A Dose Escalation and Cohort Expansion Study of Subcutaneously-Administered Cytokine ALKS 4230 (Nemvaleukin Alfa) as a Single Agent and in Combination With Anti-PD-1 Antibody (Pembrolizumab) in Subjects With Select Advanced or Metastatic Solid Tumors (ARTISTRY-2)

NCT ID: NCT03861793

Last Updated: 2024-03-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-26

Study Completion Date

2023-03-01

Brief Summary

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This study will characterize the safety and tolerability and identify the recommended Phase 2 dose (RP2D) of subcutaneous (SC) ALKS 4230 as monotherapy and in combination with pembrolizumab.

Detailed Description

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This study will evaluate ALKS 4230 administered SC as lead-in monotherapy and in combination with pembrolizumab in subjects with advanced solid tumors.

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

Administered via SC injection once every 7 days or once every 21 days at escalating doses

Group Type EXPERIMENTAL

ALKS 4230

Intervention Type BIOLOGICAL

SC injection administered in the back of the arm or the abdomen

ALKS 4230 + pembrolizumab

ALKS 4230 will be administered via SC injection once every 7 or 21 days at escalating doses or at the recommended phase 2 dose and schedule; pembrolizumab will be administered as an intravenous infusion given over 30 minutes; the dose level for pembrolizumab will be 200 mg per the approved label. In December 2020, an RP2D of 3 mg with an administration schedule of q7d was determined for SC ALKS 4230.

Group Type EXPERIMENTAL

ALKS 4230

Intervention Type BIOLOGICAL

SC injection administered in the back of the arm or the abdomen

Pembrolizumab

Intervention Type BIOLOGICAL

Administered as an intravenous (IV) infusion over 30 minutes

Interventions

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ALKS 4230

SC injection administered in the back of the arm or the abdomen

Intervention Type BIOLOGICAL

Pembrolizumab

Administered as an intravenous (IV) infusion over 30 minutes

Intervention Type BIOLOGICAL

Other Intervention Names

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Keytruda

Eligibility Criteria

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Inclusion Criteria

* For Phase I the subject has histological or cytological evidence of a solid tumor. For Phase II the subject must have 1 of the specified adult solid tumor types: gastric, ovarian, lung, head and neck.
* Subject must have at least one target lesion based on RECIST
* Subject has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 or 1
* 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 radiation therapy must wait at least 4 weeks after their last radiation treatment before enrollment into the study
* 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
* Subject will agree to follow contraceptive requirements defined in the protocol
* Additional criteria may apply

Exclusion Criteria

* Subject is currently pregnant, planning to become pregnant, or breastfeeding
* Subjects with an active infection or with a fever ≥ 38.5°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 with known hypersensitivity to any components of ALKS 4230 or to pembrolizumab or any of its excipients
* Subjects who require pharmacologic doses of systemic corticosteroids are excluded; replacement doses, topical, ophthalmologic, and inhalational steroids are permitted
* Subjects who developed autoimmune disorders while on prior immunotherapy, including pneumonitis, nephritis, and/or neuropathy
* Subjects with any other concurrent uncontrolled illness, including mental illness or substance abuse, which may interfere with the ability of the subjects 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
* 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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Mural Oncology Medical Director

Role: STUDY_DIRECTOR

Mural Oncology

Locations

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Mural Oncology Investigational Site

Los Angeles, California, United States

Site Status

Mural Oncology Investigational Site

Los Angeles, California, United States

Site Status

Mural Oncology Investigational Site

Washington D.C., District of Columbia, United States

Site Status

Mural Oncology Investigational Site

Atlanta, Georgia, United States

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Mural Oncology Investigational Site

Chicago, Illinois, United States

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Mural Oncology Investigational Site

Bethesda, Maryland, United States

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Mural Oncology Investigational Site

Detroit, Michigan, United States

Site Status

Mural Oncology Investigational Site

Saint Paul, Minnesota, United States

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Mural Oncology Investigational Site

Morristown, New Jersey, United States

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Mural Oncology Investigational Site

Buffalo, New York, United States

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Mural Oncology Investigational Site

Huntersville, North Carolina, United States

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Mural Oncology Investigational Site

Cincinnati, Ohio, United States

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Mural Oncology Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

Mural Oncology Investigational Site

Charleston, South Carolina, United States

Site Status

Mural Oncology Investigational Site

Houston, Texas, United States

Site Status

Mural Oncology Investigational Site

Salt Lake City, Utah, United States

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Mural Oncology Investigational Site

Milwaukee, Wisconsin, United States

Site Status

Mural Oncology Investigational Site

Edmonton, Alberta, Canada

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Mural Oncology Investigational Site

Hamilton, Ontario, Canada

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Mural Oncology Investigational Sites

Montreal, Quebec, Canada

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Mural Oncology Investigational Site

Montreal, Quebec, Canada

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Mural Oncology Investigational Site

Montreal, Quebec, Canada

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Mural Oncology Investigational Site

Québec, Quebec, Canada

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Mural Oncology Investigational Site

Rotterdam, , Netherlands

Site Status

Mural Oncology Investigational Site

Utrecht, , Netherlands

Site Status

National Cancer Center

Goyang, , South Korea

Site Status

Inha University Hospital

Incheon, , South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Yonsei University Health System - Severance Hospital

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

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Samsung Medical Center

Seoul, , South Korea

Site Status

The Catholic University of Korea St. Vincent's Hospital

Suwon, , South Korea

Site Status

Mural Oncology Investigational Site

Badalona, , Spain

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Mural Oncology Investigational Site

Córdoba, , Spain

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Mural Oncology Investigational Site

Madrid, , Spain

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Mural Oncology Investigational Site

Madrid, , Spain

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Mural Oncology Investigational Site

Madrid, , Spain

Site Status

Mural Oncology Investigational Site

Madrid, , Spain

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Mural Oncology Investigational Site

Madrid, , Spain

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Mural Oncology Investigational Site

Málaga, , Spain

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Mural Oncology Investigational Site

Valencia, , Spain

Site Status

Mural Oncology Investigational Site

Kaohsiung City, , Taiwan

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Mural Oncology Investigational Site

Taichung, , Taiwan

Site Status

Mural Oncology Investigational Site

Tainan City, , Taiwan

Site Status

Mural Oncology Investigational Site

Taipei, , Taiwan

Site Status

Mural Oncology Investigational Site

Taipei, , Taiwan

Site Status

Mural Oncology Investigational Site

Taipei, , Taiwan

Site Status

Countries

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United States Canada Netherlands South Korea Spain Taiwan

Other Identifiers

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ALKS 4230-001

Identifier Type: -

Identifier Source: org_study_id

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