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ALT-803

Phase 1

Non-small Cell Lung Cancer | Monoclonal antibody | Oncology |ImmunityBio, Inc.|Last Updated: Feb 17, 2026

Target and mechanism

Molecular targetIL-15Rα
Target classReceptor
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

NO_TREATMENT_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment67

FDA Designations

No designations recorded

Clinical trial landscape

ALT-803 · 3 trials · 3 indications

Phase 1 3
NCT02523469ALT-803 Plus Nivolumab in Patients With Pretreated, Advanced or Metastatic Non-Small Cell Lung CancerNon-small Cell Lung Cancer
COMPLETED67 Analytics
NCT03381586QUILT-1.004: A Single Center, Open-label, Pharmacokinetic Study of Subcutaneous ALT-803Healthy
COMPLETED20 Analytics
NCT01946789A Phase 1 Study of the Clinical and Immunologic Effects of ALT-803 in Patients With Advanced Solid TumorsAdvanced Solid Tumors
COMPLETED26 Analytics
PHASE1COMPLETED
ALT-803 Plus Nivolumab in Patients With Pretreated, Advanced or Metastatic Non-Small Cell Lung Cancer
Non-small Cell Lung CancerUnlock trial analytics
PHASE1COMPLETED
QUILT-1.004: A Single Center, Open-label, Pharmacokinetic Study of Subcutaneous ALT-803
HealthyUnlock trial analytics
PHASE1COMPLETED
A Phase 1 Study of the Clinical and Immunologic Effects of ALT-803 in Patients With Advanced Solid Tumors
Advanced Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Presence or Absence of a Dose Limiting Toxicity (DLT) of ALT-803 in Combination With Nivolumab
Cycles 1-4: Weeks 1-6 of each cycle

A continual reassessment method (CRM) design will be used to identify the maximum tolerated dose (MTD) for Phase Ib patients

Objective Response Rate
While on study, at the end of each 6 week cycle; if off study, every 3 months, UP TO 3 YEARS

The phase II portion of the study looks to define the objective response rate (using immune-related RECIST) of ALT-803 added to nivolumab in patients with advanced and unresectable non-small cell lung cancer. Objective response rate will be defined by the best overall response, which is the best response recorded from the start of the treatment until disease progression/recurrence (taking as reference for progressive disease, the smallest measurements recorded since the treatment started). The subject's best response assignment will depend on the achievement of both measurement and confirmation criteria.

PK Profile - Half-life (t½)
Up to 192 hours

The period of time required for the concentration or amount of drug in the body to be reduced by one-half.

PK Profile - Apparent (Extravascular) Volume of Distribution (Vz/F)
Up to 192 hours

Apparent volume of distribution is a ratio of the total amount of drug in the body to the plasma concentration of the drugs such that Vd = amount of drug in body/plasma drug concentration.

PK Profile - Apparent (Extravascular) Clearance (CL/F)
Up to 192 hours

apparent (extravascular) clearance (CL/F)

PK Profile - Maximum Observed Concentration (Cmax)
Up to 192 hours

maximum observed concentration (Cmax)

PK Profile - Time of the Observed Maximum Concentration (Tmax)
Up to 192 hours

time of the observed maximum concentration (Tmax)

PK Profile - Area Under the Plasma Concentration Curve From Time 0 Through the Last Measurable Concentration (AUC0-t)
Up to 192 hours

area under the plasma concentration curve from time 0 through the last measurable concentration (AUC0-t)

PK Profile - Area Under the Plasma Concentration Curve From Time 0 Extrapolated to Infinite Time (AUC0-inf)
Up to 192 hours

area under the plasma concentration curve from time 0 extrapolated to infinite time (AUC0-inf)

Dose Limiting Toxicity
9 months

The safety endpoint is the MTD of ALT-803, defined as the dose level below that at which ≥2 of 6 patients experience a DLT.

Secondary Endpoints

Progression-Free Survival (PFS)
Up to 6 months
Overall Survival (OS)
From first dose until death or last known alive, up to 15 months.
Duration of Response (DoR)
Up to 6 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1: ALT-803 6 µg/kg + Nivolumab 3 mg/kgEXPERIMENTALParticipants receive ALT-803 6 µg/kg + Nivolumab 3 mg/kg IV per protocol
Cohort 2: ALT-803 10 µg/kg + Nivolumab 3 mg/kgEXPERIMENTALParticipants receive ALT-803 10 µg/kg + Nivolumab 3 mg/kg IV per protocol
Cohort 3: ALT-803 15 µg/kg + Nivolumab 3 mg/kgEXPERIMENTALParticipants receive ALT-803 15 µg/kg + Nivolumab 3 mg/kg IV per protocol
Cohort 4: ALT-803 20 µg/kg + Nivolumab 3 mg/kg (RP2D)EXPERIMENTALParticipants receive ALT-803 20 µg/kg + Nivolumab 3 mg/kg IV per protocol
Arm A: RP2D ALT-803 + Nivolumab (Nivo-naïve)EXPERIMENTALParticipants receive ALT-803 20 µg/kg + Nivolumab 3 mg/kg IV; Nivolumab-naïve population
Arm B: RP2D ALT-803 + Nivolumab (Nivo-progressor)EXPERIMENTALParticipants receive ALT-803 20 µg/kg + Nivolumab 3 mg/kg IV; prior Nivolumab exposure
Exploratory Arm 1NO_INTERVENTIONALT-803 ± Nivolumab for biomarker analysis only
Exploratory Arm 2NO_INTERVENTIONALT-803 ± Nivolumab for biomarker analysis only
Group AEXPERIMENTAL1.0 mg/ml ALT-803
Group BEXPERIMENTAL2.0 mg/ml ALT-803
N-803 IV 0.3/0.5 ug/kgEXPERIMENTAL -
N-803 IV 1.0 ug/kgEXPERIMENTAL -
N-803 IV 3.0 ug/kgEXPERIMENTAL -
N-803 IV 6.0 ug/kgEXPERIMENTAL -
N-803 Subcutaneous 6.0 ug/kgEXPERIMENTAL -
N-803 Subcutaneous 10.0 ug/kgEXPERIMENTAL -
N-803 Subcutaneous 15.0 ug/kgEXPERIMENTAL -
N-803 Subcutaneous 20.0 ug/kgEXPERIMENTAL -
N-803 Intratumoral 10.0 ug/kg followed by N-803 15.0 ug/kg subcutaneousEXPERIMENTAL -

Interventions

NameTypeDescription
ALT-803BIOLOGICALALT-803 administered IV at doses per arm (6, 10, 15, 20 µg/kg)
NivolumabBIOLOGICALNivolumab administered IV at 3 mg/kg per protocol
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: 1. Histologically or cytologically confirmed diagnosis of NSCLC who present with Stage IIIB/Stage IV disease (according to version 7 of the International Association for the Study of Lung Cancer Staging Manual in Thoracic Oncology) or recurrent disease following radiation therap...

Countries:United States
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Competitive Landscape -Non-Small Cell Lung Cancer 393 trials

Frequently asked questions about ALT-803

What is ALT-803 used for?

ALT-803 is an investigational monoclonal antibody being studied for use in oncology, specifically in advanced solid tumors and non-small cell lung cancer. It has been evaluated in Phase 1 clinical trials, including a study in patients with advanced solid tumors and a study combining ALT-803 with nivolumab in pretreated, advanced or metastatic non-small cell lung cancer.

What does ALT-803 target?

ALT-803 targets the IL-15Rα receptor, which is a receptor in the immune system. By targeting this receptor, ALT-803 is designed to modulate immune responses, which is relevant to its investigation as a cancer treatment. The drug is being developed by ImmunityBio, Inc. for oncology indications.

Who makes ALT-803?

ALT-803 is being developed by ImmunityBio, Inc., a biopharmaceutical company traded on the stock exchange under the ticker symbol IBRX. The company is conducting clinical research on ALT-803 for oncology indications, including advanced solid tumors and non-small cell lung cancer.

What phase is ALT-803 in?

ALT-803 is in Phase 1 clinical development. It has completed three Phase 1 trials, including studies in advanced solid tumors, non-small cell lung cancer, and a pharmacokinetic study in healthy volunteers. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is ALT-803 in?

ALT-803 has been studied in three completed Phase 1 clinical trials: NCT01946789 in advanced solid tumors, NCT02523469 in non-small cell lung cancer, and NCT03381586 in healthy volunteers. These trials were conducted in the United States and enrolled a total of 67 participants across the studies.

Is ALT-803 the same as other names?

ALT-803 is the primary name used for this investigational drug in clinical trials. No alternative names have been reported for this asset. It is being developed by ImmunityBio, Inc. and is being studied for its effects on the IL-15Rα receptor in oncology indications.