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NCT03054909

IP ALT-803 Followed by SQ ALT-803 for Ovarian Cancer

Completed Phase 2 Results posted Last updated 13 October 2023
What this trial tests

Phase 2 trial testing ALT-803 Subcutaneous in FIGO Stage III and IV Ovarian Cancer in 7 participants. Completed in 16 February 2022.

Timeline
19 September 2017
Primary endpoint
16 February 2022
16 February 2022

Quick facts

Lead sponsorMasonic Cancer Center, University of Minnesota
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment7
Start date19 September 2017
Primary completion16 February 2022
Estimated completion16 February 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Masonic Cancer Center, University of Minnesota

Who can join

18 and older, female only, with FIGO Stage III and IV Ovarian Cancer or FIGO Stage III and IV Fallopian Tube 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.

Progression Free Survival Primary · 6 months

Incidence of Progression Free Survival after first treatment of ALT-803.

GroupValue95% CI
Arm 1: ALT-803 Subcutaneous Only501 – 91
Arm 2: ALT-803 Intraperitoneal and Subcutaneous1000 – 100
Progression Free Survival Secondary · 1 year

Incidence of Progression Free Survival after first treatment of ALT-803.. Survival probability estimate.

GroupValue95% CI
Arm 1: ALT-803 Subcutaneous Only501 – 91
Arm 2: ALT-803 Intraperitoneal and Subcutaneous1000 – 100
Overall Survival Secondary · 1 year

Overall Survival from start of ALT-803 dosing

GroupValue95% CI
Arm 1: ALT-803 Subcutaneous Only1000 – 100
Arm 2: ALT-803 Intraperitoneal and Subcutaneous1000 – 100
ALT-803 Associated Toxicities Secondary · 1 year

Incidence of ALT-803 associated toxicities after first treatment of ALT-803.

GroupValue95% CI
Arm 1: ALT-803 Subcutaneous Only65
Arm 2: ALT-803 Intraperitoneal and Subcutaneous100
Incidence of Recorded Toxicity Grade 3 or Greater Secondary · 1 year

Grade 3 adverse events or greater will be measured. A Grade 3 adverse event is defined as severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling.

GroupValue95% CI
Arm 1: ALT-803 Subcutaneous Only1
Arm 2: ALT-803 Intraperitoneal and Subcutaneous2
Progression Free Survival Secondary · 2 years

Incidence of Progression Free Survival after first treatment of ALT-803.. Survival probability estimate.

GroupValue95% CI
Arm 1: ALT-803 Subcutaneous Only501 – 91
Arm 2: ALT-803 Intraperitoneal and Subcutaneous1000 – 100
Overall Survival Secondary · 2 year

Overall Survival after first treatment of ALT-803.

GroupValue95% CI
Arm 1: ALT-803 Subcutaneous Only1000 – 100
Arm 2: ALT-803 Intraperitoneal and Subcutaneous1000 – 100

Adverse events — posted to ClinicalTrials.gov

Time frame: Patients were monitored from first dose of ALT-803 until two years after off treatment date, 3 years in total.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 1: ALT-803 Subcutaneous Only
Serious: 1/3 (33%)
Deaths: 0/3
Arm 2: ALT-803 Intraperitoneal and Subcutaneous
Serious: 0/4 (0%)
Deaths: 0/4

Serious adverse events (1 terms)

ReactionSystemArm 1: ALT-803 Subcutaneou…Arm 2: ALT-803 Intraperito…
SyncopeNervous system disorders
Other adverse events (44 terms — click to expand)

ReactionSystemArm 1: ALT-803 Subcutaneou…Arm 2: ALT-803 Intraperito…
Injection site reactionGeneral disorders
ChillsGeneral disorders
Flu like symptomsGeneral disorders
FeverGeneral disorders
HeadacheNervous system disorders
DiarrheaGastrointestinal disorders
PainGeneral disorders
Gait disturbanceGeneral disorders
NauseaGastrointestinal disorders
Abdominal painGastrointestinal disorders
Skin and subcutaneous tissue disorders - Other, specifySkin and subcutaneous tissue disorders
HypertensionVascular disorders
FatigueGeneral disorders
General disorders and administration site conditions - Other, specifyGeneral disorders
Localized edemaGeneral disorders
MalaiseGeneral disorders
Peripheral sensory neuropathyNervous system disorders
DizzinessNervous system disorders
Facial nerve disorderNervous system disorders
Peripheral motor neuropathyNervous system disorders
SyncopeNervous system disorders
VomitingGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders
ErythrodermaSkin and subcutaneous tissue disorders
HirsutismSkin and subcutaneous tissue disorders
TelangiectasiaSkin and subcutaneous tissue disorders
HypotensionVascular disorders
Lymph node painBlood and lymphatic system disorders
AnemiaBlood and lymphatic system disorders
Back painMusculoskeletal and connective tissue disorders
ArthritisMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Laryngeal inflammationRespiratory, thoracic and mediastinal disorders
Vestibular disorderEar and labyrinth disorders
Immune system disorders - Other, specifyImmune system disorders
Infections and infestations - Other, specifyInfections and infestations

Most-reported serious reactions: Syncope.

Data from ClinicalTrials.gov NCT03054909 adverse events section.

Sponsor's own description

This is a single center, randomized phase II study of an IL-15Rα-Fc super-agonist complex (ALT-803) given as maintenance therapy after the completion of 1st line IV/IP chemotherapy for the treatment of advanced ovarian, fallopian tube, and primary peritoneal cancer.

Publications & conference data

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

  1. 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
  2. Lymphopenia in Cancer Patients and its Effects on Response to Immunotherapy: an opportunity for combination with Cytokines?
    Ménétrier-Caux C, Ray-Coquard I, Blay JY, Caux C. · · 2019 · cited 251× · PMID 30922400 · DOI 10.1186/s40425-019-0549-5
  3. Continuous treatment with IL-15 exhausts human NK cells via a metabolic defect.
    Felices M, Lenvik AJ, McElmurry R, Chu S, et al · · 2018 · cited 210× · PMID 29415897 · DOI 10.1172/jci.insight.96219
  4. The potential and promise of IL-15 in immuno-oncogenic therapies.
    Robinson TO, Schluns KS. · · 2017 · cited 155× · PMID 28823521 · DOI 10.1016/j.imlet.2017.08.010
  5. Targeting Natural Killer Cells for Tumor Immunotherapy.
    Zhang C, Hu Y, Shi C. · · 2020 · cited 91× · PMID 32140153 · DOI 10.3389/fimmu.2020.00060
  6. Naturally Killing the Silent Killer: NK Cell-Based Immunotherapy for Ovarian Cancer.
    Nersesian S, Glazebrook H, Toulany J, Grantham SR, et al · · 2019 · cited 55× · PMID 31456796 · DOI 10.3389/fimmu.2019.01782
  7. The human IL-15 superagonist N-803 promotes migration of virus-specific CD8+ T and NK cells to B cell follicles but does not reverse latency in ART-suppressed, SHIV-infected macaques.
    Webb GM, Molden J, Busman-Sahay K, Abdulhaqq S, et al · · 2020 · cited 54× · PMID 32163523 · DOI 10.1371/journal.ppat.1008339
  8. Driving Immune Responses in the Ovarian Tumor Microenvironment.
    Ning F, Cole CB, Annunziata CM. · · 2020 · cited 36× · PMID 33520713 · DOI 10.3389/fonc.2020.604084

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