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Active, not recruitingNCT05544929Updated Jan 6, 2026

A Study of Safety and Efficacy of KFA115 Alone and in Combo With Pembrolizumab in Patients With Select Advanced Cancers

A Phase 1 interventional study of KFA115 and pembrolizumab in Carcinoma, Non-Small-Cell Lung, Cutaneous Melanoma and Carcinoma, Renal Cell, sponsored by Novartis Pharmaceuticals. Active, not recruiting at 19 sites in 12 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-01-06.

Sponsored by Novartis Pharmaceuticals · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
126
Allocation
Non-randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to characterize the safety and tolerability of KFA115 and KFA115 in combination with pembrolizumab in patients with select advanced cancers, and to identify the maximum tolerated dose and/or recommended dose.

Read the detailed description

This is a phase I, open-label, multi-center study of KFA115 as a single agent and in combination with pembrolizumab. The study consists of a dose escalation part, followed by dose expansion part(s) for single-agent KFA115 and KFA115 in combination with pembrolizumab. The escalation parts will characterize safety and tolerability. After the determination of the maximum tolerated dose (MTD) / recommended dose (RD), the dose expansion parts will assess the preliminary anti-tumor activity in defined patient populations and further assess the safety and tolerability at MTD/RD.

02

Conditions studied

  • Carcinoma, Non-Small-Cell Lung
  • Cutaneous Melanoma
  • Carcinoma, Renal Cell
  • Carcinoma, Ovarian Epithelial
  • Nasopharyngeal Carcinoma
  • Carcinoma, Thymic
  • Anal Cancer
  • Mesothelioma
  • Esophagogastric Cancer
  • High Microsatellite Instability Colorectal Carcinoma
  • Squamous Cell Carcinoma of Head and Neck
  • Triple Negative Breast Neoplasms

Keywords

  • Lung cancer
  • Non-small-cell lung cancer
  • NSCLC
  • Malignant Skin Cancer
  • Skin Cancer
  • Cutaneous melanoma
  • Renal cell carcinoma
  • RCC
  • Kidney cancer
  • Renal cancer
  • Clear cell carcinoma
  • Cancer of the ovaries
  • Female reproductive cancer
  • Ovarian carcinoma
  • Epithelial ovarian cancer
  • Nasopharyngeal Neoplasms
  • Nasopharyngeal carcinoma
  • NPC
  • Thymic carcinoma
  • Thymic tumor
  • Rectal cancer
  • Rectal neoplasms
  • Esophageal cancer
  • Cancer of throat
  • Colon cancer
  • Colorectal cancer
  • Bowel cancer
  • Cancer of the colon and rectum
  • High microsatellite instability colorectal carcinoma
  • CRC
  • MSI-H CRC
  • Advanced solid malignancies
  • Head and neck cancer
  • HNSCC
  • SCCHN
  • Squamous cell carcinoma of the head and neck
  • Cancer
  • Advanced cancer
  • NVP-KFA115
  • Triple Negative Breast Cancer
  • TNBC
  • Mesothelioma
  • Anal cancer
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 126 is above the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Non-small cell lung cancer with historic PD-L1 ≥ 1%, as determined locally using a clinically accepted assay. Patients must have experienced benefit from previous anti-PD(L)1-containing therapy for at least 4 months based on investigator-assessed disease stability or response prior to developing documented disease progression. Patients must have also received prior platinum-based chemotherapy, either in combination or in sequence with anti-PD-(L)1, unless patient was ineligible to receive such treatment.
  • Renal cell carcinoma, clear cell histology, previously treated with anti-PD(L)1-containing therapy and a VEGF targeted therapy as monotherapy or in combination. Patients should have documented disease progression following anti-PD(L)1-containing therapy.
  • Cutaneous melanoma, previously treated with anti-PD(L)1-containing therapy. Patients should have documented disease progression following anti-PD(L)1-containing therapy. Patients with BRAF V600-mutant melanoma must have also received prior therapy with a BRAF V600 inhibitor, with or without a MEK inhibitor.
  • Ovarian cancer, high-grade serous histology, naïve to anti-PD(L)1 therapy, must have received one prior systemic therapy in platinum-resistant setting.
  • Nasopharyngeal carcinoma, non-keratinizing locally advanced recurrent or metastatic. Depending on the study arm, patients may be naïve to anti-PD(L)1 therapy, or previously treated with platinum-based chemotherapy with or without anti-PD-(L)1.
  • Locally advanced unresectable or metastatic triple negative breast cancer, ovarian cancer (high-grade serous histology), anal cancer (squamous), MSI-H CRC, esophagogastric cancer, mesothelioma, and HNSCC.
  • Locally advanced unresectable or metastatic anal cancer (squamous), thymic carcinoma, MSI-H CRC, esophagogastric cancer, mesothelioma, and HNSCC, all naïve to anti-PD(L)1 therapy and for whom anti PD(L)1 therapy is not available.
  • Triple negative breast cancer with historic PD-L1 CPS ≥ 1%, must have received at least one line of chemotherapy. In addition, these patients must have previously received sacituzumab govitecan, and in the case of a BRCA mutation a PARP inhibitor, if these treatments are locally approved and accessible to the patient.

Exclusion criteria

Exclusion Criteria:

  • Impaired cardiac function or clinically significant cardiac disease.
  • Use of agents known to prolong the QT interval unless they can be permanently discontinued for the duration of study.
  • History of severe hypersensitivity reactions to any ingredient of study drug(s) and other mAbs and/or their excipients.
  • Active, known or suspected autoimmune disease. Patients with vitiligo, type I diabetes, residual hypothyroidism only requiring hormone replacement, psoriasis not requiring systemic treatment or conditions not expected to recur may be considered. Patients previously exposed to anti-PD-1/PD-L1 treatment who are adequately treated for skin rash or with replacement therapy for endocrinopathies should not be excluded.
  • Any evidence of interstitial lung disease (ILD) or pneumonitis, or a prior history of ILD or non-infectious pneumonitis requiring high-dose glucocorticoids.
  • Patients who discontinued prior anti-PD-(L)1 therapy due to an anti-PD-(L)1-related toxicity (applicable to the KFA115 in combination with pembrolizumab treatment arms).
  • Patients with symptomatic peripheral neuropathy limiting instrumental activities of daily living.

Other protocol-defined inclusion/exclusion criteria may apply

05

Study design

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

Study arms

  • Experimental
    Single-agent KFA115

    KFA115 monotherapy

    Drug: KFA115

  • Experimental
    KFA115 run-in (1 cycle) + pembrolizumab

    1-cycle KFA115 run-in followed by addition of pembrolizumab

    Drug: KFA115 · Drug: pembrolizumab

  • Experimental
    KFA115 + pembrolizumab

    KFA115 + pembrolizumab combination given concurrently

    Drug: KFA115 · Drug: pembrolizumab

Interventions

  • DrugKFA115

    Immunomodulatory agent

    Also known as: NVP-KFA115

  • Drugpembrolizumab

    Anti-PD-1 antibody

    Also known as: Keytruda

06

What researchers measure

Primary outcomes

  1. Incidence and severity of dose limiting toxicities (DLTs) during the DLT evaluation period of single-agent KFA115 (dose escalation only)

    A DLT is defined as an adverse event or abnormal laboratory value that occurs during the DLT evaluation period where the relationship to study treatment cannot be ruled out, and is not primarily related to disease, disease progression, intercurrent illness, or concomitant medications and meets the criteria defined in the study protocol

    Time frame: 28 days

  2. Incidence and severity of dose limiting toxicities (DLTs) during the DLT evaluation period of KFA115 in combination with pembrolizumab (dose escalation only)

    A DLT is defined as an adverse event or abnormal laboratory value that occurs during the DLT evaluation period where the relationship to study treatment cannot be ruled out, and is not primarily related to disease, disease progression, intercurrent illness, or concomitant medications and meets the criteria defined in the study protocol

    Time frame: 28 days

  3. Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)

    Incidence and severity of adverse events and serious adverse events, including changes in laboratory values, vital signs, and electrocardiograms qualifying and reported as AEs

    Time frame: 35 months

  4. Frequency of dose interruptions, reductions

    Number of dose interruptions of KFA115 and pembrolizumab, and number of dose reductions of KFA115

    Time frame: 35 months

  5. Dose intensity

    Dose intensity of KFA115 and pembrolizumab is defined as the ratio of actual cumulative dose received and actual duration of exposure

    Time frame: 35 months

Secondary outcomes

  1. Best overall response (BOR) per RECIST v1.1

    BOR is defined as the best response recorded from the start of the treatment until disease progression/recurrence

    Time frame: 35 months

  2. Progression free survival (PFS) per RECIST v1.1

    PFS is defined as the time from date of start of treatment to the date of event defined as the first documented progression or death due to any cause

    Time frame: 35 months

  3. Duration of response (DOR) per RECIST v1.1

    DOR is defined as the time from the date of the first documented response (CR or PR) to the date of the first documented progression as per RECIST v1.1 or death due to underlying cancer

    Time frame: 35 months

  4. Time to progression (TTP) per RECIST v1.1

    TTP is defined as the time from date of start of treatment to the date of event defined as the first documented progression or death due to underlying cancer

    Time frame: 35 months

  5. Area under the concentration time curve (AUC) of KFA115 or pembrolizumab

    Area under the concentration time curve

    Time frame: During the first 168 days of treatment for single-agent KFA115 and 35 months for KFA115 in combination with pembrolizumab

  6. Peak plasma or serum concentration (Cmax) of KFA115 or pembrolizumab

    The maximum (peak) observed plasma or serum drug concentration after single dose administration

    Time frame: During the first 168 days of treatment for single-agent KFA115 and 35 months for KFA115 in combination with pembrolizumab

  7. Minimum plasma or serum concentration (Cmin) of KFA115 or pembrolizumab

    The minimum observed plasma or serum drug concentration reached during the time interval between two dose administrations

    Time frame: During the first 168 days of treatment for single-agent KFA115 and 35 months for KFA115 in combination with pembrolizumab

  8. Time to reach peak plasma or serum concentration (Tmax) of KFA115 or pembrolizumab

    The time to reach maximum (peak) plasma or serum drug concentration after single dose administration

    Time frame: During the first 168 days of treatment for single-agent KFA115 and 35 months for KFA115 in combination with pembrolizumab

  9. Elimination half-life (T1/2) of KFA115 or pembrolizumab

    The elimination half-life associated with the terminal slope of a semi logarithmic concentration-time curve

    Time frame: During the first 168 days of treatment for single-agent KFA115 and 35 months for KFA115 in combination with pembrolizumab

07

Study locations

19 sites
  • Massachusetts General Hospital .
    Boston, Massachusetts 02114, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • NYU School of Medicine
    New York, New York 10015, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15232, United States
  • SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
  • Novartis Investigative Site
    Toronto, Ontario M5G 2M9, Canada
  • Novartis Investigative Site
    Guangzhou, Guangdong 510080, China
  • Novartis Investigative Site
    Beijing, 100036, China
  • Novartis Investigative Site
    Lyon, 69373, France
  • Novartis Investigative Site
    Dresden, Saxony 01307, Germany
  • Novartis Investigative Site
    Essen, 45147, Germany
  • Novartis Investigative Site
    Hong Kong, 999077, Hong Kong
  • Novartis Investigative Site
    Milan, MI 20133, Italy
  • Novartis Investigative Site
    Modena, MO 41124, Italy
  • Novartis Investigative Site
    Chuo Ku, Tokyo 104 0045, Japan
  • Novartis Investigative Site
    Singapore, 119074, Singapore
  • Novartis Investigative Site
    Seoul, 03080, South Korea
  • Novartis Investigative Site
    Barcelona, Catalonia 08035, Spain
  • Novartis Investigative Site
    Taipei, 10002, Taiwan
08

References and documents

Individual participant data

Plan to share: No

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 Jan 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05544929
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Sep 19, 2022
Start date
Oct 26, 2022
Primary completion
Sep 1, 2027 (estimated)
Completion
Sep 1, 2027 (estimated)
Last update
Jan 6, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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