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CompletedNCT03861793Updated Mar 5, 2024

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)

A Phase 1/2 interventional study of ALKS 4230 and Pembrolizumab in Advanced Solid Tumors, sponsored by Mural Oncology, Inc. Completed at 48 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-05.

Sponsored by Mural Oncology, Inc · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2023, 3 years 7 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Mar 2024.
Phase
Phase 1/2
Study type
Interventional
Enrollment
116
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

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.

Read the detailed description

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

02

Conditions studied

  • Advanced Solid Tumors

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Keywords

  • Alkermes
  • IL-2
  • Interleukin-2
  • Oncology
  • Immuno-oncology
  • Cytokine
  • ALKS 4230
  • Pembrolizumab
  • Keytruda
  • PD-L1
  • Solid tumors
  • Immunotherapy
  • nemvaleukin alfa
  • ovarian
  • Head and Neck
  • NSCLC
  • Non small cell lung cancer
  • lung cancer
  • Gastric
  • Gastric Cancer
  • Gastroesophageal Cancer
  • Gastroesophageal junction (GEJ) adenocarcinoma
  • GEJ Cancer
  • adenocarcinoma
03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's enrollment of 116 is above the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Mural Oncology, Inc is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

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
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
116 participants (actual)

Study arms

  • Experimental
    ALKS 4230

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

    Biological: ALKS 4230

  • Experimental
    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.

    Biological: ALKS 4230 · Biological: Pembrolizumab

Interventions

  • BiologicalALKS 4230

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

  • BiologicalPembrolizumab

    Administered as an intravenous (IV) infusion over 30 minutes

    Also known as: Keytruda

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events (AEs), and identify the RP2D of ALKS 4230 in Part A

    Includes AEs that are both serious and drug-related

    Time frame: From time of initiation of therapy until 30 days after last dose of study drug, assessed up to 24 months

  2. Number of subjects experiencing AEs that are both serious and drug-related in Part B

    Includes AEs that are both serious and drug-related

    Time frame: From time of initiation of therapy until 30 days after last dose of study drug, assessed up to 24 months

  3. Clinical Activity of combination treatment with ALKS 4230 and pembrolizumab in each Part B tumor type.

    Overall Response rate (ORR) will be based on investigator review of radiographic and photographic images

    Time frame: From time of therapy until the date of first documented tumor progression, assessed up to 24 months

Secondary outcomes

  1. Proportion of subjects with objective evidence of Complete Response (CR)/immune CR (iCR)

    Overall response rate (ORR) will be based on investigator review of radiographic or photographic images

    Time frame: From time of initiation of therapy until the date of first documented tumor progression, assessed up to 24 months

  2. Proportion of subjects with objective evidence of Partial Response (PR)/immune PR (iPR)

    ORR will be based on investigator review of radiographic or photographic images

    Time frame: From time of initiation of therapy until the date of first documented tumor progression, assessed up to 24 months

  3. Duration of response in subjects with CR/iCR

    CR/iCR duration

    Time frame: Time from the first documentation of complete response, measured approximately every 6 weeks, to the first documentation of objective tumor progression or death due to any cause (estimated up to 24 months)

  4. Duration of response in subjects with PR/iPR

    PR/iPR duration

    Time frame: Time from the first documentation of complete response, measured approximately every 6 weeks, to the first documentation of objective tumor progression or death due to any cause (estimated up to 24 months)

  5. Non-progression for Part B

    Time from first dose of SC ALKS 4230 to the time of progression or death

    Time frame: Assessed up to 24 months

  6. Overall survival for Part B

    Time from first dose of SC ALKS 4230 to the time of death

    Time frame: Assessed up to 24 months

  7. Serum concentrations of ALKS 4230 will be determined at various time points

    Concentration vs time and standard pharmacokinetic (PK) parameters will be summarized by dose level

    Time frame: From time of initiation of therapy until the last treatment cycle (each cycle is 21 days), assessed up to 24 months

  8. Serum will be assayed for the presence of anti-ALKS 4230 antibodies

    Results will be summarized by dose level

    Time frame: From time of initiation of therapy until the last treatment cycle (each cycle is 21 days), assessed up to 24 months

  9. Immunophenotyping of peripheral blood mononuclear cells will be performed by flow cytometry at various time points

    Results will be summarized by dose level

    Time frame: From time of initiation of therapy until the last treatment cycle (each cycle is 21 days), assessed up to 24 months

  10. Serum concentrations of proinflammatory cytokines will be assessed using a multiplex method at various time points

    Results will be summarized by dose level

    Time frame: From time of initiation of therapy until the last treatment cycle (each cycle is 21 days), assessed up to 24 months

07

Study locations

48 sites
  • Mural Oncology Investigational Site
    Los Angeles, California 90025, United States
  • Mural Oncology Investigational Site
    Los Angeles, California 90211, United States
  • Mural Oncology Investigational Site
    Washington, District of Columbia 20007, United States
  • Mural Oncology Investigational Site
    Atlanta, Georgia 30322, United States
  • Mural Oncology Investigational Site
    Chicago, Illinois 60612, United States
  • Mural Oncology Investigational Site
    Bethesda, Maryland 20817, United States
  • Mural Oncology Investigational Site
    Detroit, Michigan 48201, United States
  • Mural Oncology Investigational Site
    Saint Paul, Minnesota 55101, United States
  • Mural Oncology Investigational Site
    Morristown, New Jersey 07962, United States
  • Mural Oncology Investigational Site
    Buffalo, New York 14263, United States
  • Mural Oncology Investigational Site
    Huntersville, North Carolina 28078, United States
  • Mural Oncology Investigational Site
    Cincinnati, Ohio 45229, United States
  • Mural Oncology Investigational Site
    Philadelphia, Pennsylvania 19111, United States
  • Mural Oncology Investigational Site
    Charleston, South Carolina 29425, United States
  • Mural Oncology Investigational Site
    Houston, Texas 77030, United States
  • Mural Oncology Investigational Site
    Salt Lake City, Utah 84119, United States
  • Mural Oncology Investigational Site
    Milwaukee, Wisconsin 53226, United States
  • Mural Oncology Investigational Site
    Edmonton, Alberta T6G 1Z2, Canada
  • Mural Oncology Investigational Site
    Hamilton, Ontario L8V 5C2, Canada
  • Mural Oncology Investigational Sites
    Montréal, Quebec H2X 0C1, Canada
  • Mural Oncology Investigational Site
    Montréal, Quebec H3A 3J1, Canada
  • Mural Oncology Investigational Site
    Montréal, Quebec H3T 1E2, Canada
  • Mural Oncology Investigational Site
    Québec, Quebec G1R 2J6, Canada
  • National Cancer Center
    Goyang, 10408, Korea, Republic of
  • Inha University Hospital
    Incheon, 22332, Korea, Republic of
  • Seoul National University Bundang Hospital
    Seongnam, 13620, Korea, Republic of
  • Seoul National University Hospital
    Seoul, 03080, Korea, Republic of
  • Yonsei University Health System - Severance Hospital
    Seoul, 03722, Korea, Republic of
  • Asan Medical Center
    Seoul, 05505, Korea, Republic of
  • Samsung Medical Center
    Seoul, 6351, Korea, Republic of
  • The Catholic University of Korea St. Vincent's Hospital
    Suwon, 16247, Korea, Republic of
  • Mural Oncology Investigational Site
    Rotterdam, 3000 CA, Netherlands
  • Mural Oncology Investigational Site
    Utrecht, 3508 GA, Netherlands
  • Mural Oncology Investigational Site
    Badalona, 08916, Spain
  • Mural Oncology Investigational Site
    Córdoba, 14004, Spain
  • Mural Oncology Investigational Site
    Madrid, 28007, Spain
  • Mural Oncology Investigational Site
    Madrid, 28040, Spain
  • Mural Oncology Investigational Site
    Madrid, 28041, Spain
  • Mural Oncology Investigational Site
    Madrid, 28050, Spain
  • Mural Oncology Investigational Site
    Madrid, 28222, Spain
  • Mural Oncology Investigational Site
    Málaga, 29010, Spain
  • Mural Oncology Investigational Site
    Valencia, 46010, Spain
  • Mural Oncology Investigational Site
    Kaohsiung, 83301, Taiwan
  • Mural Oncology Investigational Site
    Taichung, 40447, Taiwan
  • Mural Oncology Investigational Site
    Tainan, 704, Taiwan
  • Mural Oncology Investigational Site
    Taipei, 100, Taiwan
  • Mural Oncology Investigational Site
    Taipei, 11217, Taiwan
  • Mural Oncology Investigational Site
    Taipei, 11259, Taiwan
08

References and documents

Individual participant data

Plan to share: No — At this time, IPD sharing has not been defined and/or decided if it will be shared.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03861793
Lead sponsor
Mural Oncology, Inc
Responsible party
Sponsor
First posted
Mar 4, 2019
Start date
Feb 26, 2019
Primary completion
Mar 1, 2023
Completion
Mar 1, 2023
Last update
Mar 5, 2024

Study contacts

Mural Oncology Medical Director
study director · Mural Oncology

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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