PIVOT-12: a Phase III study of adjuvant bempegaldesleukin plus nivolumab in resected stage III/IV melanoma at high risk for recurrence


Por: Eggermont, AMM, Ascierto, PA, Khushalani, NI, Schadendorf, D, Boland, G, Weber, J, Lewis, KD, Johnson, D, Rivalland, G, Khattak, A, Majem, M, Gogas, H, Long, GV, Currie, SL, Chien, D, Tagliaferri, MA, Carlino, MS, Diab, A

Publicada: 1 mar 2022 Ahead of Print: 1 ene 2022
Resumen:
Bempegaldesleukin (BEMPEG: NKTR-214) is an immunostimulatory IL-2 cytokine prodrug engineered to deliver a controlled, sustained and preferential IL-2 pathway signal. Nivolumab (NIVO), a PD-L1 inhibitor, has been shown to prolong survival in patients with advanced melanoma and recurrence-free survival in the adjuvant setting. PIVOT-02 showed that BEMPEG plus NIVO was well-tolerated and demonstrated clinical activity as first-line therapy in metastatic melanoma. PIVOT-12 is a randomized, Phase Ill, global, multicenter, open-label study comparing adjuvant therapy with BEMPEG plus NIVO versus NIVO alone in adult and adolescent patients with completely resected cutaneous stage III/IV melanoma at high risk of recurrence. The primary objective is to compare the efficacy, as measured by recurrence-free survival, of BEMPEG plus NIVO versus NIVO. Lay abstract: Following surgery, patients with advanced melanoma may require further treatment to reduce the likelihood of disease recurrence. Nivolumab (NIVO), a checkpoint inhibitor, reduces the risk of melanoma recurrence by enhancing the ability of the immune system to fight disease. Despite the availability of NIVO and other therapies, many patients with melanoma still experience disease recurrence after surgery. This article presents information on a clinical trial named PIVOT-12, which aims to assess the effectiveness of a new investigational drug called bempegaldesleukin that modifies the immune system and is given with NIVO to patients with stage III/IV melanoma following surgery. The main end point being measured is recurrence-free survival, which measures the time between a patient starting the study and the date of disease recurrence.

Filiaciones:
Eggermont, AMM:
 Princess Maxima Ctr Pediat Oncol, Utrecht, Netherlands

 Univ Med Ctr Utrecht, Utrecht, Netherlands

Ascierto, PA:
 Ist Nazl Tumori IRCCS Fdn G Pascale, Naples, Italy

Khushalani, NI:
 H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL 33612 USA

Schadendorf, D:
 Univ Hosp Essen, West German Canc Ctr, Essen, Germany

Boland, G:
 Massachusetts Gen Hosp, Boston, MA 02114 USA

Weber, J:
 NYU Langone Hlth, Perlmutter Canc Ctr, New York, NY 10016 USA

Lewis, KD:
 Univ Colorado Canc Ctr, Aurora, CO 80045 USA

Johnson, D:
 Ochsner Med Ctr, New Orleans, LA 70121 USA

Rivalland, G:
 Univ Auckland, Auckland, New Zealand

 Auckland City Hosp, Auckland, New Zealand

Khattak, A:
 Edith Cowan Univ, Hollywood Private Hosp, Perth, WA, Australia

Majem, M:
 Hosp Santa Creu & Sant Pau, Barcelona, Spain

Gogas, H:
 Natl & Kapodistrian Univ Athens, Athens, Greece

Long, GV:
 Univ Sydney, Melanoma Inst Australia, Sydney, NSW, Australia

 Royal North Shore Hosp, Sydney, NSW, Australia

 Mater Hosp, Sydney, NSW, Australia

Currie, SL:
 Nektar Therapeut, San Francisco, CA 94158 USA

Chien, D:
 Nektar Therapeut, San Francisco, CA 94158 USA

Tagliaferri, MA:
 Nektar Therapeut, San Francisco, CA 94158 USA

Carlino, MS:
 Univ Sydney, Melanoma Inst Australia, Sydney, NSW, Australia

 Univ Sydney, Westmead Hosp, Sydney, NSW, Australia

 Univ Sydney, Blacktown Hosp, Sydney, NSW, Australia

Diab, A:
 Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA
ISSN: 14796694
Editorial
FUTURE MEDICINE LTD, UNITEC HOUSE, 3RD FLOOR, 2 ALBERT PLACE, FINCHLEY CENTRAL, LONDON, N3 1QB, ENGLAND, Reino Unido
Tipo de documento: Review
Volumen: 18 Número: 8
Páginas: 903-913
WOS Id: 000746636200001
ID de PubMed: 35073733
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