Table 1. Supporting evidence, obligations, and outcomes of conditional licensure of canine cancer immunotherapeutics in the United States

ONCEPT AT-014/COV-LLV Gilvetmab
Product class Xenogeneic plasmid DNA vaccine (human tyrosinase) Live attenuated Listeria vector expressing chimeric HER2 Caninized anti-PD-1 monoclonal antibody
Indication at licensure Stage II–III oral melanoma, locoregional control achieved Osteosarcoma, dogs ≥ 1 year old Stage I–III mast cell tumor (MCT); stage II–III melanoma
Conditional license 22 March 2007 (CVB Notice 07-03) December 2017 (CVB Notice 17-16) Between Dec 2022 and Oct 2023; initially product code 9790.00, current code 9790.02 (Intervet 65A); no numbered CVB notice identified
Supporting study design Uncontrolled phase I (n = 9), stage II–IV Uncontrolled (n = 18), vs historical control Uncontrolled open-label (n = 51), +15 lymphoma
Comparative basis in the licensure record None in the publicly available USDA record (n = 9 at conditional licensure; n = 53 at conversion) Historical control None
Reported effect Kaplan–Meier median survival 389 d (3 of 9 censored) Median survival 956 d vs 423 d (p<0.05) Melanoma ORR 20% (95% CI, 7%–41%); MCT ORR 46% (95% CI, 27%–67%); lymphoma ORR 0%
Confirmatory obligation Written commitment to complete efficacy studies Extended field study required Larger registration trial reported to be ongoing
Peer-reviewed publication relative to licensure Phase I published 2003, before conditional license; the efficacy study recorded by USDA for conversion is unpublished; comparative study of a different cohort published 2011 Phase I published 2016, before conditional license Published 5 June 2026, at least 2.5 years after conditional license
Outcome of confirmatory phase Converted to regular license (February 2010) Product discontinued by sponsor (January 2020) Pending
Independent or confirmatory evidence Retrospective studies did not reproduce a survival advantage COTC026 (n = 118): DFI 217 vs 180 d (p=0.33); overall survival 341 vs 282 d (p=0.10) Not yet available
Current status Regularly licensed (CVB product code 9240.D0) Discontinued; not licensed Conditionally licensed
CVB, Center for Veterinary Biologics; USDA, United States Department of Agriculture; CI, confidence interval.