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Trial · NCT03435640

REVEAL Study of NKTR-262 in Combination With NKTR-214 and Nivolumab in Patients With Locally Advanced / Metastatic Solid Tumor Malignancies

NCT03435640, Phase 1, Phase 2, Terminated, Nektar Therapeutics; results first posted 2023-03-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. REVEAL Study of NKTR-262 in Combination With NKTR-214 and Nivolumab in Patients With Locally Advanced / Metastatic Solid Tumor Malignancies. Trials, record NCT03435640. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03435640

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
REVEAL Study of NKTR-262 in Combination With NKTR-214 and Nivolumab in Patients With Locally Advanced / Metastatic Solid Tumor Malignancies
NCT number
NCT03435640
Status
Terminated
Phases
Phase 1, Phase 2
Enrollment
64 participants, actual
Lead sponsor
Nektar Therapeutics
Conditions
Melanoma, Merkel Cell Carcinoma, Triple Negative Breast Cancer, Head and Neck Squamous Cell Carcinoma, Renal Cell Carcinoma, Colorectal Cancer, Sarcoma
Interventions
NKTR-262, bempegaldesleukin, nivolumab
First posted
2018-02-19
Last updated
2023-03-08
Other registries' IDs
eudract:2018-004625-84
Results first posted
2023-03-08

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants Experiencing Dose-Limiting Toxicities (DLTS)
The DLT window is 21 days following NKTR-262 single agent administration (Cycle 1) and an additional 9 days when combined with bempeg for staggered dosing administration (Cohorts 1 and 2), or 7 days for the same day administration (Cohort 3 and higher).
DLTs were assessed in Cohort 1 through Cohort 9, which had dose levels of NKTR-262 as 0.03mg, 0.06mg, 0.06mg, 0.12mg, 0.24mg, 0.48mg, 0.96mg, 1.92mg, and 3.84mg in combination with bempegaldesleukin (bempeg). There was only 1 DLT that occurred in one of the Cohort 9 patients. Therefore, the maximum tolerated dose (MTD) of NKTR 262 was not reached.
PrimaryObjective Response Rate (ORR) Per RECIST 1.1 in Cohort A and Cohort B at Recommended Phase 2 Dose (RP2D)From Cycle 1 Day 1 to 100 days after the last dose of study drug or the date for new anti-cancer therapy, whichever is earlier.
Objective Response Rate (ORR) per RECIST 1.1 in Cohort A and Cohort B at Recommended Phase 2 Dose (RP2D). ORR is defined as the percentage of subjects with evidence of a confirmed complete response (CR) or partial response (PR) as per Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1 and as assessed by Blinded Independent Central Review (BICR).

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants Experiencing Dose-Limiting Toxicities (DLTS)
The DLT window is 21 days following NKTR-262 single agent administration (Cycle 1) and an additional 9 days when combined with bempeg for staggered dosing administration (Cohorts 1 and 2), or 7 days for the same day administration (Cohort 3 and higher).
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYObjective Response Rate (ORR) Per RECIST 1.1 in Cohort A and Cohort B at Recommended Phase 2 Dose (RP2D)From Cycle 1 Day 1 to 100 days after the last dose of study drug or the date for new anti-cancer therapy, whichever is earlier.safety populationpercentage of participantsNUMBER

Results by group13

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 1 NKTR-262 (0.03 mg) + Bempegaldesleukin (Administered Staggered)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 2 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered Staggered)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 3 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered the Same Day)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 4 NKTR-262 (0.12 mg) + Bempegaldesleukin (Administered the Same Day)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 5 NKTR-262 (0.24 mg) + Bempegaldesleukin (Administered the Same Day)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 6 NKTR-262 (0.48 mg) + Bempegaldesleukin (Administered the Same Day)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 7 NKTR-262 (0.96 mg) + Bempegaldesleukin (Administered the Same Day)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 8 NKTR-262 (1.92 mg) + Bempegaldesleukin (Administered the Same Day)0Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort 9 NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)1Participants
Number of Participants Experiencing Dose-Limiting Toxicities (DLTS)Cohort A NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)0Participants

Participant flow33

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1 NKTR-262 (0.03 mg) + Bempegaldesleukin (Administered Staggered)3
Overall StudySTARTEDCohort 2 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered Staggered)3
Overall StudySTARTEDCohort 3 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered the Same Day)4
Overall StudySTARTEDCohort 4 NKTR-262 (0.12 mg) + Bempegaldesleukin (Administered the Same Day)3
Overall StudySTARTEDCohort 5 NKTR-262 (0.24 mg) + Bempegaldesleukin (Administered the Same Day)4
Overall StudySTARTEDCohort 6 NKTR-262 (0.48 mg) + Bempegaldesleukin (Administered the Same Day)4
Overall StudySTARTEDCohort 7 NKTR-262 (0.96 mg) + Bempegaldesleukin (Administered the Same Day)4
Overall StudySTARTEDCohort 8 NKTR-262 (1.92 mg) + Bempegaldesleukin (Administered the Same Day)3
Overall StudySTARTEDCohort 9 NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)8
Overall StudySTARTEDCohort A NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)14

Adverse events3,058

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherFatigueGeneral disordersCohort 1 NKTR-262 (0.03 mg) + Bempegaldesleukin (Administered Staggered)23
otherFatigueGeneral disordersCohort 2 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered Staggered)33
otherFatigueGeneral disordersCohort 3 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered the Same Day)24
otherFatigueGeneral disordersCohort 4 NKTR-262 (0.12 mg) + Bempegaldesleukin (Administered the Same Day)13
otherFatigueGeneral disordersCohort 5 NKTR-262 (0.24 mg) + Bempegaldesleukin (Administered the Same Day)34
otherFatigueGeneral disordersCohort 6 NKTR-262 (0.48 mg) + Bempegaldesleukin (Administered the Same Day)24
otherFatigueGeneral disordersCohort 7 NKTR-262 (0.96 mg) + Bempegaldesleukin (Administered the Same Day)34
otherFatigueGeneral disordersCohort 8 NKTR-262 (1.92 mg) + Bempegaldesleukin (Administered the Same Day)13
otherFatigueGeneral disordersCohort 9 NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)48
otherFatigueGeneral disordersCohort A NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)814

Adverse event totals33

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1 NKTR-262 (0.03 mg) + Bempegaldesleukin (Administered Staggered)23
Total, all-cause mortalityCohort 2 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered Staggered)23
Total, all-cause mortalityCohort 3 NKTR-262 (0.06 mg) + Bempegaldesleukin (Administered the Same Day)34
Total, all-cause mortalityCohort 4 NKTR-262 (0.12 mg) + Bempegaldesleukin (Administered the Same Day)13
Total, all-cause mortalityCohort 5 NKTR-262 (0.24 mg) + Bempegaldesleukin (Administered the Same Day)44
Total, all-cause mortalityCohort 6 NKTR-262 (0.48 mg) + Bempegaldesleukin (Administered the Same Day)44
Total, all-cause mortalityCohort 7 NKTR-262 (0.96 mg) + Bempegaldesleukin (Administered the Same Day)14
Total, all-cause mortalityCohort 8 NKTR-262 (1.92 mg) + Bempegaldesleukin (Administered the Same Day)23
Total, all-cause mortalityCohort 9 NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)58
Total, all-cause mortalityCohort A NKTR-262 (3.84 mg) + Bempegaldesleukin (Administered the Same Day)914

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
35444059DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03435640

GET https://conductscience.org/api/trials/v1/NCT03435640/flow?page=2