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Bempegaldesleukin

Phase 2

Urinary Bladder Neoplasm | Monoclonal antibody | Oncology |Nektar Therapeutics|Last Updated: Mar 12, 2024

Success Probability

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment192

FDA Designations

No designations recorded

Clinical trial landscape

Bempegaldesleukin · 2 trials · 4 indications

Phase 2 1Phase 1 1
NCT03785925A Single-Arm Study of Bempegaldesleukin (NKTR-214) Plus Nivolumab in Cisplatin Ineligible Patients Who Have Locally Advanced or Metastatic Urothelial CancerUrinary Bladder Neoplasm
COMPLETED192 Analytics
PHASE2COMPLETED
A Single-Arm Study of Bempegaldesleukin (NKTR-214) Plus Nivolumab in Cisplatin Ineligible Patients Who Have Locally Advanced or Metastatic Urothelial Cancer
Urinary Bladder NeoplasmUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Per Blinded Independent Central Review (BICR) in Patients Whose Tumors Have Low Programmed Cell Death Ligand (PD-L1) Expression
Tumor assessments were performed at baseline and every 9 weeks from Cycle 1 Day 1 for the first 12 months, and then every 12 weeks as indicated in the Schedule of Events, up to approximately 27 months

To evaluate the anti-tumor activity of NKTR-214 in combination with nivolumab by assessing the ORR by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) per blinded independent central review (BICR) in patients whose tumors have low programmed cell death ligand 1 (PD-L1) expression. ORR was defined as the percentage of patients with confirmed objective response of Complete Response (CR) or Partial Response (PR) on or before the first progressive disease and any subsequent anticancer therapy. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had to have reduction in short axis to \<10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

AUC of Bempegaldesleukin [Pharmacokinetic Parameter].
Day 1: Predose, 0.5, 24, 48, 72, 120, and 168 hours post dose.

Area under the serum concentration-time curve (AUC) of bempegaldesleukin calculated from time 0 to 168 hours.

Cmax of Bempegaldesleukin [Pharmacokinetic Parameter].
Day 1: Predose, 0.5, 24, 48, 72, 120, and 168 hours post dose.

Maximum observed serum concentration (Cmax) of bempegaldesleukin.

Tmax of Bempegaldesleukin [Pharmacokinetic Parameter].
Day 1: Predose, 0.5, 24, 48, 72, 120, and 168 hours post dose.

Time to maximum concentration of bempegaldesleukin. Cmax = maximum concentration. Tmax = time to maximum concentration.

Number of Participants With Treatment-Emergent Adverse Events [Safety and Tolerability]
Safety and tolerability were evaluated from baseline up to approximately 30 days.

Safety and Tolerability of bempegaldesleukin (starting at dose 0.00075 mg/kg) in combination with SOC was evaluated by incidence of Treatment-Emergent Adverse Events of Any Grade, Grade 3-4, and Grade 5 (Death).

Number of Participants Experiencing Dose-Limiting Toxicities (DLTs)
The DLT evaluation period was up to approximately 7 days following the bempegaldesleukin treatment.

Dose finding for this study was based on the assessment of DLT of bempegaldesleukin dose levels. Number and percentage of patients with any DLT were summarized by bempegaldesleukin dose level in bempegaldesleukin plus SOC treatment groups \[0.00075 mg/kg, N=5; 0.0015 mg/kg, N=5; and 0.003 mg/kg, N=5\] and placebo plus SOC (N=15). Adverse events related to study drug(s) that were defined as DLTs included the following: * Any Grade ≥ 3 drug-related AE. * Any Grade ≥ 3 drug-related laboratory abnormality that was clinically significant per the Investigator. * Respiratory compromise or other virus-related AE attributed to worsening COVID-19, such as severe hypoxia, cyanosis, or chest pain/pressure. The event was considered a DLT if it was confirmed to be at least possibly related to study drug, met any of the above definitions, and was confirmed to have occurred in a patient treated with bempegaldesleukin.

Percent Change From Baseline for Absolute Lymphocyte Count (ALC) by Dose/Arm.
ALC was evaluated from baseline up to 7 days (Day 8) following the study drug administration.

To assess the effect of bempegaldesleukin on the time course and extent of changes in absolute lymphocyte counts (ALC). Data are reported by dose and arm for Day 8 compared to baseline.

Secondary Endpoints

Objective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Per Blinded Independent Central Review (BICR) in All Treated Patients
Tumor assessments were performed at baseline and every 9 weeks from Cycle 1 Day 1 for the first 12 months, and then every 12 weeks as indicated in the Schedule of Events, up to approximately 27 months.
Duration of Response (DOR) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 Per Blinded Independent Central Review (BICR) in in All Treated Patients and Patients Whose Tumors Have Low Programmed Cell Death Ligand (PD-L1) Expression
Tumor assessments were performed at baseline and every 9 weeks from Cycle 1 Day 1 for the first 12 months, and then every 12 weeks as indicated in the Schedule of Events, up to approximately 27 months.
Objective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by Investigator in All Treated Patients and Patients Whose Tumors Have Low Programmed Cell Death Ligand (PD-L1) Expression
Tumor assessments were performed at baseline and every 9 weeks from Cycle 1 Day 1 for the first 12 months, and then every 12 weeks as indicated in the Schedule of Events, up to approximately 27 months.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Combination of bempegaldesleukin (NKTR-214) + nivolumabEXPERIMENTALParticipants will receive bempegaldesleukin (NKTR-214) in combination with nivolumab.
Bempegaldesleukin IV + Standard of CareEXPERIMENTAL -
Placebo + Standard of CarePLACEBO_COMPARATOR -

Interventions

NameTypeDescription
BempegaldesleukinBIOLOGICALSpecified dose on specified days
NivolumabBIOLOGICALSpecified dose on specified days
Standard of CareDRUGStandard of Care Treatment for COVID-19 Infection
PlaceboOTHERAdministered as an intravenous infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites70

Key Inclusion Criteria: * Provide written, informed consent to participate in the study and follow the study procedures * Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2 * Measurable disease per RECIST 1.1 criteria * Histologically or cytologically documented inoperable, locally...

Countries:United StatesArgentinaAustraliaBelgiumCanadaFinlandFranceGermanyGreeceIsraelItalyMexicoNetherlandsPortugalRussiaSpainTurkey (Türkiye)United Kingdom
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Frequently asked questions about Bempegaldesleukin

What is Bempegaldesleukin used for?

Bempegaldesleukin is an investigational drug being studied for urinary bladder neoplasm and Covid-19. It is being developed by Nektar Therapeutics (NKTR). Bempegaldesleukin is in Phase 1 clinical development and is not approved by the FDA.

Who makes Bempegaldesleukin?

Bempegaldesleukin is developed by Nektar Therapeutics, a biopharmaceutical company traded under the ticker NKTR. The drug is currently in Phase 1 clinical trials for urinary bladder neoplasm and Covid-19.

What phase is Bempegaldesleukin in?

Bempegaldesleukin is in Phase 1 clinical development. It has completed one Phase 1 trial and one Phase 2 trial. Bempegaldesleukin is investigational and has not been approved by the FDA.

What clinical trials is Bempegaldesleukin in?

Bempegaldesleukin has completed two clinical trials. NCT03785925 was a Phase 2 study of bempegaldesleukin plus nivolumab in cisplatin-ineligible patients with locally advanced or metastatic urothelial cancer. NCT04646044 was a Phase 1 placebo-controlled trial of bempegaldesleukin with standard of care in patients with mild Covid-19.

Is Bempegaldesleukin the same as NKTR-214?

Yes, Bempegaldesleukin is also known as NKTR-214. Clinical trials such as NCT03785925 and NCT04646044 refer to the drug as bempegaldesleukin (BEMPEG; NKTR-214).