Nemvaleukin + Pembrolizumab for Ovarian Cancer

(ARTISTRY-7 Trial)

No longer recruiting at 294 trial locations
SD
Overseen BySenior Direct, Global Clinical Services
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment approach for women with certain types of ovarian cancer that have not responded well to standard treatments. The study tests the effectiveness of combining two drugs, nemvaleukin (an experimental treatment) and pembrolizumab (also known as KEYTRUDA, an immunotherapy drug), against standard chemotherapy options. Women who have experienced a return or worsening of their ovarian, fallopian tube, or primary peritoneal cancer after responding to platinum-based treatments might be suitable candidates. The goal is to determine if these new treatments can slow the cancer more effectively than existing options. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to potentially groundbreaking treatment advancements.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Studies have shown that nemvaleukin, both alone and with pembrolizumab, has a well-understood safety profile. Researchers know its effects on people, and patients have generally tolerated it well. Over 800 patients have received treatment in various studies, and it has been found safe in these groups.

Pembrolizumab, already used for other cancers, has also been studied for safety in ovarian cancer. It has shown some effectiveness and has been used in many trials, suggesting it is relatively safe for humans.

When used together, nemvaleukin and pembrolizumab show safety results consistent with previous studies, indicating the combination is tolerated without unexpected side effects. Although nemvaleukin hasn't shown a major benefit in extending life in some studies, it maintains a manageable safety profile.

In summary, both nemvaleukin and pembrolizumab, whether used separately or together, have been shown to be safe for human use in past research. They are well-tolerated, and any side effects are usually predictable and manageable.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about Nemvaleukin and Pembrolizumab for ovarian cancer because these treatments introduce innovative approaches compared to traditional chemotherapy options like paclitaxel or doxorubicin. Nemvaleukin, a novel interleukin-2 variant, is designed to selectively stimulate cancer-fighting immune cells without triggering regulatory cells that dampen the immune response. Pembrolizumab, a well-known checkpoint inhibitor, works by blocking a protein called PD-1, thereby reactivating the immune system to attack cancer cells. The combination of these two treatments aims to enhance the body's natural immune response, offering a potentially more targeted and effective approach against ovarian cancer than existing therapies.

What evidence suggests that this trial's treatments could be effective for ovarian cancer?

Research shows that nemvaleukin, a modified protein, has promising effects against tumors in patients with advanced solid cancers who have undergone many treatments. In this trial, some participants will receive nemvaleukin alone, while others will receive pembrolizumab alone. Pembrolizumab has shown benefits in treating various cancers, including ovarian cancer, and has improved survival rates in some studies. Additionally, one treatment arm will involve a combination of nemvaleukin and pembrolizumab. Recent studies found that this combination did not significantly improve survival in ovarian cancer patients. Although the combination treatment didn't meet all expectations, both treatments have shown potential individually in fighting cancer.23467

Who Is on the Research Team?

MO

Mural Oncology Medical Monitor

Principal Investigator

Mural Oncology, Inc

Are You a Good Fit for This Trial?

This trial is for women over 18 with platinum-resistant epithelial ovarian, fallopian tube, or primary peritoneal cancer. They must have seen their disease progress after recent therapy and received at least one line of bevacizumab-containing treatment. Excluded are those with certain subtypes of EOC, prior anti-PD1/PD-L1 therapy exposure, non-epithelial tumors, or significant fluid drainage needs.

Inclusion Criteria

I am willing to have a biopsy or provide previous biopsy samples.
My cancer got worse or didn't respond to platinum therapy within 6 months.
I've had 1-5 treatments for cancer that didn't respond well to platinum, including one with bevacizumab.
See 5 more

Exclusion Criteria

My ovarian cancer is of the mucinous or carcinosarcoma type.
My ovarian tumor is non-epithelial or has low malignant potential.
I have been treated with anti-PD1/PD-L1 therapy before.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either nemvaleukin and pembrolizumab combination therapy, pembrolizumab monotherapy, nemvaleukin monotherapy, or investigator's choice chemotherapy

24 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Nemvaleukin
  • Pembrolizumab
Trial Overview The study compares nemvaleukin alfa combined with pembrolizumab against a choice chemotherapy in patients who've had limited success with platinum-based treatments. It's an open-label Phase 3 trial where participants are randomly assigned to the treatment groups.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Active Control
Group I: Pembrolizumab (enrollment completed)Experimental Treatment1 Intervention
Group II: Nemvaleukin and Pembrolizumab CombinationExperimental Treatment1 Intervention
Group III: Nemvaleukin (enrollment completed)Experimental Treatment1 Intervention
Group IV: Investigator's ChoiceActive Control4 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Alkermes, Inc.

Lead Sponsor

Trials
118
Recruited
27,200+

Richard Pops

Alkermes, Inc.

Chief Executive Officer since 1991

BA in Economics from Stanford University

Dr. Craig Hopkinson

Alkermes, Inc.

Chief Medical Officer since 2017

MD

Mural Oncology, Inc

Lead Sponsor

Trials
6
Recruited
1,100+

Merck Sharp & Dohme LLC

Industry Sponsor

Trials
4,096
Recruited
5,232,000+
Chirfi Guindo profile image

Chirfi Guindo

Merck Sharp & Dohme LLC

Chief Marketing Officer since 2022

Degree in Engineering from Ecole Centrale de Paris, MBA from New York University Stern School of Business

Robert M. Davis profile image

Robert M. Davis

Merck Sharp & Dohme LLC

Chief Executive Officer since 2021

JD from Northwestern University Pritzker School of Law, MBA from Northwestern University Kellogg Graduate School of Management, Bachelor's in Finance from Miami University

Published Research Related to This Trial

In a phase Ib trial involving 26 patients with advanced PD-L1-positive ovarian cancer, pembrolizumab demonstrated a confirmed objective response rate of 11.5%, indicating some level of antitumor activity, with 1 complete response and 2 partial responses observed.
The treatment was generally well-tolerated, with 73.1% of patients experiencing treatment-related adverse events, but no deaths or treatment discontinuations due to these events, suggesting that pembrolizumab has a manageable safety profile.
Pembrolizumab in patients with programmed death ligand 1-positive advanced ovarian cancer: Analysis of KEYNOTE-028.Varga, A., Piha-Paul, S., Ott, PA., et al.[2019]
In a study involving patients with recurrent platinum-resistant ovarian cancer, the combination of pembrolizumab, cisplatin, and gemcitabine resulted in an overall response rate of 60%, but the duration of response was relatively short at 4.9 months.
The addition of pembrolizumab did not show a significant benefit over chemotherapy alone, leading to the decision to close the trial for further accrual after an interim analysis indicated modest outcomes.
Phase II trial of cisplatin, gemcitabine and pembrolizumab for platinum-resistant ovarian cancer.Walsh, CS., Kamrava, M., Rogatko, A., et al.[2022]
In a phase II trial involving 15 patients with resectable non-small cell lung cancer (NSCLC), neoadjuvant treatment with pembrolizumab showed a major pathologic response in 27% of patients, indicating promising antitumor activity before surgery.
The treatment was found to be feasible and safe, with only 33% of patients experiencing moderate adverse events, and no postoperative mortality, suggesting that pembrolizumab does not compromise surgical outcomes.
Neoadjuvant anti-programmed death-1 immunotherapy by pembrolizumab in resectable non-small cell lung cancer: First clinical experience.Eichhorn, F., Klotz, LV., Kriegsmann, M., et al.[2022]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39567211/
Nemvaleukin alfa, a modified interleukin-2 cytokine ... - PubMedConclusions: Nemvaleukin was well tolerated and demonstrated promising antitumor activity across heavily pretreated advanced solid tumors. Phase ...
Nemvaleukin Alfa Development Halted in Ovarian CancerNemvaleukin alfa with pembrolizumab missed the overall survival primary end point in ARTISTRY-7 for platinum-resistant ovarian cancer.
Nemvaleukin/Pembrolizumab Yield No OS Improvement in ...Nemvaleukin alfa, an engineered interleukin-2 (IL-2) variant immunotherapy, plus pembrolizumab (Keytruda) did not elicit a significant improvement in overall ...
Mural Oncology Provides Update on Phase 3 ARTISTRY-7 ...Median overall survival was 10.1 months for patients treated with nemvaleukin in combination with pembrolizumab and 9.8 months for patients ...
ARTISTRY-7: A phase 3, multicenter study of nemvaleukin ...In ARTISTRY-1, in 14 evaluable patients with OC, 4 responses were observed with nemvaleukin + pembrolizumab, including 2 complete responses and ...
Nemvaleukin Fails to Show OS Benefit Over ... - OncLiveThe development of nemvaleukin in platinum-resistant ovarian cancer will be discontinued based on interim OS data from the phase 3 ARTISTRY-7 trial.
NCT05092360 | Phase 3 Study of Nemvaleukin Alfa in ...This is a Phase 3, multicenter, open-label, randomized study of nemvaleukin in combination with pembrolizumab versus protocol-specific Investigator's choice ...
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