From:  Next-generation nanocarriers for precision antitumor therapy: from passive targeting to intelligent response

 Selected clinical trials and approved nanocarrier-based antitumor therapies.

Nanocarrier/drugPhase/statusIndicationKey outcomes (Quantitative)NCT identifierSponsor/institution
Doxil® (Liposomal Doxorubicin)Approved (1995)Ovarian Cancer/Kaposi’s SarcomaPFS 3–5 months gain; cardiotoxicity < 5% (vs. 20% free); 10–15% tumor accumulationN/AOrtho Biotech
Abraxane® (Albumin-Bound Paclitaxel)ApprovedPancreatic/Breast CancerOS 8.5 vs. 6.7 months; neuropathy 3% (vs. 10%); AUC 2.5-fold increaseN/ACelgene
MM-302 (HER2-Targeted Liposomal Doxorubicin)II (Completed)Breast CancerORR 11% (vs. 0%); PFS 7.6 vs. 3.5 monthsNCT02213744Merrimack Pharmaceuticals
ThermoDox® (Thermosensitive Liposomal Doxorubicin)III (Ongoing)Hepatocellular CarcinomaCR 33% (vs. 12%) with RFA; 5-fold intratumoral DOXNCT02112656Celsion Corporation
NK105 (Micellar Paclitaxel)III (Recruiting)Gastric CancerHR 0.7–0.8 for OS; response rates 20–50% higherNCT02213744Nippon Kayaku
CALAA-01 (siRNA Nanoparticles)I (Completed)Solid Tumors/Melanoma21% tumor reduction at 0.6 mg/kg; RRM2 silencingNCT00689065Calando Pharmaceuticals
mRNA-4157 (Lipid Nanoparticles)II (Ongoing)MelanomaCD8+ response 70%; ORR 25% with pembrolizumabNCT03897881ModernaTX
Vyxeos/CPX-351 (Liposomal Cytarabine/Daunorubicin)ApprovedAcute Myeloid LeukemiaSynergistic ratio 5:1; improved efficacy in AML-MRCN/AJazz Pharmaceuticals
Onivyde® (Liposomal Irinotecan)ApprovedPancreatic CancerOS 6.1 vs. 4.2 months; neutropenia 39% (vs. 24%)N/AIpsen
Marqibo® (Liposomal Vincristine)ApprovedAcute Lymphoblastic LeukemiaResponse rate 20%; neuropathy reduced by 50%N/ATalon Therapeutics
DepoCyt® (Liposomal Cytarabine)ApprovedLymphomatous MeningitisResponse rate 41%; survival 99 days vs. 63 daysN/ASigma-Tau Pharmaceuticals
BIND-014 (Polymeric NP Docetaxel)II (Completed)Prostate CancerPSA reduction 40%; PFS 9.9 monthsNCT01812746BIND Therapeutics
NK012 (Micellar SN-38)II (Completed)Small Cell Lung CancerORR 18%; PFS 3.7 monthsNCT00951613Nippon Kayaku
CRLX101 (Polymeric Camptothecin)II (Completed)Ovarian CancerPFS 3.7 months; stable disease 44%NCT01652079Cerulean Pharma
Livatag® (Doxorubicin Transdrug)III (Completed)Hepatocellular CarcinomaOS 15 months vs. 9.5 months; response rate 19%NCT01655693Onxeo

PFS: progression-free survival; OS: overall survival; HER2: human epidermal growth factor receptor 2; ORR: objective response rate; CR: complete response; RFA: radiofrequency ablation; AUC: area under the curve; DOX: doxorubicin; AML-MRC: acute myeloid leukemia with myelodysplasia-related changes; RRM2: ribonucleotide reductase regulatory subunit M2.