Last reviewed · How we verify

NCT02523469

ALT-803 Plus Nivolumab in Patients With Pretreated, Advanced or Metastatic Non-Small Cell Lung Cancer

Completed Phase 1, PHASE2 Results posted Last updated 17 February 2026
What this trial tests

Phase 1, PHASE2 trial testing ALT-803 in Non-small Cell Lung Cancer in 67 participants. Completed in 24 February 2023.

Timeline
8 January 2016
Primary endpoint
24 February 2023
24 February 2023

Quick facts

Lead sponsorMedical University of South Carolina
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment67
Start date8 January 2016
Primary completion24 February 2023
Estimated completion24 February 2023
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Medical University of South Carolina

Who can join

18 and older, any sex, with Non-small Cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Presence or Absence of a Dose Limiting Toxicity (DLT) of ALT-803 in Combination With Nivolumab Primary · 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

GroupValue95% CI
Cohort 1: ALT-803 6 µg/kg + Nivolumab 3 mg/kg3
Cohort 2: ALT-803 10 µg/kg + Nivolumab 3 mg/kg3
Cohort 3: ALT-803 15 µg/kg + Nivolumab 3 mg/kg6
Cohort 4: ALT-803 20 µg/kg + Nivolumab 3 mg/kg (RP2D)8
Cohort 1: ALT-803 6 µg/kg + Nivolumab 3 mg/kg0
Cohort 2: ALT-803 10 µg/kg + Nivolumab 3 mg/kg0
Cohort 3: ALT-803 15 µg/kg + Nivolumab 3 mg/kg0
Cohort 4: ALT-803 20 µg/kg + Nivolumab 3 mg/kg (RP2D)1
Objective Response Rate Primary · 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 confirmati

GroupValue95% CI
Arm A: RP2D ALT-803 + Nivolumab (Nivo-naïve)1
Arm B: RP2D ALT-803 + Nivolumab (Nivo-progressor)2
Progression-Free Survival (PFS) Secondary · Up to 6 months

Time from randomization to disease progression or death.

GroupValue95% CI
Arm A: RP2D ALT-803 + Nivolumab (Nivo-naïve)5.84.2 – 7.1
Arm B: RP2D ALT-803 + Nivolumab (Nivo-progressor)3.22.1 – 4.5
Overall Survival (OS) Secondary · From first dose until death or last known alive, up to 15 months.

Overall Survival (OS) was defined as the time from first dose of study treatment until death from any cause. Participants without a death event at the time of data cutoff were censored at the date of last known survival status.

GroupValue95% CI
Arm A: RP2D ALT-803 + Nivolumab (Nivo-naïve)12.410.1 – 14.8
Arm B: RP2D ALT-803 + Nivolumab (Nivo-progressor)9.68.0 – 11.2
Duration of Response (DoR) Secondary · Up to 6 months

Duration of Response (DoR) was defined as the time from the first documented objective response (CR or PR) until disease progression or death. Participants who had not progressed or died at the time of the data cutoff were censored at the date of last adequate tumor assessment. DoR was evaluated only in participants who achieved an objective response.

GroupValue95% CI
Arm A: RP2D ALT-803 + Nivolumab (Nivo-naïve)4.63.8 – 5.9
Arm B: RP2D ALT-803 + Nivolumab (Nivo-progressor)3.12.4 – 4.2

Adverse events — posted to ClinicalTrials.gov

Time frame: 5 years, 4 months, 7 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A: RP2D ALT-803 + Nivolumab (Nivo-naïve)
Serious: 3/20 (15%)
Deaths: 0/20
Arm B: RP2D ALT-803 + Nivolumab (Nivo-progressor)
Serious: 3/28 (11%)
Deaths: 0/28
Exploratory Arm 1
Serious: 0
Deaths: 0
Exploratory Arm 2
Serious: 0
Deaths: 0

Serious adverse events (16 terms)

ReactionSystemArm A: RP2D ALT-803 + Nivo…Arm B: RP2D ALT-803 + Nivo…Exploratory Arm 1Exploratory Arm 2
DyspneaRespiratory, thoracic and mediastinal disorders
Back painMusculoskeletal and connective tissue disorders
Sinus tachycardiaCardiac disorders
Myocardial InfarctionCardiac disorders
Abdominal painGastrointestinal disorders
Lung infectionInfections and infestations
DizzinessNervous system disorders
HemoptysisRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
AnemiaBlood and lymphatic system disorders
FeverGeneral disorders
SepsisInfections and infestations
ConfusionPsychiatric disorders
Acute Hypoxic Respiratory FailureRespiratory, thoracic and mediastinal disorders
HeartburnGastrointestinal disorders
WheezingRespiratory, thoracic and mediastinal disorders
Other adverse events (20 terms — click to expand)

ReactionSystemArm A: RP2D ALT-803 + Nivo…Arm B: RP2D ALT-803 + Nivo…Exploratory Arm 1Exploratory Arm 2
CoughRespiratory, thoracic and mediastinal disorders
FatigueGeneral disorders
PainGeneral disorders
Lymphocyte count decreasedInvestigations
HypertensionCardiac disorders
HypokalemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HypophosphatremiaMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
Weight lossInvestigations
HyperglycemiaMetabolism and nutrition disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Elbow joint painMusculoskeletal and connective tissue disorders
Chest Pain - CardiacCardiac disorders
Alkaline Phosphatase IncreasedInvestigations
AST increasedInvestigations
DepressionPsychiatric disorders
ALT increasedInvestigations
Bilateral Knee PainGeneral disorders
Bone PainGeneral disorders

Most-reported serious reactions: Dyspnea, Back pain, Sinus tachycardia, Myocardial Infarction, Abdominal pain, Lung infection, Dizziness, Hemoptysis.

Data from ClinicalTrials.gov NCT02523469 adverse events section.

Sponsor's own description

The purpose of the study is to define the safety and tolerability of this drug combination. The study will also define the response rate of patients with advanced and unresectable NSCLC.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Exploring the NK cell platform for cancer immunotherapy.
    Myers JA, Miller JS. · · 2021 · cited 977× · PMID 32934330 · DOI 10.1038/s41571-020-0426-7
  2. Natural killer cells in cancer biology and therapy.
    Wu SY, Fu T, Jiang YZ, Shao ZM. · · 2020 · cited 640× · PMID 32762681 · DOI 10.1186/s12943-020-01238-x
  3. Combination strategies to maximize the benefits of cancer immunotherapy.
    Zhu S, Zhang T, Zheng L, Liu H, et al · · 2021 · cited 444× · PMID 34579759 · DOI 10.1186/s13045-021-01164-5
  4. The NK cell-cancer cycle: advances and new challenges in NK cell-based immunotherapies.
    Bald T, Krummel MF, Smyth MJ, Barry KC. · · 2020 · cited 388× · PMID 32690952 · DOI 10.1038/s41590-020-0728-z
  5. ALT-803, an IL-15 superagonist, in combination with nivolumab in patients with metastatic non-small cell lung cancer: a non-randomised, open-label, phase 1b trial.
    Wrangle JM, Velcheti V, Patel MR, Garrett-Mayer E, et al · · 2018 · cited 352× · PMID 29628312 · DOI 10.1016/s1470-2045(18)30148-7
  6. Improvement of the anticancer efficacy of PD-1/PD-L1 blockade via combination therapy and PD-L1 regulation.
    Wu M, Huang Q, Xie Y, Wu X, et al · · 2022 · cited 336× · PMID 35279217 · DOI 10.1186/s13045-022-01242-2
  7. Influence of the Tumor Microenvironment on NK Cell Function in Solid Tumors.
    Melaiu O, Lucarini V, Cifaldi L, Fruci D. · · 2019 · cited 324× · PMID 32038612 · DOI 10.3389/fimmu.2019.03038
  8. Cancer Immunotherapy Based on Natural Killer Cells: Current Progress and New Opportunities.
    Hu W, Wang G, Huang D, Sui M, et al · · 2019 · cited 279× · PMID 31214177 · DOI 10.3389/fimmu.2019.01205

Verify or expand the search:

Other trials of ALT-803

Trials testing the same drug.

Other recruiting trials for Non-small Cell Lung Cancer

Currently open trials in the same condition.

Other Medical University of South Carolina trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02523469.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing