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Nemvaleukin Alfa

Phase 2

Squamous Cell Carcinoma of Head and Neck | Small molecule | Oncology |Mural Oncology plc|Last Updated: Oct 16, 2024

Success Probability

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment14

FDA Designations

No designations recorded

Clinical trial landscape

Nemvaleukin Alfa · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT04144517A Study of ALKS 4230 (Nemvaleukin Alfa) With Pembrolizumab in Head and Neck CancerSquamous Cell Carcinoma of Head and Neck
COMPLETED14 Analytics
PHASE2COMPLETED
A Study of ALKS 4230 (Nemvaleukin Alfa) With Pembrolizumab in Head and Neck Cancer
Squamous Cell Carcinoma of Head and NeckUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Response Rate (ORR) Based on RECIST v1.1
From the first dose of study drug until first PD or death, whichever occurred first (up to 49 weeks)

ORR was defined as percentage of participants with complete response (CR) or PR as assessed by investigator based on response evaluation criteria in solid tumors (RECIST) version (v) 1.1. CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis less than (\<) 10 millimeters (mm). PR was defined as at least a 30 percent (%) decrease in the sum of diameter (SOD) of target lesions, taking as reference the baseline sum diameters. PD was defined as at least 20% increase (including an absolute increase of at least 5 mm) in the SOD of target lesions, taking as reference the smallest sum and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions.

Changes in density (cell counts per mm2) of immune cell (including total T cells, CD8+ T cells, CD56+ cells and Treg cells)
From the time of the Patient's pre-treatment biopsy to the time of the Patient's on-treatment biopsy

Changes in density (cell counts per mm2) of immune cell (including total T cells, CD8+ T cells, CD56+ cells and Treg cells) based on immunohistochemistry (IHC) and/or immunofluorescence (IF) in the TME between pretreatment and on-treatment (Cycle 2 Day 8) paired tumor biopsies

Changes in ratios (including T/Treg, CD8+/Treg, CD56+/Treg) based on immunohistochemistry (IHC) and/or immunofluorescence (IF) in the TME between pretreatment and on-treatment (Cycle 2 Day 8) paired tumor biopsies
From the time of the Patient's pre-treatment biopsy to the time of the Patient's on-treatment biopsy
Incidence of dose-limiting toxicity (DLT)
From the first dose through end of dose-limiting toxicity observation period (up to 24 months)

Secondary Endpoints

Duration of Response (DOR) Based on RECIST v1.1
From first documented CR or PR until first documentation of PD (up to 49 weeks)
Progression-free Survival (PFS) Based on RECIST v1.1
From the first dose of study drug to date of PD, start of alternate therapy or death, whichever occurred first (up to 49 weeks)
Time to Progression (TTP) Based on RECIST v1.1
From first dose of study drug to the date of the first documentation of PD (up to 49 weeks)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1: Nemvaleukin 3 mcg/kg + Pembrolizumab 200 mgEXPERIMENTALParticipants with current stable disease (SD) or partial response (PR) (Cohorts 1 and 2) who were not progressing or further demonstrating reductions in tumor size were to receive nemvaleukin alfa 3 microgram per kilogram (mcg/kg), intravenous (IV) infusion, daily from Days 1 to 5 of the first week of each 3-week treatment cycle in combination with pembrolizumab 200 milligram (mg), IV infusion, once, every three weeks (Q3W) on Day 1 of each 21-day cycle until confirmed progression, unacceptable toxicity or met other criteria for discontinuation.
Group 2: Nemvaleukin Alfa 3 mcg/kg + Pembrolizumab 200 mgEXPERIMENTALParticipants with progressive disease (PD) (Cohorts 3 and 4) received nemvaleukin alfa 3 mcg/kg, IV infusion, daily from Days 1 to 5 of the first week of each 3-week treatment cycle in combination with pembrolizumab 200 mg, IV infusion, once, Q3W on Day 1 of each 21-day cycle until confirmed progression, unacceptable toxicity or met other criteria for discontinuation.
Cohort 1: Tumor Microenvironment (TME) Nemvaleukin and PembrolizumabEXPERIMENTALNemvaleukin will be administered via Intravenous (IV) infusion given daily for 5 consecutive days followed by an off-treatment period. Starting on Cycle 3, Day 1 of each cycle, Pembrolizumab will be administered via IV infusion followed by IV infusion of nemvaleukin
Cohort 2 Part A: Less Frequent IV Dosing NemvaleukinEXPERIMENTAL -
Cohort 2 Part B: Less Frequent IV Dosing Nemvaleukin and PembrolizumabEXPERIMENTALThis arm will not open for enrollment.

Interventions

NameTypeDescription
Nemvaleukin AlfaDRUGNemvaleukin alfa IV infusion.
PembrolizumabDRUGPembrolizumab IV infusion.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Patients must have histologically or cytopathologically confirmed diagnosis of non-cutaneous squamous cell carcinoma of the head and neck region that is locally advanced and/or recurrent and no longer amenable to local surgical or radiation therapy and/or with evidence of dist...

Countries:United StatesSpain
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Frequently asked questions about Nemvaleukin Alfa

What is Nemvaleukin Alfa used for?

Nemvaleukin Alfa is an investigational oncology therapy being studied for squamous cell carcinoma of the head and neck and advanced solid tumors. It is currently in Phase 2 clinical development for these indications. The drug is being evaluated both as a monotherapy and in combination with pembrolizumab in clinical trials.

Who makes Nemvaleukin Alfa?

Nemvaleukin Alfa is being developed by Mural Oncology plc, a biopharmaceutical company traded on the stock exchange under the ticker symbol MURA. The company is conducting clinical trials to evaluate the drug's safety and efficacy in oncology indications.

What phase is Nemvaleukin Alfa in?

Nemvaleukin Alfa is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still undergoing clinical trials to assess its safety and effectiveness for treating squamous cell carcinoma of the head and neck and advanced solid tumors.

What clinical trials is Nemvaleukin Alfa in?

Nemvaleukin Alfa is being studied in two clinical trials. NCT04144517 is a Phase 2 study of the drug with pembrolizumab in head and neck cancer, which has been completed. NCT04592653 is a Phase 1 study of less frequent intravenous dosing and tumor microenvironment effects, both as monotherapy and with pembrolizumab, in advanced solid tumors.

Is Nemvaleukin Alfa being studied in combination with pembrolizumab?

Yes, Nemvaleukin Alfa is being evaluated in combination with pembrolizumab in clinical trials. One completed Phase 2 study (NCT04144517) tested this combination in squamous cell carcinoma of the head and neck, and an ongoing Phase 1 study (NCT04592653) is also assessing the combination in advanced solid tumors.

What is the status of the Nemvaleukin Alfa clinical trials?

One Nemvaleukin Alfa trial, NCT04144517, a Phase 2 study in head and neck cancer, has been completed. Another trial, NCT04592653, a Phase 1 study in advanced solid tumors, is active but not recruiting participants. Both trials are being conducted in the United States, with the Phase 1 study also including sites in Spain.