Evidence map›Paper›PMID 40990800›Full record

Trial reportThe oncologist2025

Less frequent intravenous dosing of nemvaleukin alfa in patients with advanced solid tumors: the phase 1/2 ARTISTRY-3 trial.

Sarina A Piha-Paul, Justin A Call, Alexander I Spira, Jorge Bartolomé, Maria de Miguel, Xiwei Chen, Sarah S Donatelli, Nehal J Lakhani

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04592653 (Clinical and Immunologic Activity of Nemvaleukin Alfa With Less Frequent IV Dosing Schedule as Monotherapy and in Combination With Pembrolizumab and Impact on Tumor Microenvironment in Solid Tumor Patients - ARTISTRY-3), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04592653 phase1 / phase2active not recruitingnot on this map

Clinical and Immunologic Activity of Nemvaleukin Alfa With Less Frequent IV Dosing Schedule as Monotherapy and in Combination With Pembrolizumab and Impact on Tumor Microenvironment in Solid Tumor Patients - ARTISTRY-3

TypeinterventionalSponsorMural Oncology, IncRan2020 to 2024Enrolled78ConditionsAdvanced Solid TumorArmsNemvaleukin alfa, Pembrolizumab
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarina A Piha-PaulDepartment of Investigational Cancer Therapeutics, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, United States.ORCID 0000-0001-9455-1660
Justin A CallSTART Mountain Region, West Valley City, UT 84119, United States.
Alexander I SpiraNEXT Oncology Virginia, Fairfax, VA 22031, United States.
Jorge BartoloméUTEC Hospital Clínico San Carlos, Madrid 28040, Spain.
Maria de MiguelSTART Madrid-CIOCC, Centro Integral Oncológico Clara Campal, Madrid 28050, Spain.
Xiwei ChenMural Oncology, Waltham, MA 02451, United States.
Sarah S DonatelliMural Oncology, Waltham, MA 02451, United States.
Nehal J LakhaniSTART Midwest, Grand Rapids, MI 49546, United States.

Funding

Mural Oncology
6 · The paper itself

Abstract

backgroundIntravenous (IV) nemvaleukin alfa (nemvaleukin, ALKS 4230) administered daily on days 1-5 in 21‑day cycles demonstrated antitumor activity and manageable safety in heavily pretreated advanced solid tumors. We present results from cohort 2 of the open-label phase I/II ARTISTRY-3 (NCT04592653) study, which evaluated less frequent IV dosing of nemvaleukin in advanced solid tumors.

methodsEligible patients received escalating IV nemvaleukin doses in 21-day cycles on 3 schedules: day 1, days 1 and 8, and days 1 and 4. The primary endpoint was the incidence of dose-limiting toxicities (DLTs).

resultsFrom April 2022 to June 2024, 52 patients received nemvaleukin. No DLTs were reported. Most treatment-related adverse events (TRAEs) were grade 1-2. Six patients (12%) experienced grade 3 TRAEs, the most common being neutropenia. Nemvaleukin exposure increased with escalating doses. Natural killer (NK) cell and CD8+ T-cell expansion in whole blood was observed, with minimal regulatory T-cell expansion. Nemvaleukin at 30 μg/kg on days 1 and 8 was the recommended phase II dose. No objective responses were observed; 16 (31%) patients had stable disease (6 [12%] for ≥3 months). Increased tumor microenvironment infiltration of NK cells and CD8+ T-cells was observed in on-treatment biopsies.

conclusionsLess frequent IV doses of nemvaleukin demonstrated pharmacodynamic proof of mechanism and were tolerable with some disease stabilization.

Indexed as

NeoplasmsAdministration, IntravenousAdultAgedFemaleHumansMaleMiddle Agedcancercytokineimmunotherapyinterleukinoncologysolid tumorstumor microenvironment

Identifiers

PMID40990800
PMCPMC12574322

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.