A Study of the Effects of ALKS 4230 (Nemvaleukin Alfa) on Subjects With Solid Tumors

NCT ID: NCT02799095

Last Updated: 2025-05-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

243 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-14

Study Completion Date

2023-08-02

Brief Summary

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To better understand the safety and tolerability of ALKS 4230 in humans

Detailed Description

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To investigate the safety and tolerability of ALKS 4230, determine the recommended Phase 2 dose (RP2D) and assess anti-tumor activity in Monotherapy and ALKS 4230 in Combination with pembrolizumab.

Conditions

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Advanced Solid Tumors

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ALKS 4230

Group Type EXPERIMENTAL

ALKS 4230

Intervention Type DRUG

Intravenous (IV) infusion over 30 minutes given daily for 5 consecutive days followed by an off-treatment period

ALKS 4230 + pembrolizumab

Group Type EXPERIMENTAL

ALKS 4230 + pembrolizumab

Intervention Type DRUG

IV infusion of ALKS 4230 over 30 minutes given daily for 5 consecutive days followed by an off-treatment period; pembrolizumab administered IV once with ALKS 4230 on the first day of each cycle

Interventions

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ALKS 4230

Intravenous (IV) infusion over 30 minutes given daily for 5 consecutive days followed by an off-treatment period

Intervention Type DRUG

ALKS 4230 + pembrolizumab

IV infusion of ALKS 4230 over 30 minutes given daily for 5 consecutive days followed by an off-treatment period; pembrolizumab administered IV once with ALKS 4230 on the first day of each cycle

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* For Part A, the subject has histological or cytological evidence of a solid tumor; for Part B, the subject has a diagnosis of melanoma or renal cell carcinoma
* All subjects must have advanced solid tumors that have returned after treatment with established approved therapies or be intolerant of established therapies
* Subjects enrolled in Part B or Part C must have at least 1 lesion that may qualify as a target lesion
* Subject can move around on their own, has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, and has an estimated life expectancy of at least 3 months
* Subject must have adequate hematologic reserve
* Subjects must have adequate liver function
* Subjects must have adequate kidney function
* Subjects must be recovered from the effects of any prior chemotherapy, immunotherapy, other prior systemic anticancer therapy, radiotherapy or surgery
* Subjects who have received investigational agents must wait at least 4 weeks
* Females of childbearing potential must have a negative pregnancy test within 7 days of the start of treatment and on Day 1 before the first dose is administered. A female not of childbearing potential is one who has undergone bilateral oophorectomies or who is postmenopausal, defined as \>45 years of age and without a menstrual period for 12 consecutive months
* Meets contraceptive requirements defined in the protocol
* Additional criteria may apply

Exclusion Criteria

* Subject is currently pregnant or breastfeeding, or is planning to become pregnant during the study
* Subjects with an active infection or with a fever \>/= 38.5 degrees C within 3 days of the first scheduled day of dosing for Cycle 1
* Subjects with active or symptomatic central nervous system metastases are excluded. Subjects with central nervous system metastases are eligible for the study if the metastases have been treated by surgery and/or radiation therapy, the subject is off corticosteroids for at least 2 weeks and the subject is neurologically stable
* Subjects have a mean QT interval corrected by the Fridericia Correction formula value of \>470 msec (in females) or \>450 msec (in males)
* Subjects with known hypersensitivity to any components of ALKS 4230
* Subjects with known hypersensitivity to any components of pembrolizumab (for patients in combination arm only)
* Subjects who require pharmacologic doses of corticosteroids; replacement doses, topical, ophthalmologic, and inhalational steroids are permitted
* Subjects who developed autoimmune disorders while on prior immunotherapy, including pneumonitis, nephritis, and neuropathy
* Subjects with any other concurrent uncontrolled illness, including mental illness or substance abuse, which may interfere with the ability of the subject to cooperate and participate in the study
* The subject is known to be positive for human immunodeficiency virus (HIV), hepatitis B or C, or active tuberculosis, or has a known history of tuberculosis
* Subjects with dyspnea at rest of requiring oxygen therapy
* Subjects active autoimmune disease requiring systemic treatment within the past 30 days
* Subjects who received radiotherapy within the last 4 weeks before start of study treatment administration with the exception of limited field palliative radiotherapy
* Subjects who have received systemic immunomodulatory agents within 28 days prior to C1D1.
* Subjects who have received administration of a live, attenuated vaccine within 4 weeks of Cycle 1, Day1.
* Prior solid organ and/or non-autologous hematopoietic stem cell or bone marrow transplant recipients
* Subjects who have received prior IL-2 based or IL-15 based cytokine therapy
* Additional criteria may apply
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mural Oncology, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Mural Oncology

Locations

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Mural Oncology Investigational Site

Denver, Colorado, United States

Site Status

Mural Oncology Investigational Site

Port Saint Lucie, Florida, United States

Site Status

Mural Oncology Investigational Site

Tampa, Florida, United States

Site Status

Mural Oncology Investigational Site

Lexington, Kentucky, United States

Site Status

Mural Oncology Investigational Site

Boston, Massachusetts, United States

Site Status

Mural Oncology Investigational Site

Detroit, Michigan, United States

Site Status

Mural Oncology Investigational Site

Buffalo, New York, United States

Site Status

Mural Oncology Investigational Site

New York, New York, United States

Site Status

Mural Oncology Investigational Site

Cleveland, Ohio, United States

Site Status

Mural Oncology Investigational Site

Dallas, Texas, United States

Site Status

Mural Oncology Investigational Site

Fairfax, Virginia, United States

Site Status

Mural Oncology Investigational Site

Spokane, Washington, United States

Site Status

Mural Oncology Investgational Site

Albury, New South Wales, Australia

Site Status

Mural Oncology Investigational Site

Waratah, New South Wales, Australia

Site Status

Mural Oncology Investigational Site

Brussels, MO, Belgium

Site Status

Mural Oncology Investigational Site

Kortrijk, West-Vlaanderen, Belgium

Site Status

Mural Oncology Investigational Site

Edmonton, Alberta, Canada

Site Status

Mural Oncology Investigational Site

Hamilton, Ontario, Canada

Site Status

Alkermes Investigational Site

Toronto, Ontario, Canada

Site Status

Mural Oncology Investigational Site

Montreal, Quebec, Canada

Site Status

Mural Oncology Investigational Site

Québec, Quebec, Canada

Site Status

Mural Oncology Investigational Site

Skorzewo, Poznan, Poland

Site Status

Mural Oncology Investigational Site

Daejeon, , South Korea

Site Status

Mural Oncology Investigational Site

Seoul, , South Korea

Site Status

Mural Oncology Investigational Site

Seoul, , South Korea

Site Status

Mural Oncology Investigational Site

Barcelona, , Spain

Site Status

Mural Oncology Investigational Site

Madrid, , Spain

Site Status

Mural Oncology Investigational Site

Madrid, , Spain

Site Status

Mural Oncology Investigational Site

Madrid, , Spain

Site Status

Mural Oncology Investigational Site

Madrid, , Spain

Site Status

Mural Oncology Investigational Site

Valencia, , Spain

Site Status

Countries

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United States Australia Belgium Canada Poland South Korea Spain

References

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Calvo E, Boni V, Dumas O, Shin SJ, Rosen SD, Chaudhry A, Debruyne PR, He X, Vaishampayan UN, McDermott DF. Nemvaleukin alfa monotherapy in patients with advanced melanoma and renal cell carcinoma: results from the phase 1/2 non-randomized ARTISTRY-1 trial. J Immunother Cancer. 2025 Aug 4;13(8):e010777. doi: 10.1136/jitc-2024-010777.

Reference Type DERIVED
PMID: 40759440 (View on PubMed)

Vaishampayan UN, Muzaffar J, Winer I, Rosen SD, Hoimes CJ, Chauhan A, Spreafico A, Lewis KD, Bruno DS, Dumas O, McDermott DF, Strauss JF, Chu QS, Gilbert L, Chaudhry A, Calvo E, Dalal R, Boni V, Ernstoff MS, Velcheti V. Nemvaleukin alfa, a modified interleukin-2 cytokine, as monotherapy and with pembrolizumab in patients with advanced solid tumors (ARTISTRY-1). J Immunother Cancer. 2024 Nov 20;12(11):e010143. doi: 10.1136/jitc-2024-010143.

Reference Type DERIVED
PMID: 39567211 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ALK4230-A101

Identifier Type: -

Identifier Source: org_study_id

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