Review Article

Recombinant Immunotoxin Therapy of Glioblastoma: Smart Design, Key Findings, and Specific Challenges

Table 2

Clinical development of RITs for glioblastoma therapy.

RITsClinical trialsStatusOutcome and side effectsRef.

D2C7(scdsFv)-PE38 (D2C7-IT)Phase I/IIOngoingN/ANCT02303678
IL-4(38-37)-PE38KDEL (cpIL4-PE)Phase I/IIOngoingMS: 4.7 months; six-month survival: 36%[113115]
Headache, seizure, weakness, dysphasia, hydrocephalusNCT00014677
IL13-PE38QQR (IL-13PE) Phase I/II/IIINot activeMS: 42.7 weeks in phase II and 36.4 weeks in phase III [116119]
Headache, dysphasia, seizure, weakness, pulmonary embolism
TGFα-PE38 (TP38)Phase IDiscontinuedMS: 28 weeks (95% CI, 4.1–45.1) [58, 59, 120, 121]
Grade 3 hemiparesis, grade 4 fatigue, headache, dysphasia
Less effective in >80% intracranial infusions
DAB389EGFPhase I/IIDiscontinuedN/A[122]
MR1-1(Fv)-PE38 (MR1-1)Phase IDiscontinuedLow accrual[123]

MS, median survival.