Phase 3 Study of Nemvaleukin Alfa in Combination With Pembrolizumab in Patients With Platinum-Resistant Epithelial Ovarian Cancer (ARTISTRY-7) (ARTISTRY-7)

April 19, 2024 updated by: Mural Oncology, Inc

A Phase 3, Multicenter, Open-Label, Randomized Study of Nemvaleukin Alfa in Combination With Pembrolizumab Versus Investigator's Choice Chemotherapy in Patients With Platinum-Resistant Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARTISTRY-7)

This is a Phase 3, multicenter, open-label, randomized study of nemvaleukin in combination with pembrolizumab versus protocol-specific Investigator's choice chemotherapy in patients with platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer.

Study Overview

Detailed Description

Patients will be centrally allocated in a randomized fashion (3:1:1:3) to receive either:

Arm 1: Nemvaleukin and pembrolizumab combination therapy Arm 2: Pembrolizumab monotherapy (enrollment completed) Arm 3: Nemvaleukin monotherapy (enrollment completed) Arm 4: Investigator's choice chemotherapy include one of the following: pegylated liposomal doxorubicin (PLD), paclitaxel, topotecan, or gemcitabine.

Study Type

Interventional

Enrollment (Estimated)

448

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Adelaide, Australia, 5000
        • Active, not recruiting
        • Cancer Research Sa
      • Blacktown, Australia, 2148
        • Active, not recruiting
        • Blacktown Hospital
      • Brisbane, Australia, 4029
        • Active, not recruiting
        • Royal Brisbane and Women'S Hospital
      • East Melbourne, Australia, 3184
        • Active, not recruiting
        • Epworth Healthcare
      • Garran, Australia, 2605
        • Active, not recruiting
        • Canberra Hospital
      • Nowra, Australia, 2540
        • Active, not recruiting
        • Shoalhaven Cancer Care Centre
      • Randwick, Australia, 2031
        • Active, not recruiting
        • Prince of Wales Hospital
      • South Brisbane, Australia, 4066
        • Active, not recruiting
        • Icon Cancer Centre
      • Wollongong, Australia, 2500
        • Active, not recruiting
        • Wollongong Hospital (Illawarra Shoalhaven Local Health District)
      • Feldkirch, Austria, 6800
        • Active, not recruiting
        • LKH Feldkirch
      • Graz, Austria, 8036
        • Active, not recruiting
        • Medizinische Universitaet Graz
      • Innsbruck, Austria, 6020
        • Active, not recruiting
        • Medizinische Universitaet Innsbruck
      • Vienna, Austria, 1090
        • Active, not recruiting
        • Medizinische Universitaet Wien
      • Vienna, Austria, 1130
        • Active, not recruiting
        • Wiener Gesundheitsverbund - Klinik Hietzing
      • Brasschaat, Belgium, 2930
        • Active, not recruiting
        • AZ Klina
      • Brussel, Belgium, 1200
        • Active, not recruiting
        • Cliniques Universitaires Saint-Luc
      • Brussels, Belgium, 1000
        • Active, not recruiting
        • CHU Saint-Pierre
      • Liège, Belgium, 4000
        • Active, not recruiting
        • Clinique CHC MontLégia
      • Oostende, Belgium, 8400
        • Active, not recruiting
        • AZ Damiaan
      • Roeselare, Belgium, 8800
        • Active, not recruiting
        • AZ Delta
    • Alberta
      • Calgary, Alberta, Canada, T2N 4N2
        • Active, not recruiting
        • Tom Baker Cancer Centre
    • Ontario
      • Hamilton, Ontario, Canada, L8V 5C2
        • Active, not recruiting
        • Juravinski Cancer Centre
      • London, Ontario, Canada, N6A 5W9
        • Active, not recruiting
        • London Health Sciences Centre
      • Toronto, Ontario, Canada, M4N 3M5
        • Active, not recruiting
        • Sunnybrook Health Sciences Centre
      • Toronto, Ontario, Canada, M5G 2M9
        • Active, not recruiting
        • Princess Margaret Hospital
    • Quebec
      • Sherbrooke, Quebec, Canada, J1H 5N4
        • Active, not recruiting
        • Centre Hospitalier Universite de Sherbrooke (CHUS)
      • Brno, Czechia, 65653
        • Active, not recruiting
        • Masarykuv onkologicky ustav
      • Prague, Czechia, 12808
        • Active, not recruiting
        • Vseobecna Fakultni Nemocnice V Praze
      • Prague, Czechia, 181 00
        • Active, not recruiting
        • Fakultni nemocnice Bulovka
      • Angers, France, 49055
        • Active, not recruiting
        • Institut de Cancerologie de l'Ouest - site Angers
      • Lyon, France, 69008
        • Active, not recruiting
        • Centre LEON BERARD
      • Marseille, France, 13009
        • Active, not recruiting
        • Institut Paoli-Calmettes
      • Paris, France, 75012
        • Active, not recruiting
        • Groupe Hospitalier Diaconesses Croix Saint Simon
      • Saint-Herblain, France, 44805
        • Active, not recruiting
        • Institut de Cancerologie de l'Ouest - site St-Herblain
      • Strasbourg, France, 67200
        • Active, not recruiting
        • Institut de cancerologie Strasbourg Europe (ICANS)
      • Villejuif, France, 94800
        • Active, not recruiting
        • Gustave Roussy
      • Berlin, Germany, 13353
        • Active, not recruiting
        • Charite Universitaetsmedizin Berlin
      • Bonn, Germany, 53127
        • Active, not recruiting
        • Universitaetsklinikum Bonn
      • Essen, Germany, 45136
        • Active, not recruiting
        • KEM | Evang. Kliniken Essen-Mitte gGmbH
      • Heidelberg, Germany, 69120
        • Active, not recruiting
        • Universitaetsklinikum Heidelberg
      • Homburg, Germany, 66421
        • Active, not recruiting
        • Universitaetsklinikum des Saarlandes
      • Kiel, Germany, 24105
        • Active, not recruiting
        • Universitaetsklinikum Schleswig-Holstein Campus Kiel
      • Mannheim, Germany, D-68167
        • Active, not recruiting
        • Universitaetsmedizin Mannheim
      • Wiesbaden, Germany, 65199
        • Active, not recruiting
        • Helios Dr. Horst Schmidt Kliniken Wiesbaden
      • Hadera, Israel, 38100
        • Active, not recruiting
        • Hillel Yaffe Medical Center
      • Haifa, Israel, 34362
        • Withdrawn
        • Carmel Medical Center
      • Haifa, Israel, 3109601
        • Withdrawn
        • Rambam Health Care Campus
      • H̱olon, Israel, 5822012
        • Withdrawn
        • Wolfson Medical Center
      • Jerusalem, Israel, 9112001
        • Active, not recruiting
        • Hadassah Medical Center Ein Karem
      • Ramat Gan, Israel, 5265601
        • Withdrawn
        • Sheba Medical Center
      • Reẖovot, Israel, 7610001
        • Active, not recruiting
        • Kaplan Medical Center
      • Aviano, Italy, 33081
        • Active, not recruiting
        • Centro Riferimento Oncologico - Aviano
      • Ponderano, Italy, 13875
        • Active, not recruiting
        • Nuovo Ospedale degli Infermi
      • Prato, Italy, 59100
        • Active, not recruiting
        • Azienda USL Toscana Centro-Ospedale di Prato Santo Stefano
      • Rome, Italy, 168
        • Active, not recruiting
        • Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
      • Torino, Italy, 10128
        • Active, not recruiting
        • A.O. Ordine Mauriziano di Torino
      • Treviso, Italy, 31100
        • Active, not recruiting
        • Azienda ULSS 2 Marca trevigiana-Ospedale Ca Foncello Treviso
      • Daegu, Korea, Republic of, 42601
        • Active, not recruiting
        • Keimyung University Dongsan Hospital
      • Goyang-si, Korea, Republic of, 10408
        • Active, not recruiting
        • National Cancer Center
      • Seoul, Korea, Republic of, 03080
        • Active, not recruiting
        • Seoul National University Hospital
      • Seoul, Korea, Republic of, 03722
        • Active, not recruiting
        • Severance Hospital, Yonsei University Health System
      • Seoul, Korea, Republic of, 06351
        • Active, not recruiting
        • Samsung Medical Center
      • Seoul, Korea, Republic of, 5505
        • Active, not recruiting
        • Asan Medical Center, University of Ulsan
      • Seoul, Korea, Republic of, 6273
        • Active, not recruiting
        • Gangnam Severance Hospital, Yonsei University Health System
      • Seoul, Korea, Republic of, 6591
        • Active, not recruiting
        • Seoul St. Mary's Hospital, The Catholic University of Korea
      • Singapore, Singapore, 329563
        • Active, not recruiting
        • Curie Oncology
      • Singapore, Singapore, 119074
        • Active, not recruiting
        • National University Cancer Institute
      • Barcelona, Spain, 08036
        • Recruiting
        • Hospital Clinic Barcelona
      • Barcelona, Spain, 8908
        • Recruiting
        • Institut Català d'Oncologia - L'Hospitalet
      • Girona, Spain, 17007
        • Recruiting
        • Institut Catala de Oncologia - Girona
      • Las Palmas De Gran Canaria, Spain, 35016
        • Recruiting
        • Hospital Universitario Insular de Gran Canaria
      • Madrid, Spain, 28034
        • Recruiting
        • Hospital Universitario Ramon y Cajal
      • Madrid, Spain, 28041
        • Recruiting
        • Hospital Universitario 12 de Octubre
      • Madrid, Spain, 28050
        • Recruiting
        • Centro Integral Oncologico Clara Campal
      • Madrid, Spain, 28046
        • Recruiting
        • Hospital Universitario La Paz
      • Madrid, Spain, 28040
        • Recruiting
        • Hospital Clinico San Carlos
      • Murcia, Spain, 30120
        • Recruiting
        • Hospital Clinico Universitario Virgen de la Arrixaca
      • Valencia, Spain, 46010
        • Recruiting
        • Hospital Clínico Universitario de Valencia
      • Vigo, Spain, 36312
        • Recruiting
        • Hospital Álvaro Cunqueiro
      • Chang Hua, Taiwan, 500
        • Active, not recruiting
        • Changhua Christian Hospital (CCH)
      • Taichung, Taiwan, 40447
        • Active, not recruiting
        • China Medical University Hospital
      • Taichung, Taiwan, 40705
        • Active, not recruiting
        • Taichung Veterans General Hospital
      • Tainan, Taiwan, 704
        • Active, not recruiting
        • National Cheng Kung University Hospital
      • Tainan, Taiwan, 704
        • Active, not recruiting
        • Linkou Chang Gung Memorial Hospital (CGMHLK)
      • Taipei, Taiwan, 11217
        • Active, not recruiting
        • Taipei Veterans General Hospital
      • Taipei, Taiwan, 10002
        • Active, not recruiting
        • National Taiwan University Hospital
      • Cambridge, United Kingdom, CB2 0QQ
        • Active, not recruiting
        • Cambridge University - Addenbrooke's Hospital
      • London, United Kingdom, SE1 9RT
        • Active, not recruiting
        • Guy's and St Thomas' NHS Foundation Trust
      • London, United Kingdom, NW1 2PG
        • Active, not recruiting
        • University College London Hospital
      • Manchester, United Kingdom, M20 4BX
        • Active, not recruiting
        • The Christie NHS Foundation Trust
      • Oxford, United Kingdom, OX3 9DU
        • Active, not recruiting
        • Oxford University Hospitals NHS Foundation Trust
    • Alabama
      • Birmingham, Alabama, United States, 35216
        • Recruiting
        • University of Alabama at Birmingham
    • Alaska
      • Anchorage, Alaska, United States, 99508
        • Recruiting
        • Alaska Women's Cancer Care
    • Arizona
      • Tucson, Arizona, United States, 85711
        • Recruiting
        • Arizona Oncology
    • California
      • La Jolla, California, United States, 92093
        • Recruiting
        • University of California, San Diego (UCSD)- Moores Cancer Center
      • Los Angeles, California, United States, 90025
        • Recruiting
        • University of California, Los Angeles (UCLA)
      • Oxnard, California, United States, 93030
        • Recruiting
        • Ventura County Hematology- Oncology
    • Florida
      • Orlando, Florida, United States, 32808
        • Recruiting
        • University of Florida (UF) Health Cancer Center - Orlando Health
      • Sarasota, Florida, United States, 34240
        • Recruiting
        • Sarasota Memorial Hospital
    • Georgia
      • Atlanta, Georgia, United States, 30322
        • Recruiting
        • Emory University
    • Illinois
      • Chicago, Illinois, United States, 60612
        • Recruiting
        • Rush University Medical Center
      • Chicago, Illinois, United States, 60611
        • Recruiting
        • Northwestern University
    • Indiana
      • Indianapolis, Indiana, United States, 46202
        • Recruiting
        • Indiana University (IU)
    • Kentucky
      • Louisville, Kentucky, United States, 40207
        • Withdrawn
        • Norton Cancer Institute
    • Louisiana
      • Baton Rouge, Louisiana, United States, 70809
        • Recruiting
        • Mary Bird Perkins Cancer Center
    • Maryland
      • Baltimore, Maryland, United States, 21201
        • Recruiting
        • University of Maryland School of Medicine
    • Michigan
      • Detroit, Michigan, United States, 48224
        • Recruiting
        • Barbara Ann Karmanos Cancer Institute
      • Ypsilanti, Michigan, United States, 48197
        • Recruiting
        • Trinity Health Ann Arbor Hospital
    • New Jersey
      • East Brunswick, New Jersey, United States, 08816
        • Recruiting
        • Astera Cancer Care
      • New Brunswick, New Jersey, United States, 08901
        • Recruiting
        • Rutgers Cancer Institute of New Jersey
    • New Mexico
      • Albuquerque, New Mexico, United States, 87131
        • Recruiting
        • University of New Mexico
    • New York
      • Albany, New York, United States, 12208
        • Recruiting
        • Womens Cancer Care Associates
      • Hawthorne, New York, United States, 105832
        • Recruiting
        • Westchester Medical Center
      • New York, New York, United States, 10016
        • Recruiting
        • NYU Langone Health
      • New York, New York, United States, 10065
        • Recruiting
        • David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
      • New York, New York, United States, 10032
        • Withdrawn
        • Columbia University
    • North Carolina
      • Greenville, North Carolina, United States, 27834
        • Active, not recruiting
        • Vidant Medical Center
    • Ohio
      • Cincinnati, Ohio, United States, 45219
        • Recruiting
        • University of Cincinnati (UC) - Cancer Institute
      • Columbus, Ohio, United States, 43026
        • Recruiting
        • The Ohio State University (OSU)
      • Columbus, Ohio, United States, 43215
        • Withdrawn
        • Columbus Community Clinical Oncology Program
      • Columbus, Ohio, United States, 43219
        • Recruiting
        • Mid Ohio Oncology/Hematology, Inc. dba The Mark H. Zangmeister Center
    • Oregon
      • Eugene, Oregon, United States, 97401
        • Recruiting
        • Williamette Valley Cancer Institute and Research Center
      • Portland, Oregon, United States, 97213
        • Recruiting
        • Providence Portland Medical Center
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19014
        • Recruiting
        • University of Pennsylvania
    • South Carolina
      • Greenville, South Carolina, United States, 29615
        • Withdrawn
        • Greenville Health System
    • South Dakota
      • Sioux Falls, South Dakota, United States, 57105
        • Recruiting
        • Avera Cancer Institute
    • Texas
      • Austin, Texas, United States, 78731
        • Recruiting
        • Texas Oncology - Austin Central (Balcones Dr.)
      • Bedford, Texas, United States, 76022
        • Recruiting
        • Texas Oncology - DFWW (Bedford)
      • Fort Worth, Texas, United States, 76104
        • Recruiting
        • Texas Oncology - Fort Worth Cancer Center
      • Houston, Texas, United States, 77030
        • Recruiting
        • Baylor College of Medicine
    • Virginia
      • Charlottesville, Virginia, United States, 22908
        • Recruiting
        • University of Virginia - Emily Couric Cancer Center
      • Gainesville, Virginia, United States, 20155
        • Recruiting
        • Virginia Cancer Specialists, PC (Lake Manassas Dr)

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patient is female and ≥18 years of age.
  • Patient has histologically confirmed diagnosis of EOC (ie, high-grade serous, endometrioid of any grade, clear cell), fallopian tube cancer, or primary peritoneal cancer.
  • Patient has platinum-resistant/refractory disease, defined as disease progression within 180 days following the last administered dose of platinum therapy beyond first-line setting (resistant) or lack of response or disease progression while receiving the most recent platinum-based therapy (refractory). Patient must have progressed radiographically on or after their most recent line of anticancer therapy.
  • Patient must have received at least 1 prior line of systemic anticancer therapy in the platinum sensitive setting, and no more than 5 prior lines of systemic anticancer therapy in the platinum-resistant setting. Patient must have received at least 1 line of therapy containing bevacizumab.
  • Patient has at least one measurable lesion that qualifies as a target lesion based on RECISTv1.1.
  • Patient is willing to undergo a pre-treatment tumor biopsy or provide qualifying archival tumor tissue.

Exclusion Criteria:

  • Patient has primary platinum-refractory disease or primary platinum resistance, defined as disease progression during first-line platinum-based therapy (refractory) or disease progression <3 months after completion of first-line platinum-based therapy (resistant).
  • Patient has histologically confirmed diagnosis of EOC with mucinous or carcinosarcoma subtype.
  • Patient has nonepithelial tumor (eg, germline or stromal cell tumor) or ovarian tumor with low malignant potential (ie, borderline or low-grade serous tumor).
  • Patient requires fluid drainage (eg, paracentesis, thoracentesis, pericardiocentesis) of ≥500 mL within 4 weeks of first dose of study drug.
  • Patient has received prior IL-2-based or IL-15-based cytokine therapy; patient has had exposure, including intralesional, to IL-12 or analogs thereof.
  • Patient has prior exposure to any anti-PD1/PD-L1 therapy.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Nemvaleukin and Pembrolizumab Combination
Nemvaleukin: 6 µg/kg/day; Days 1 through 5 of 21-day cycles; IV infusion over 30 minutes and Pembrolizumab: 200 mg; Day 1 of 21-day cycles; IV infusion over 30 minutes
Other Names:
  • Keytruda
  • Nemvaleukin alfa
  • ALKS 4230
Active Comparator: Investigator's Choice
Options for protocol-specific Investigator's choice chemotherapy include one of the following: pegylated liposomal doxorubicin (PLD), paclitaxel, topotecan, or gemcitabine. The Investigator will pre-select the Investigator's choice treatment before the randomization of each patient.
40 mg/m2; Day 1 of 28-day cycles; IV infusion; 1 mg/min (Cycle 1); 60 min infusion (Cycles 2+)
Other Names:
  • Myocet
  • DOXIL
  • PLD- CAELYX
  • LIPODOX
80 mg/m2; Days 1, 8, 15, and 22 of 28-day cycles; IV infusion over 60 min
Other Names:
  • Taxol
  • Nov-Onxol
  • Onxol
  • Paclitaxel Novaplus
4 mg/m2; Days 1, 8, and 15 of 28-day cycles; or 1.25 mg/m2, Days 1 through 5 of 21-day cycles; IV infusion over 30 min
Other Names:
  • Hycamtin
  • Potactasol
1,000 mg/m2; Days 1 and 8 of 21-day cycles; IV infusion over 30 min
Other Names:
  • Gemzar
  • Infugem
Experimental: Pembrolizumab (enrollment completed)
Pembrolizumab: 200 mg; Day 1 of 21-day cycles; IV infusion over 30 minutes
Other Names:
  • Keytruda
Experimental: Nemvaleukin (enrollment completed)
Nemvaleukin: 6 µg/kg/day; Days 1 through 5 of 21-day cycles; IV infusion over 30 minutes
Other Names:
  • Nemvaleukin alfa
  • ALKS 4230

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Overall Survival (OS)
Time Frame: Up to 3 years
Up to 3 years

Secondary Outcome Measures

Outcome Measure
Time Frame
Progression-free survival (PFS) as assessed by Investigator
Time Frame: Up to 1 year
Up to 1 year
Objective response rate as assessed by Investigator
Time Frame: Up to 1 year
Up to 1 year
Disease Control Rate (DCR) as assessed by Investigator
Time Frame: Up to 1 year
Up to 1 year
Duration of Response (DOR) as assessed by Investigator
Time Frame: Up to 1 year
Up to 1 year
Time to Response (TTR) as assessed by Investigator
Time Frame: Up to 18-24 weeks
Up to 18-24 weeks
Cancer antigen (CA)-125 response as defined by the Gynecologic Cancer InterGroup (GCIG)
Time Frame: Up to 1 year
Up to 1 year
Incidence of treatment-emergent adverse events (TEAEs)
Time Frame: Up to 3 years
Up to 3 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Study Director: Mural Oncology Medical Monitor, Mural Oncology, Inc

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 10, 2022

Primary Completion (Estimated)

May 1, 2026

Study Completion (Estimated)

May 1, 2027

Study Registration Dates

First Submitted

October 13, 2021

First Submitted That Met QC Criteria

October 13, 2021

First Posted (Actual)

October 25, 2021

Study Record Updates

Last Update Posted (Actual)

April 23, 2024

Last Update Submitted That Met QC Criteria

April 19, 2024

Last Verified

April 1, 2024

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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