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ARTISTRY-7: Phase III trial of Nemvaleukin in platinum-resistant ovarian cancer

Written by Thomas J Herzog; John L Hays; Joyce N Barlin et al.

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Our partner journal Future Oncology has recently published the ARTISTRY-7 clinical trial study design, a Phase III global clinical trial evaluating the efficacy and safety of investigational nemvaleukin plus pembrolizumab for previously-treated platinum-resistant ovarian cancer patients when administered with pembrolizumab.

Read the article here

Abstract

Standard single-agent nonplatinum chemotherapy provides only modest benefit in a small proportion of patients with platinum-resistant/refractory ovarian cancer (PROC), with objective response rates of 6–20% and progression-free survival of ≈3–4 months. Nemvaleukin alfa (nemvaleukin, ALKS 4230) is a novel cytokine designed to capture and expand the therapeutic potential of high-dose interleukin-2 (IL-2) while mitigating its associated toxicity issues. Nemvaleukin preferentially activates cytotoxic CD8+ T cells and natural killer cells with minimal, non–dose-dependent effects on CD4+ regulatory T cells. The global, randomized, open-label, Phase III ARTISTRY-7 trial will compare efficacy and safety of nemvaleukin plus pembrolizumab with chemotherapy in patients with PROC. The primary end point is investigator-assessed progression-free survival.

Trial identifiers: GOG-3063; ENGOT-OV68; NCT05092360

Plain language summary

In many patients with ovarian cancer who are treated with platinum-based chemotherapy, the tumor comes back after a few months and fails to respond to repeated treatment. This type of disease is called platinum-resistant ovarian cancer (PROC). Researchers are searching for new medicines to help more patients with PROC.

One treatment approach that has shown promise in different cancers is called immunotherapy. These medicines work by helping the body’s immune system attack cancer cells. One of the immunotherapies being studied is called nemvaleukin. It is designed to trigger specific immune responses that may result in the immune system attacking cancer cells while potentially avoiding other immune responses that can block the attack or cause certain unwanted side effects. Nemvaleukin is being studied in a variety of cancer types.

In a worldwide clinical trial called ARTISTRY-7, researchers are investigating how nemvaleukin works in patients with PROC when given with another immunotherapy called pembrolizumab. Patients who participate in this trial will be randomly assigned to one of four treatment groups: the combination of nemvaleukin and pembrolizumab, nemvaleukin by itself, pembrolizumab by itself, or a type of chemotherapy selected by the treating physician. The main purpose of ARTISTRY-7 is to understand whether the combination of nemvaleukin and pembrolizumab helps patients with PROC live longer without their cancer getting worse. At the time of this writing, ARTISTRY-7 is open for new patients to join.

Read the article here