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NCT03901573

High-Risk Skin Cancers With Atezolizumab Plus NT-I7

Terminated Phase 1, PHASE2 Results posted Last updated 22 October 2025
What this trial tests

Phase 1, PHASE2 trial testing NT-I7 in Melanoma in 31 participants. Terminated before completion.

Timeline
26 December 2019
Primary endpoint
15 August 2023
15 August 2023

Quick facts

Lead sponsorNeoImmuneTech
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment31
Start date26 December 2019
Primary completion15 August 2023
Estimated completion15 August 2023
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

NeoImmuneTech — full company profile →

Who can join

18 and older, any sex, with Melanoma or Merkel Cell Carcinoma. 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.

Phase 1b: To Evaluate the Safety and Tolerability of NT-I7 in Combination With Atezolizumab, Including Estimation of the Maximum Tolerated Dose and/or the Recommended Phase 2 Dose Primary · 1. On or after administration of study treatment through 30 days after the last dose of study treatment (approximately 25 months after enrollment) 2.First 21 days (C1/D1 through Day 21)

1. Incidence, nature, and severity of adverse events graded according to NCI CTCAE 5.0 2. Incidence and nature of dose-limiting toxicities (DLTs) Note: ORR (Defined as the percentage of patients who have at least one confirmed partial response (PR) or complete response (CR) according to Response Evaluation Criteria in Solid Tumors (RECIST) v.1.1). ORR is included in Phase 2a Primary Outcome Measure.

Incidence of Treatment-Related TEAE
GroupValue95% CI
Phase 1b-Dose Level 13
Phase 1b-Dose Level 23
Phase 1b-Dose Level 37
Phase 1b-Dose Level 43
Phase 2-14
Patient Incidence of Serious Treatment-Emergent Adverse Events
GroupValue95% CI
Phase 1b-Dose Level 11
Phase 1b-Dose Level 20
Phase 1b-Dose Level 35
Phase 1b-Dose Level 41
Phase 2-9
Patient Incidence of Serious Treatment-Related Adverse Events
GroupValue95% CI
Phase 1b-Dose Level 10
Phase 1b-Dose Level 20
Phase 1b-Dose Level 33
Phase 1b-Dose Level 40
Phase 2-4
Patient Incidence of Adverse Events of Special Interest
GroupValue95% CI
Phase 1b-Dose Level 12
Phase 1b-Dose Level 21
Phase 1b-Dose Level 33
Phase 1b-Dose Level 40
Phase 2-9
Experienced a DLT
GroupValue95% CI
Phase 1b-Dose Level 10
Phase 1b-Dose Level 20
Phase 1b-Dose Level 31
Phase 1b-Dose Level 40
Phase 2-0
Phase 2a: To Evaluate the Objective Response Rate (ORR) According to RECIST 1.1 and iRECIST, as Determined by the Investigator Primary · C1D1 until the start of a new anticancer treatment, disease progression, pregnancy, death, withdrawal of consent or end of study, whichever occurs first, up to 1 year

Pooling of dose levels for this Outcome Measure was pre-specified in the Statistical Analysis Plan (SAP Section 4.2.1) and the study protocol. Phase 1b dose-escalation results are summarized by dose level (120, 360, 840, 1200 µg/kg), and Phase 2a results under 1200 µg/kg. Efficacy analyses pool Phase 1b doses (120-840 µg/kg) and the Phase 2a 1200 µg/kg dose to reflect the predefined analysis strategy and study objectives. This approach was chosen due to small sample sizes and early study termination, as documented in the Clinical Study Report (CSR).

GroupValue95% CI
NT-I7 Dose Levels + Atezolizumab (120-840 µg/kg)0
NT-I7 Dose Levels + Atezolizumab (1200 µg/kg)0
NT-I7 Dose Levels + Atezolizumab (120-840 µg/kg)0
NT-I7 Dose Levels + Atezolizumab (1200 µg/kg)2
NT-I7 Dose Levels + Atezolizumab (120-840 µg/kg)9
NT-I7 Dose Levels + Atezolizumab (1200 µg/kg)6
NT-I7 Dose Levels + Atezolizumab (120-840 µg/kg)3
NT-I7 Dose Levels + Atezolizumab (1200 µg/kg)7
To Evaluate Immunogenicity of NT-I7 in Combination With Atezolizumab Secondary · C1D1 through end of 90-day follow-up

The ADA status will be defined using the baseline and postbaseline results. Anti-drug antibody negative is defined as negative results at all time points. Anti-drug antibody positive is defined as a positive result at any time point, including baseline.

Baseline
GroupValue95% CI
Phase 1b-Dose Level 10
Phase 1b-Dose Level 20
Phase 1b-Dose Level 30
Phase 1b-Dose Level 40
Phase 2-1
Phase 1b-Dose Level 13
Phase 1b-Dose Level 23
Phase 1b-Dose Level 37
Phase 1b-Dose Level 43
Phase 2-12
Phase 1b-Dose Level 10
Phase 1b-Dose Level 20
Phase 1b-Dose Level 30
Phase 1b-Dose Level 40
Phase 2-2
C2D1
GroupValue95% CI
Phase 1b-Dose Level 10
Phase 1b-Dose Level 21
Phase 1b-Dose Level 34
Phase 1b-Dose Level 40
Phase 2-2
Phase 1b-Dose Level 13
Phase 1b-Dose Level 22
Phase 1b-Dose Level 32
Phase 1b-Dose Level 43
Phase 2-11
Phase 1b-Dose Level 10
Phase 1b-Dose Level 20
Phase 1b-Dose Level 31
Phase 1b-Dose Level 40
Phase 2-2
End of Treatment
GroupValue95% CI
Phase 1b-Dose Level 10
Phase 1b-Dose Level 20
Phase 1b-Dose Level 30
Phase 1b-Dose Level 40
Phase 2-0
Phase 1b-Dose Level 10
Phase 1b-Dose Level 21
Phase 1b-Dose Level 30
Phase 1b-Dose Level 40
Phase 2-6
Phase 1b-Dose Level 13
Phase 1b-Dose Level 22
Phase 1b-Dose Level 37
Phase 1b-Dose Level 43
Phase 2-9
90-Day Follow up
GroupValue95% CI
Phase 1b-Dose Level 12
Phase 1b-Dose Level 22
Phase 1b-Dose Level 34
Phase 1b-Dose Level 43
Phase 2-4
Phase 1b-Dose Level 11
Phase 1b-Dose Level 21
Phase 1b-Dose Level 33
Phase 1b-Dose Level 40
Phase 2-11
Phase 1b-Dose Level 10
Phase 1b-Dose Level 20
Phase 1b-Dose Level 30
Phase 1b-Dose Level 40
Phase 2-0
To Make a Preliminary Assessment of the Anti-tumor Activity of NT-I7 in Combination With Atezolizumab Secondary · C1D1 until the start of a new anticancer treatment, disease progression, pregnancy, death, withdrawal of consent or end of study, whichever occurs first, up to 1 year

Pooling of dose levels for this Outcome Measure was also pre-specified in the SAP and study protocol to maintain consistency across efficacy endpoints. For this Outcome Measure (e.g., Disease Control Rate), pooled groups were defined as Phase 1b (120-840 µg/kg) and Phase 2a (1200 µg/kg). This approach aligns with the predefined analyses and study objectives and prevents misleading subgroup estimates given the limited enrollment and early study termination.

Duration of stable disease
GroupValue95% CI
NT-I7 Dose Levels (NT-I7 120-840 µg/kg) + Atezolizumab2.21.41 – 12.25
NT-I7 Dose Levels (1200 µg/kg) + Atezolizumab2.01.45 – 2.27
Progression -Free Survival, RECIST 1.1
GroupValue95% CI
NT-I7 Dose Levels (NT-I7 120-840 µg/kg) + Atezolizumab4.22.07 – 6.93
NT-I7 Dose Levels (1200 µg/kg) + Atezolizumab3.51.87 – 4.24
Overall Survival
GroupValue95% CI
NT-I7 Dose Levels (NT-I7 120-840 µg/kg) + Atezolizumab11.13.81 – 22.24
NT-I7 Dose Levels (1200 µg/kg) + AtezolizumabNA5.06 – NA
To Make a Preliminary Assessment of the Anti-tumor Activity of NT-I7 in Combination With Atezolizumab (DCR) Secondary · C1D1 until the start of a new anticancer treatment, disease progression, pregnancy, death, withdrawal of consent or end of study, whichever occurs first, up to 1 year

For Outcome Measure 4 and 5, pooling was also pre-specified in SAP Section 4.8 and CSR Section 11.4. Kaplan-Meier analyses were conducted on pooled groups for interpretability and statistical validity. Separate reporting by Arm was not feasible due to small sample sizes and early termination.

GroupValue95% CI
NT-I7 Dose Levels (NT-I7 120-840 µg/kg) + Atezolizumab75.0
NT-I7 Dose Levels (1200 µg/kg) + Atezolizumab53.3

Adverse events — posted to ClinicalTrials.gov

Time frame: On or after administration of study treatment through 30 days after the last dose of study treatment (approximately 25 months after enrollment). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase 1b-Dose Level 1
Serious: 1/3 (33%)
Deaths: 2/3
Phase 1b-Dose Level 2
Serious: 0/3 (0%)
Deaths: 3/3
Phase 1b-Dose Level 3
Serious: 5/7 (71%)
Deaths: 5/7
Phase 1b-Dose Level 4
Serious: 1/3 (33%)
Deaths: 1/3
Phase 2-
Serious: 9/15 (60%)
Deaths: 8/15

Serious adverse events (25 terms)

ReactionSystemPhase 1b-Dose Level 1Phase 1b-Dose Level 2Phase 1b-Dose Level 3Phase 1b-Dose Level 4Phase 2-
DehydrationMetabolism and nutrition disorders
Acute kidney injuryRenal and urinary disorders
AnaemiaBlood and lymphatic system disorders
Adrenal insufficiencyEndocrine disorders
Abdominal painGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
Influenza like illnessGeneral disorders
Injection site reactionGeneral disorders
Peripheral swellingGeneral disorders
Immune-mediated hepatitisHepatobiliary disorders
CystitisInfections and infestations
EndocarditisInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
Hip fractureInjury, poisoning and procedural complications
Aspartate aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
Failure to thriveMetabolism and nutrition disorders
Confusional statePsychiatric disorders
ErythemaSkin and subcutaneous tissue disorders
Loss of personal independence in daily activitiesSocial circumstances
Infusion related reactionInjury, poisoning and procedural complications
Other adverse events (162 terms — click to expand)

ReactionSystemPhase 1b-Dose Level 1Phase 1b-Dose Level 2Phase 1b-Dose Level 3Phase 1b-Dose Level 4Phase 2-
FatigueGeneral disorders
Injection site reactionGeneral disorders
PruritusSkin and subcutaneous tissue disorders
PyrexiaGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Influenza like illnessGeneral disorders
NauseaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Lymphocyte count decreasedInvestigations
DehydrationMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HypophosphatasemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
DiarrheaGastrointestinal disorders
Infusion related reactionInjury, poisoning and procedural complications
Blood alkaline phosphataseInvestigations
Blood alkaline phosphatase increasedInvestigations
Blood lactate dehydrogenase increasedInvestigations
Brain natriuretic peptide increasedInvestigations
White blood cell count decreasedInvestigations
Abnormal loss of weightMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMetabolism and nutrition disorders
DizzinessNervous system disorders
InsomniaPsychiatric disorders
Acute kidney injuryRenal and urinary disorders
HematuriaRenal and urinary disorders
ProteinuriaRenal and urinary disorders
Dry skinSkin and subcutaneous tissue disorders
ErythemaSkin and subcutaneous tissue disorders
Oedema peripheralGeneral disorders
Vision blurredEye disorders
Skin infectionInfections and infestations
Weight decreasedInvestigations

Most-reported serious reactions: Dehydration, Acute kidney injury, Anaemia, Adrenal insufficiency, Abdominal pain, Nausea, Vomiting, Fatigue.

Data from ClinicalTrials.gov NCT03901573 adverse events section.

Sponsor's own description

The purpose of this study is to test whether the addition of NT-I7 to atezolizumab provides clinically meaningful outcomes for patients with anti-PD-1/PD-L1 naive or relapsed/refractory high-risk melanoma, Merkel Cell Carcinoma (MCC) and cutaneous Squamous Cell Carcinoma (cSCC)

Publications & conference data

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

  1. The Role of IL-7 and IL-7R in Cancer Pathophysiology and Immunotherapy.
    Wang C, Kong L, Kim S, Lee S, et al · · 2022 · cited 78× · PMID 36142322 · DOI 10.3390/ijms231810412
  2. Engineering cytokines for cancer immunotherapy: a systematic review.
    Fu Y, Tang R, Zhao X. · · 2023 · cited 36× · PMID 37483629 · DOI 10.3389/fimmu.2023.1218082
  3. The application of Interleukin-2 family cytokines in tumor immunotherapy research.
    Zhou Y, Quan G, Liu Y, Shi N, et al · · 2023 · cited 32× · PMID 36936961 · DOI 10.3389/fimmu.2023.1090311
  4. Hybrid Fc-fused interleukin-7 induces an inflamed tumor microenvironment and improves the efficacy of cancer immunotherapy.
    Kim JH, Kim YM, Choi D, Jo SB, et al · · 2020 · cited 26× · PMID 32994996 · DOI 10.1002/cti2.1168
  5. Immune Checkpoint Inhibition in Non-Melanoma Skin Cancer: A Review of Current Evidence.
    Stonesifer CJ, Djavid AR, Grimes JM, Khaleel AE, et al · · 2021 · cited 25× · PMID 34988009 · DOI 10.3389/fonc.2021.734354
  6. Immunotherapy for Cutaneous Squamous Cell Carcinoma: Results and Perspectives.
    Alberti A, Bossi P. · · 2021 · cited 24× · PMID 35070956 · DOI 10.3389/fonc.2021.727027
  7. Immune Checkpoint Blockade in Advanced Cutaneous Squamous Cell Carcinoma: What Do We Currently Know in 2020?
    Wessely A, Steeb T, Leiter U, Garbe C, et al · · 2020 · cited 23× · PMID 33291277 · DOI 10.3390/ijms21239300
  8. Merkel Cell Carcinoma from Molecular Pathology to Novel Therapies.
    Stachyra K, Dudzisz-Śledź M, Bylina E, Szumera-Ciećkiewicz A, et al · · 2021 · cited 21× · PMID 34208339 · DOI 10.3390/ijms22126305

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