Dostarlimab
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Also known as Dostarlimab gxlyDostarlimab-gxlyGSK-4057190GSK4057190JemperliTsr 042Tsr-042Tsr042WBP-285WBP285
Summary
Dostarlimab (CHEMBL4298124) is an approved antibody (ATC L01FF07) targeting PDCD1; indicated across 33 conditions including neoplasm and endometrium neoplasm; with CIViC clinical evidence for 3 variant-indication associations (e.g. MSI High in endometrial cancer).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Antibody
- ATC class: L01FF07
- Targets: 1 (PDCD1)
- Indications: 33 conditions
- Clinical trials: 93
- Precision-oncology evidence (CIViC): 3 variant–indication associations
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL4298124 |
| Name | Dostarlimab |
| Type | Antibody |
| Max phase | 4 |
| ATC | L01FF07 |
Also known as: Dostarlimab, Dostarlimab gxly, Dostarlimab-gxly, GSK-4057190, GSK4057190, Jemperli, Tsr 042, Tsr-042, TSR-042, Tsr042, WBP-285, WBP285
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| PDCD1 | programmed cell death 1 (CD279) | Binding | 0% | Q15116 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
Aggregated over 1 target gene(s): PDCD1.
Top Reactome pathways
3 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Co-inhibition by PD-1 | 1 | PDCD1 |
| Potential therapeutics for SARS | 1 | PDCD1 |
| PD-L1(CD274) glycosylation and translocation to plasma membrane | 1 | PDCD1 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| B cell apoptotic process | 1 |
| adaptive immune response | 1 |
| negative regulation of tolerance induction | 1 |
| negative regulation of T cell mediated immune response to tumor cell | 1 |
| negative regulation of B cell apoptotic process | 1 |
| apoptotic process | 1 |
| humoral immune response | 1 |
| negative regulation of inflammatory response | 1 |
| regulation of immune response | 1 |
| negative regulation of immune response | 1 |
| negative regulation of T cell receptor signaling pathway | 1 |
| negative regulation of T cell activation | 1 |
| positive regulation of T cell apoptotic process | 1 |
| regulatory T cell apoptotic process | 1 |
| immune system process | 1 |
Indications & clinical
Indications
33 indications (4 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| endometrium neoplasm | 4 | MONDO:0021251 | MONDO:0011962 |
| ovarian neoplasm | 3 | MONDO:0021068 | EFO:0003893 |
| head and neck cancer | 3 | MONDO:0005627 | EFO:0006859 |
| ovarian cancer | 3 | MONDO:0008170 | MONDO:0008170 |
| non-small cell lung carcinoma | 3 | MONDO:0005233 | EFO:0003060 |
| colonic neoplasm | 3 | MONDO:0005401 | MONDO:0021063 |
| head and neck neoplasm | 3 | MONDO:0005586 | EFO:0005950 |
| cervical carcinoma | 2 | MONDO:0005131 | EFO:0001061 |
| sarcoma | 2 | MONDO:0005089 | EFO:0000691 |
| melanoma | 2 | MONDO:0005105 | EFO:0000756 |
| rectal cancer | 2 | MONDO:0006519 | EFO:1000657 |
| small cell lung carcinoma | 2 | MONDO:0008433 | EFO:0000702 |
| exocrine pancreatic carcinoma | 2 | MONDO:0005192 | EFO:0002618 |
| angiosarcoma | 2 | MONDO:0016982 | EFO:0003968 |
| breast neoplasm | 2 | MONDO:0021100 | MONDO:0007254 |
| hereditary breast ovarian cancer syndrome | 2 | MONDO:0003582 | Orphanet:145 |
| mesothelioma | 2 | MONDO:0005065 | EFO:0000588 |
| colorectal carcinoma | 2 | MONDO:0024331 | EFO:1001951 |
| penile carcinoma | 2 | MONDO:0006360 | EFO:1000465 |
| rectal neoplasm | 2 | MONDO:0002165 | MONDO:0002165 |
| carcinoma | 2 | MONDO:0004993 | EFO:0000313 |
| pancreatic ductal adenocarcinoma | 2 | MONDO:0005184 | MONDO:0005184 |
| plasma cell myeloma | 1 | MONDO:0009693 | EFO:0001378 |
| head and neck squamous cell carcinoma | 1 | MONDO:0010150 | EFO:0000181 |
| clear cell adenocarcinoma | 1 | MONDO:0005004 | EFO:0000348 |
7 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 93.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 53 |
| PHASE1 | 15 |
| PHASE1/PHASE2 | 12 |
| PHASE3 | 10 |
| Not specified | 2 |
| PHASE4 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06897527 | PHASE4 | NOT_YET_RECRUITING | A Study to Evaluate the Safety of Dostarlimab in Adult Participants in India With Recurrent or Advanced Endometrial Cancer (EC) |
| NCT03602859 | PHASE3 | ACTIVE_NOT_RECRUITING | A Comparison of Platinum-based Therapy With TSR-042 and Niraparib Versus Standard of Care (SOC) Platinum-based Therapy as First-line Treatment of Stage III or IV Nonmucinous Epithelial Ovarian Cancer |
| NCT03981796 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Evaluate Dostarlimab Plus Carboplatin-paclitaxel Versus Placebo Plus Carboplatin-paclitaxel in Participants With Recurrent or Primary Advanced Endometrial Cancer |
| NCT04655976 | PHASE3 | ACTIVE_NOT_RECRUITING | Efficacy Comparison of Cobolimab + Dostarlimab + Docetaxel to Dostarlimab + Docetaxel to Docetaxel Alone in Participants With Advanced Non-small Cell Lung Cancer Who Have Progressed on Prior Anti-PD-(L)1 Therapy and Chemotherapy |
| NCT05201547 | PHASE3 | ACTIVE_NOT_RECRUITING | Endometrial Cancer Patientes MMR Deficient Comparing Chemotherapy vs Dostarlimab in First Line |
| NCT05855200 | PHASE3 | RECRUITING | Study of Perioperative Dostarlimab in Participants With Untreated T4N0 or Stage III dMMR/MSI-H Resectable Colon Cancer |
| NCT06256588 | PHASE3 | RECRUITING | A Study of Dostarlimab vs Placebo After Chemoradiation in Adult Participants With Locally Advanced Unresected Head and Neck Squamous Cell Carcinoma |
| NCT06472076 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Belrestotug Plus Dostarlimab Compared With Placebo Plus Pembrolizumab in Previously Untreated Participants With Programmed Death Ligand 1 (PD-L1) High Non-small-cell Lung Cancer (NSCLC) |
| NCT06762405 | PHASE3 | RECRUITING | PRODIGE 90 - (FFCD 2204) Neoadjuvant Dostarlimab with Short Course Radiotherapy in a Watch-and-wait Strategy for Microsatellite Unstable or Mismatch Repair-deficient Locally Advanced Rectal Cancer Patients |
| NCT03806049 | PHASE3 | WITHDRAWN | Trial Comparing Niraparib-bevacizumab-Dostarlimab and Niraparib-bevacizumab to Standard of Care in Recurrent Ovarian Cancer |
| NCT04679064 | PHASE3 | UNKNOWN | Trial on NIraparib-TSR-042 (Dostarlimab) vs Physician’s Choice CHEmotherapy in Recurrent, Ovarian, Fallopian Tube or Primary Peritoneal Cancer Patients Not Candidate for Platinum Retreatment |
| NCT01042379 | PHASE2 | RECRUITING | I-SPY TRIAL: Neoadjuvant and Personalized Adaptive Novel Agents to Treat Breast Cancer |
| NCT03680508 | PHASE2 | ACTIVE_NOT_RECRUITING | TSR-022 (Anti-TIM-3 Antibody) and TSR-042 (Anti-PD-1 Antibody) in Patients With Liver Cancer |
| NCT03833479 | PHASE2 | ACTIVE_NOT_RECRUITING | TSR-042 as Maintenance Therapy for Patients With High-risk Locally Advanced Cervical Cancer After Chemo-radiation |
| NCT04068753 | PHASE2 | ACTIVE_NOT_RECRUITING | Niraparib in Combination With Dostarlimab in Patients With Recurrent or Progressive Cervix Cancer |
| NCT04126200 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Platform Study of Belantamab Mafodotin as Monotherapy and in Combination With Anti-cancer Treatments in Participants With Relapsed/Refractory Multiple Myeloma (RRMM) |
| NCT04139902 | PHASE2 | ACTIVE_NOT_RECRUITING | Neoadjuvant PD-1 Inhibitor Dostarlimab (TSR-042) vs. Combination of Tim-3 Inhibitor Cobolimab (TSR-022) and PD-1 Inhibitor Dostarlimab (TSR-042) in Melanoma |
| NCT04584255 | PHASE2 | ACTIVE_NOT_RECRUITING | Niraparib + Dostarlimab In BRCA Mutated Breast Cancer |
| NCT04701307 | PHASE2 | ACTIVE_NOT_RECRUITING | Niraparib and Dostarlimab for the Treatment of Small Cell Lung Cancer and Other High-Grade Neuroendocrine Carcinomas |
| NCT04774419 | PHASE2 | RECRUITING | Radiation and TSR-042 (Dostarlimab) in People With Endometrial Cancer After They Receive Surgery |
| NCT04837209 | PHASE2 | ACTIVE_NOT_RECRUITING | Radiation, Immunotherapy and PARP Inhibitor in Triple Negative Breast Cancer |
| NCT05060432 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | Study of EOS-448 With Standard of Care and/or Investigational Therapies in Participants With Advanced Solid Tumors |
| NCT05239546 | PHASE2 | RECRUITING | Single Arm Study of Neoadjuvant Dostarlimab in Stage II and III Deficient Mismatch Repair Colon Cancers |
| NCT05526989 | PHASE2 | RECRUITING | Study of the Combination Dostarlimab With Niraparib In Patients With Penile Carcinoma |
| NCT05559879 | PHASE1/PHASE2 | RECRUITING | Cabozantinib and Dostarlimab in Recurrent Gynecologic Carcinosarcoma |
| NCT05565378 | PHASE2 | ACTIVE_NOT_RECRUITING | A Platform Study of Novel Immunotherapy Combinations in Participants With Previously Untreated, Advanced/Metastatic Non-Small-Cell Lung Cancer |
| NCT05700721 | PHASE2 | RECRUITING | Phase II Trial of the PARP Inhibitor Niraparib and PD-1 Inhibitor Dostarlimab in Patients With Advanced Cancers With Active Progressing Brain Metastases (STARLET) |
| NCT05723562 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Dostarlimab in Untreated dMMR/MSI-H Locally Advanced Rectal Cancer |
| NCT05784012 | PHASE1/PHASE2 | RECRUITING | Two-cohort Study of Niraparib and Dostarlimab Plus (Chemo)RadIotherapy in Locally-Advanced Head and Neck Squamous Cell Carcinoma |
| NCT05855811 | PHASE2 | RECRUITING | PREventing Second Cancers With DOSTARlimab |
| NCT05870761 | PHASE2 | ACTIVE_NOT_RECRUITING | Combination Niraparib and Dostarlimab Therapy for Recurrent or Persistent Uterine Serous Carcinoma |
| NCT06023862 | PHASE2 | RECRUITING | A Three-arm Randomized Phase II Study of Dostarlimab Alone or With Bevacizumab Versus Nonplatinum Chemotherapy in Recurrent Gynecological Clear Cell Carcinoma: DOVE (APGOT-OV7/ ENGOT-ov80 Study) |
| NCT06059495 | PHASE2 | RECRUITING | Watch-and-Wait Approach With Dostarlimab in Localized dMMR/MSI-H Gastric Cancer: GERCOR Phase II Study |
| NCT06062420 | PHASE2 | ACTIVE_NOT_RECRUITING | A Platform Study of Novel Immunotherapy Combinations as First-Line Treatment in Participants With PD-L1 Positive Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck- GALAXIES H&N-202 |
| NCT06065462 | PHASE1/PHASE2 | RECRUITING | Safety and Efficacy of Targeting PP2A in Ovarian Clear Cell Carcinoma Using Dostarlimab and LB-100 |
| NCT06238635 | PHASE2 | ACTIVE_NOT_RECRUITING | Dostarlimab and Cobolimab in Advanced Cervical Cancer |
| NCT06278857 | PHASE2 | RECRUITING | SATELLITE Study (feaSibility sAfeTy Efficacy dostarLimab earLy-stage defIcient endomeTrial cancEr) |
| NCT06317311 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Dostarlimab in Combination With Carboplatin-paclitaxel in Japanese Participants With Primary Advanced or Recurrent Endometrial Cancer |
| NCT06333314 | PHASE2 | RECRUITING | Dostarlimab for Locally Advanced or Metastatic Cancer (Non-colorectal/Non-endometrial) With Tumor dMMR/MSI |
| NCT06405230 | PHASE1/PHASE2 | RECRUITING | Evaluation of Programmed Death Ligand 1 (PDL1) Response to Treatment in Extracellular Vesicles (EVs), Patient-derived Organoid (PDOs)s and Immune-marker Positron Emission Tomography (PET) Scanning in Non-small Cell Lung Cancer (NSCLC) |
Clinical evidence (CIViC)
Variant × indication × effect (3 predictive associations from 3 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| MSI High | Endometrial Cancer | Sensitivity/Response | Carboplatin + Dostarlimab + Paclitaxel | CIViC B | EID12341 |
| MSI High | Endometrial Cancer | Sensitivity/Response | Paclitaxel + Dostarlimab + Carboplatin | CIViC B | EID12343 |
| MSI High | Rectum Cancer | Sensitivity/Response | Dostarlimab | CIViC B | EID12368 |
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
4 molecules share ≥1 primary target. Top 4 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| PYRVINIUM | ChEMBL | Phase 4 (approved) | PDCD1 |
| RIFABUTIN | ChEMBL | Phase 4 (approved) | PDCD1 |
| Gefitinib | PubChem | Approved | PDCD1 |
| Pomalidomide | PubChem | Approved | PDCD1 |