OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 21:55 UTC. Every row links to its source record.

TIGIT T cell immunoreceptor with Ig and ITIM domains

ENSG00000181847 · protein coding · Open Targets profile

Inhibitory receptor that plays a role in the modulation of immune responses. Suppresses T-cell activation by promoting the generation of mature immunoregulatory dendritic cells (PubMed:19011627). Upon binding to its ligands PVR/CD155 or NECTIN2/CD112, which are expressed on antigen-presenting cells, sends inhibitory signals to the T-cell or NK cell. Mechanistically, interaction with ligand leads to phosphorylation of the cytoplasmic tail by Src family tyrosine kinases such as FYN or LCK, allowing subsequent binding to adapter GRB2 and SHIP1/INPP5D. In turn, inhibits PI3K and MAPK signaling cascades (PubMed:23154388). In addition, associates with beta-arrestin-2/ARRB2 to recruit SHIP1/INPP5D that suppresses autoubiquitination of TRAF6 and subsequently inhibits NF- kappa-B signaling pathway (PubMed:24817116). Also acts as a receptor for NECTIN4 to inhibit NK cell cytotoxicity (PubMed:32503945). {ECO:0000269|PubMed:19011627, ECO:0000269|PubMed:23154388, ECO:0000269|PubMed:24817116, ECO:0000269|PubMed:32503945}.

None of the 7 drugs recorded against TIGIT is approved yet; 4 reached Phase 3

Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.

4 antibody drugs at Phase 3: OCIPERLIMAB, TIRAGOLUMAB, DOMVANALIMAB, VIBOSTOLIMAB1 antibody drug at Phase 2: ETIGILIMAB2 unknown drugs at Phase 1: ASP-8374, IBI-939Antibody 5Unknown 2Phase 3 4Phase 2 1Phase 1 2

Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.

In 2 of 15 cancers, the evidence for TIGIT comes mainly from inherited variants

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751non-small cell lung carcinomanon-small cell lung carcinomasmall cell lung carcinomasmall cell lung carcinomaesophageal squamous cell carcinomaesophageal squamous cell carcinomamelanomamelanomahepatocellular carcinomahepatocellular carcinomagastric adenocarcinomagastric adenocarcinomagastroesophageal junction adenocarcinomagastroesophageal junction adenocarcinomalung cancerlung canceresophageal adenocarcinomaesophageal adenocarcinomagastric carcinomagastric carcinomagastric carcinoma: germline 0.35cervical carcinomacervical carcinomacervical carcinoma: germline 0.18glioblastomaglioblastomahead and neck squamous cell carcinomahead and neck squamous cell carcinomatriple-negative breast carcinomatriple-negative breast carcinomacervical cancercervical cancer

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Antibody
Advanced Clinical, UniProt loc high conf, GO CC high conf, UniProt SigP or TMHMM
Other modalities
Phase 1 Clinical

gnomAD loss of function constraint: o/e 0.562309980392456 (upper bound 0.9307500123977661). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

Principal investigators and study chairs on 116 registry trials, updated in the last three years, of the most advanced drugs against TIGIT (ociperlimab, tiragolumab, domvanalimab, vibostolimab, etigilimab), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

24 of 108 trials of drugs against TIGIT have sites only in United States

Registry trials of ociperlimab, tiragolumab, domvanalimab, vibostolimab, etigilimab updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 43 of 108 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 24 trials with sites only hereUnited States: 59 trials with sites here and elsewhere83ChinaChina: 7 trials with sites only hereChina: 29 trials with sites here and elsewhere36EuropeEurope: 10 trials with sites only hereEurope: 55 trials with sites here and elsewhere65JapanJapan: 0 trials with sites only hereJapan: 21 trials with sites here and elsewhere21OtherOther: 2 trials with sites only hereOther: 63 trials with sites here and elsewhere65

Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. 8 trials list no sites and are left out. Source: ClinicalTrials.gov, fetched live.

33 trials of drugs against TIGIT were stopped early

Terminated, withdrawn and suspended interventional trials of ociperlimab, tiragolumab, domvanalimab, vibostolimab, etigilimab, ASP-8374, IBI-939, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 25 most recent of 33.

  • terminated · 2026-09-17 · Merck Sharp & Dohme LLC · Pembrolizumab/Vibostolimab
    “Business Reasons”
  • terminated · 2026-09-15 · Hoffmann-La Roche · Tiragolumab
    “Study was closed early as the sponsor decided not to continue development of certain treatment combinations.”
  • terminated · 2026-09-11 · Merck Sharp & Dohme LLC · Pembrolizumab/Vibostolimab
    “MK-7684A-007 was terminated early due to futility. A non-submission CSR, not intended to support any registration, was issued; therefore, an abbreviated CSR was generated.”
  • terminated · 2026-09-10 · Merck Sharp & Dohme LLC · Pembrolizumab/Vibostolimab
    “Business Reason”
  • terminated · 2026-08-31 · Merck Sharp & Dohme LLC · Pembrolizumab/vibostolimab coformulation
    “Business Reasons”
  • suspended · 2026-08-21 · Royal Marsden NHS Foundation Trust · Combination zimberelimab + domvanalimab
    “Gilead's ongoing evaluation of the wider Zimberelimab and Domvanalimab programme, following the outcomes of the STAR-221 study and the discontinuation of EDGE-Gastric studies. No safety concerns have been identified in relation to ZODIAC.”
  • terminated · 2026-08-03 · Hoffmann-La Roche · Tiragolumab
    “The study was closed because the sponsor decided not to continue the development of certain treatment combinations.”
  • terminated · 2026-08-03 · Hoffmann-La Roche · Tiragolumab
    “Study was closed early as the sponsor decided not to continue development of certain treatment combinations.”
  • terminated · 2026-06-10 · Hoffmann-La Roche · Tiragolumab
    “Decision to terminate study was driven by results from preceding tiragolumab study (SKYSCRAPER-06;NCT04619797) \& sponsor's strategic priorities, not due to safety risks or quality reasons for any of molecules/combinations investigated in this study.”
  • suspended · 2026-06-04 · James Cleary, MD, PhD · DOMVANALIMAB
    “Efficacy concerns.”
  • terminated · 2026-05-12 · BeiGene · Ociperlimab
    “This decision was conducted by the sponsor based on lack of efficacy and not driven by safety concerns.”
  • terminated · 2026-05-12 · Hoffmann-La Roche · Tiragolumab
    “Study was closed early as the sponsor decided not to continue development of certain treatment combinations.”
  • withdrawn · 2026-05-01 · MedSIR · Domvanalimab (DOM)
    “The interim analysis of the STAR-221 study showed that the domvanalimab combination did not improve overall survival compared to standard of care. No new relevant safety concerns were identified.”
  • terminated · 2026-04-15 · Hoffmann-La Roche · Tiragolumab
    “Study was closed early as the sponsor decided not to continue development of certain treatment combinations.”
  • withdrawn · 2026-03-23 · Gustave Roussy, Cancer Campus, Grand Paris · Tiragolumab 600 mg IV
    “Roche stopped thr peoduction of one of the study product.”
  • terminated · 2026-03-11 · Hoffmann-La Roche · Tiragolumab
    “Study was terminated as data became available from Phase 3 trials of perioperative regimens combining chemotherapy with immunotherapy showing improved efficacy outcomes versus chemotherapy alone.”
  • withdrawn · 2026-02-19 · National Cancer Institute (NCI) · Tiragolumab
    “The trial is closing due to findings from a related study, prompting the sponsor to discontinue development and end this study.”
  • terminated · 2026-01-22 · Liza Villaruz, MD · Tiragolumab
    “Decision by agent provider”
  • withdrawn · 2025-12-26 · Massachusetts General Hospital · Domvanalimab
    “The pharmaceutical company is not moving forward with this intervention due to lack of efficacy.”
  • withdrawn · 2025-08-15 · M.D. Anderson Cancer Center · matched by the registry's drug synonyms
    “0 participants”
  • withdrawn · 2025-08-05 · M.D. Anderson Cancer Center · Tiragolumab
    “0 participants”
  • withdrawn · 2025-04-08 · Merck Sharp & Dohme LLC · Vibostolimab, Pembrolizumab/Vibostolimab
    “development program discontinuation”
  • withdrawn · 2024-12-30 · National Cancer Institute (NCI) · Tiragolumab
    “Other - Protocol moved to Disapproved”
  • withdrawn · 2024-12-24 · Hoffmann-La Roche · Tiragolumab
    “Global desprioritization decision by the sponsor.”
  • terminated · 2024-11-14 · Hoffmann-La Roche · Tiragolumab
    “Sponsor's decision to terminate the study after Stage 1; will not proceed with Stage 2.”
Paediatric incentives and obligations for TIGIT's drugs

For ociperlimab, tiragolumab, domvanalimab, vibostolimab, etigilimab, ASP-8374, IBI-939: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

  • EU paediatric investigation plan: yes · EMEA-003063-PIP03-22 (vibostolimab;pembrolizumab, Treatment of melanoma): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 27 Oct 2023; EMEA-003063-PIP02-22 (vibostolimab;pembrolizumab, Treatment of Hodgkin lymphoma): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), date not given; EMEA-002721-PIP04-23 (tiragolumab, Treatment of hepatocellular carcinoma): W: decision granting a waiver in all age groups for all conditions or indications, 27 Oct 2023; EMEA-003418-PIP01-23 (tiragolumab;atezolizumab, Treatment of lung carcinoma): W: decision granting a waiver in all age groups for all conditions or indications, 8 Aug 2023; +7 more
    Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
  • EU orphan designation: yes · EU/3/25/3162 positive 9 Dec 2025: Treatment of gastric cancer; EU/3/25/3168 positive 12 Sept 2025: Treatment of oesophageal cancer
    Rule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
  • Authorised in the EU: no · EMA lists no centrally authorised medicine of ociperlimab, tiragolumab, domvanalimab, vibostolimab, etigilimab, asp-8374, ibi-939
    Rule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA data download (dated snapshot), 2026-11-11
  • FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link
    Rule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
  • FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of ociperlimab, tiragolumab, domvanalimab, vibostolimab, etigilimab, asp-8374, ibi-939
    Rule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-11
  • Registered studies open to children: yes · 4 interventional studies of ociperlimab, tiragolumab, domvanalimab, vibostolimab, etigilimab, asp-8374, ibi-939 include patients under 18; 2 are recruiting, not yet recruiting or active
    Rule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-11

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

All 7 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
OCIPERLIMABAntibodyphase 3non-small cell lung carcinoma, cancer, cervical cancer, esophageal squamous cell carcinoma, hepatocellular carcinoma, small cell lung carcinoma, breast cancer, diffuse large B-cell lymphoma, +1 moreOpen Targets · ChEMBL
TIRAGOLUMABAntibodyphase 3non-small cell lung carcinoma, small cell lung carcinoma, esophageal squamous cell carcinoma, hepatocellular carcinoma, melanoma, head and neck squamous cell carcinoma, adenocarcinoma, renal cell carcinoma, +27 moreOpen Targets · ChEMBL
DOMVANALIMABAntibodyphase 3non-small cell lung carcinoma, esophageal adenocarcinoma, gastric adenocarcinoma, gastroesophageal junction adenocarcinoma, melanoma, hepatocellular carcinoma, urinary bladder carcinoma, head and neck squamous cell carcinoma, +11 moreOpen Targets · ChEMBL
VIBOSTOLIMABAntibodyphase 3lung cancer, non-small cell lung carcinoma, small cell lung carcinoma, melanoma, bladder carcinoma in situ, colorectal cancer, lymphoid neoplasm, cervical cancer, +5 moreOpen Targets · ChEMBL
ETIGILIMABAntibodyphase 2ovarian clear cell cancer, ovarian carcinoma, gastric carcinoma, head and neck squamous cell carcinoma, cervical carcinoma, endometrial carcinoma, neoplasmOpen Targets · ChEMBL
ASP-8374Unknownphase 1malignant gliomaOpen Targets · ChEMBL
IBI-939Unknownphase 1cancer, lung cancerOpen Targets · ChEMBL