OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 22:19 UTC. Every row links to its source record.

TNFRSF4 TNF receptor superfamily member 4

ENSG00000186827 · protein coding · Open Targets profile

Receptor for TNFSF4/OX40L/GP34. Is a costimulatory molecule implicated in long-term T-cell immunity. .

None of the 5 drugs recorded against TNFRSF4 is approved yet; 2 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.

2 antibody drugs at Phase 3: IVUXOLIMAB, ROCATINLIMAB1 antibody drug at Phase 2: TELAZORLIMAB2 unknown drugs at Phase 2: MEDI-6469, GSK-3174998Antibody 3Unknown 2Phase 3 2Phase 2 3

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 Withdrawn means the drug was pulled from the market or from development.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 1 of 15 cancers, the evidence for TNFRSF4 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)
00.250.50.751nasal cavity polypnasal cavity polypnasal cavity polyp: germline 0.30acute myeloid leukemiaacute myeloid leukemiahepatocellular carcinomahepatocellular carcinomasmall cell lung carcinomasmall cell lung carcinomacolorectal carcinomacolorectal carcinomamelanomamelanomapancreatic ductal adenocarcinomapancreatic ductal adenocarcinomaneuroblastomaneuroblastomaacute lymphoblastic leukemiaacute lymphoblastic leukemiahead and neck squamous cell carcinomahead and neck squamous cell carcinomaprimary cutaneous T-cell non-Hodgkin ly…primary cutaneous T-cell non-Hodgkin lymphomagastric cancergastric cancerrenal cell carcinomarenal cell carcinomachronic myeloid leukemiachronic myeloid leukemiaoral cavity squamous cell carcinomaoral cavity squamous cell carcinoma

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, GO CC high conf, UniProt SigP or TMHMM
Other modalities
Advanced Clinical

gnomAD loss of function constraint: o/e 0.7129799723625183 (upper bound 1.0267000198364258). 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 16 registry trials, updated in the last three years, of the most advanced drugs against TNFRSF4 (ivuxolimab, rocatinlimab, MEDI-6469, telazorlimab), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

4 of 16 trials of drugs against TNFRSF4 have sites only in United States

Registry trials of ivuxolimab, rocatinlimab, MEDI-6469, telazorlimab 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; 5 of 16 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 4 trials with sites only hereUnited States: 11 trials with sites here and elsewhere15ChinaChina: 1 trials with sites only hereChina: 6 trials with sites here and elsewhere7EuropeEurope: 0 trials with sites only hereEurope: 9 trials with sites here and elsewhere9JapanJapan: 0 trials with sites only hereJapan: 8 trials with sites here and elsewhere8OtherOther: 0 trials with sites only hereOther: 10 trials with sites here and elsewhere10

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. Source: ClinicalTrials.gov, fetched live.

6 trials of drugs against TNFRSF4 were stopped early

Terminated, withdrawn and suspended interventional trials of ivuxolimab, rocatinlimab, MEDI-6469, telazorlimab, GSK-3174998, 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 6 most recent of 6.

  • terminated · 2026-08-11 · Amgen · Rocatinlimab
    “Sponsor Decision”
  • terminated · 2026-07-27 · Amgen · Rocatinlimab
    “Sponsor Decision”
  • terminated · 2026-07-16 · Amgen · Rocatinlimab
    “Sponsor Decision”
  • terminated · 2024-03-12 · GlaxoSmithKline · matched by the registry's drug synonyms
    “The study was terminated due to lack of efficacy.”
  • terminated · 2022-02-14 · Providence Health & Services · matched by the registry's drug synonyms
    “Drug expired and access to additional supply ended. PI left the institution shortly afterwards and the study will not be re-activated. Only 4 patients were enrolled.”
  • terminated · 2017-06-28 · MedImmune LLC · matched by the registry's drug synonyms
    “The study was terminated early at the sponsor's discretion.”
Paediatric incentives and obligations for TNFRSF4's drugs

For ivuxolimab, rocatinlimab, MEDI-6469, telazorlimab, GSK-3174998: 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.

  • FDA pediatric target list: yes · TNFRSF4 is on the list. Membership alone neither requires nor waives a pediatric study.
  • EU paediatric investigation plan: yes · EMA/PE/0000273488 (rocatinlimab, Treatment of atopic dermatitis): PM: decision on the application for modification of an agreed PIP, 2 Oct 2025; EMEA-002886-PIP03-24 (rocatinlimab, Treatment of asthma): P: decision agreeing on a investigation plan, with or without partial waiver(s) and or deferral(s), 3 Jan 2025; EMEA-002886-PIP02-23 (rocatinlimab, Treatment of prurigo nodularis): W: decision granting a waiver in all age groups for all conditions or indications, 1 Feb 2024
    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: no · No EU orphan designation names ivuxolimab, rocatinlimab, medi-6469, telazorlimab, gsk-3174998
    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 ivuxolimab, rocatinlimab, medi-6469, telazorlimab, gsk-3174998
    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 ivuxolimab, rocatinlimab, medi-6469, telazorlimab, gsk-3174998
    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 ivuxolimab, rocatinlimab, medi-6469, telazorlimab, gsk-3174998 include patients under 18; 0 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 5 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
IVUXOLIMABAntibodyphase 3renal cell carcinoma, kidney cancer, pigmented villonodular synovitis, urinary bladder carcinoma, gastric cancer, tenosynovial giant cell tumor, small cell lung carcinoma, head and neck squamous cell carcinoma, +11 moreOpen Targets · ChEMBL
ROCATINLIMABAntibodyphase 3atopic eczema, prurigo nodularis, ulcerative colitis, asthmaOpen Targets · ChEMBL
MEDI-6469Unknownphase 2melanoma, diffuse large B-cell lymphoma, neoplasm, breast cancer, head and neck squamous cell carcinoma, colorectal cancerOpen Targets · ChEMBL
TELAZORLIMABAntibodyphase 2atopic eczemaOpen Targets · ChEMBL
GSK-3174998Unknownphase 1 2plasma cell myelomaOpen Targets · ChEMBL