cytokine signalling through IL10RA/IL10RB to STAT3. UniProt P22301
Best drug statusPhase 2LB4330Fusion protein1 stopped
- Pegilodecakin (pegylated IL-10) with PD-1 blockade (CYPRESS-1 and CYPRESS-2): Closed early after the planned primary analysis because the risk-benefit ratio is unfavourable. ClinicalTrials.gov NCT03382899
Approvals by cancerNoneDrugs
Sources. Identifiers from the HGNC REST API; expression from the UniProt tissue-specificity or function comment for the accession named on each row, or from the review cited; drug statuses from the drug records linked (each carries its own approvals and sources); phases for agents without a record here, and every stopped programme, from the ClinicalTrials.gov study cited, quoting the reason the registry gives. Where nothing was found the row says so. Taxonomy in src/data/checkpoint-map.ts.