Study of Cabozantinib in Combination With Nivolumab and Ipilimumab in Patients With Previously Untreated Advanced or Metastatic Renal Cell Carcinoma
NCT ID: NCT03937219
Last Updated: 2025-09-10
Study Results
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View full resultsBasic Information
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ACTIVE_NOT_RECRUITING
PHASE3
855 participants
INTERVENTIONAL
2019-06-25
2027-01-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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Experimental Arm
Cabozantinib + nivolumab + ipilimumab (4 doses) followed by cabozantinib + nivolumab
Cabozantinib
Specified dose on specified days.
Nivolumab
Specified dose on specified days.
Ipilimumab
Specified dose on specified days.
Control Arm
Cabozantinib-matched placebo + nivolumab + ipilimumab (4 doses) followed by cabozantinib-matched placebo + nivolumab
Nivolumab
Specified dose on specified days.
Ipilimumab
Specified dose on specified days.
Cabozantinib-matched placebo
Specified dose on specified days.
Interventions
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Cabozantinib
Specified dose on specified days.
Nivolumab
Specified dose on specified days.
Ipilimumab
Specified dose on specified days.
Cabozantinib-matched placebo
Specified dose on specified days.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Intermediate- or poor-risk RCC as defined by International Metastatic RCC Database Consortium (IMDC) criteria.
* Measurable disease per RECIST 1.1 as determined by the Investigator. Measurable disease must be outside the radiation field if radiation therapy was previously administered.
* Karnofsky Performance Status (KPS) ≥ 70%.
* Adequate organ and marrow function.
Exclusion Criteria
* Radiation therapy for bone metastasis within 2 weeks, any other radiation therapy within 4 weeks prior to randomization.
* Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and stable for at least 4 weeks prior to randomization.
* Concomitant anticoagulation with oral anticoagulants or platelet inhibitors.
* Administration of a live, attenuated vaccine within 30 days prior to randomization.
* Uncontrolled, significant intercurrent or recent illness including, but not limited to serious cardiovascular disorders (including uncontrolled hypertension defined as sustained blood pressure (BP) \> 150 mm Hg systolic or \> 90 mm Hg diastolic despite optimal antihypertensive treatment), GI disorders associated with high risk for perforation or fistula formation, tumors invading GI tract, bowel obstruction, intra-abdominal abscess, clinically significant bleeding events, cavitating pulmonary lesions, or lesions invading major pulmonary blood vessels.
* Other clinically significant disorders such as:
* Autoimmune disease that has been symptomatic or required treatment within the past two years from the date of randomization.
* Any condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of randomization.
* Active infection requiring systemic treatment. Acute or chronic hepatitis B or C infection, known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness, or known positive test for tuberculosis infection where there is clinical or radiographic evidence of active myobacterial infection.
* Known history of COVID-19 unless the subject has clinically recovered from the disease at least 30 days prior to randomization.
* Major surgery (eg, nephrectomy, GI surgery, removal or biopsy of brain metastasis) within 4 weeks prior to randomization. Minor surgeries within 10 days prior to randomization. Subjects must have complete wound healing from major or minor surgery before randomization.
* Any other active malignancy at time of randomization or diagnosis of another malignancy within 3 years prior to randomization that requires active treatment, except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, or breast.
18 Years
ALL
No
Sponsors
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Exelixis
INDUSTRY
Responsible Party
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Locations
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Exelixis Clinical Site #116
La Jolla, California, United States
Exelixis Clinical Site #166
Orange, California, United States
Exelixis Clinical Site #29
Boca Raton, Florida, United States
Exelixis Clinical Site #44
Miami, Florida, United States
Exelixis Clinical Site #3
Atlanta, Georgia, United States
Exelixis Clinical Site #95
Chicago, Illinois, United States
Exelixis Clinical Site #69
Scarborough, Maine, United States
Exelixis Clinical Site #58A
Baltimore, Maryland, United States
Exelixis Clinical Site #7B
Boston, Massachusetts, United States
Exelixis Clinical Site #7A
Boston, Massachusetts, United States
Exelixis Clinical Site #7C
Boston, Massachusetts, United States
Exelixis Clinical Site #6
Burlington, Massachusetts, United States
Exelixis Clinical Site #15
Detroit, Michigan, United States
Exelixis Clinical Site #24
Kansas City, Missouri, United States
Exelixis Clinical Site #4
St Louis, Missouri, United States
Exelixis Clinical Site #2
Omaha, Nebraska, United States
Exelixis Clinical Site #159
New York, New York, United States
Exelixis Clinical Site #8
New York, New York, United States
Exelixis Clinical Site #19
Syracuse, New York, United States
Exelixis Clinical Site #101
Charlotte, North Carolina, United States
Exelixis Clinical Site #107
Portland, Oregon, United States
Exelixis Clinical Site #12
Pittsburgh, Pennsylvania, United States
Exelixis Clinical Site #102
Charleston, South Carolina, United States
Exelixis Clinical Site #5
Myrtle Beach, South Carolina, United States
Exelixis Clinical Site #10
Nashville, Tennessee, United States
Exelixis Clinical Site #38
Nashville, Tennessee, United States
Exelixis Clinical Site #64
Fairfax, Virginia, United States
Exelixis Clinical Site #57
Seattle, Washington, United States
Exelixis Clinical Site #1
Spokane, Washington, United States
Exelixis Clinical Site #13
Madison, Wisconsin, United States
Exelixis Clinical Site #153
Pilar, Buenos Aires, Argentina
Exelixis Clinical Site #109
Rosario, Santa Fe Province, Argentina
Exelixis Clinical Site #73
San Miguel de Tucumán, Tucumán Province, Argentina
Exelixis Clinical Site #54
Buenos Aires, , Argentina
Exelixis Clinical Site #63
CABA, , Argentina
Exelixis Clinical Site #110
Ciudad Autonoma de Buenos Aire, , Argentina
Exelixis Clinical Site #120
Córdoba, , Argentina
Exelixis Clinical Site #32
Albury, New South Wales, Australia
Exelixis Clinical Site #35
Kogarah, New South Wales, Australia
Exelixis Clinical Site #27
North Ryde, New South Wales, Australia
Exelixis Clinical Site #33
Sydney, New South Wales, Australia
Exelixis Clinical Site #17
South Brisbane, Queensland, Australia
Exelixis Clinical Site #14
Woolloongabba, Queensland, Australia
Exelixis Clinical Site #18
Adelaide, South Australia, Australia
Exelixis Clinical Site #11
North Adelaide, South Australia, Australia
Exelixis Clinical Site #9
Ballarat, Victoria, Australia
Exelixis Clinical Site #23
Box Hill, Victoria, Australia
Exelixis Clinical Site #26
Subiaco, Western Australia, Australia
Exelixis Clinical Site #98
Wiener Neustadt, Lower Austria, Austria
Exelixis Clinical Site #76
Linz, Upper Austria, Austria
Exelixis Clinical Site #75
Salzburg, , Austria
Exelixis Clinical Site #126
Vienna, , Austria
Exelixis Clinical Site #112
Brussels, , Belgium
Exelixis Clinical Site #146
Hasselt, , Belgium
Exelixis Clinical Site #154
Belo Horizonte, Minas Gerais, Brazil
Exelixis Clinical Site #155
Curitiba, Paraná, Brazil
Exelixis Clinical Site #158
Porto Alegre, Rio Grande do Sul, Brazil
Exelixis Clinical Site #140
Porto Alegre, Rio Grande do Sul, Brazil
Exelixis Clinical Site #163
Porto Alegre, Rio Grande do Sul, Brazil
Exelixis Clinical Site #168
Barretos, São Paulo, Brazil
Exelixis Clinical Site #162
São José do Rio Preto, São Paulo, Brazil
Exelixis Clinical Site #119
São Paulo, , Brazil
Exelixis Clinical Site #141
São Paulo, , Brazil
Exelixis Clinical Site #22
Calgary, Alberta, Canada
Exelixis Clinical Site #105
Winnipeg, Manitoba, Canada
Exelixis Clinical Site #46
Ottawa, Ontario, Canada
Exelixis Clinical Site #25
Toronto, Ontario, Canada
Exelixis Clinical Site #113
Montreal, Quebec, Canada
Exelixis Clinical Site #85
Temuco, Región de La Araucanía (IX), Chile
Exelixis Clinical Site #91
Santiago, , Chile
Exelixis Clinical Site #100
Santiago, , Chile
Exelixis Clinical Site #89
Králová, , Czechia
Exelixis Clinical Site #114
Prague, , Czechia
Exelixis Clinical Site #118
Prague, , Czechia
Exelixis Clinical Site #50
Helsinki, , Finland
Exelixis Clinical Site #56
Tampere, , Finland
Exelixis Clinical Site #52
Turku, , Finland
Exelixis Clinical Site #86
Bordeaux, , France
Exelixis Clinical Site #71
Le Mans, , France
Exelixis Clinical Site #78
Lyon, , France
Exelixis Clinical Site #80
Montpellier, , France
Exelixis Clinical Site #66
Nice, , France
Exelixis Clinical Site #150
Paris, , France
Exelixis Clinical Site #65
Reims, , France
Exelixis Clinical Site #125
Rennes, , France
Exelixis Clinical Site #128
Strasbourg, , France
Exelixis Clinical Site #90
Strasbourg, , France
Exelixis Clinical Site #42
Toulouse, , France
Exelixis Clinical Site #67
Vandœuvre-lès-Nancy, , France
Exelixis Clinical Site #37
Villejuif, , France
Exelixis Clinical Site #127
Heidelberg, Baden-Wurttemberg, Germany
Exelixis Clinical Site #115
Tübingen, Baden-Wurttemberg, Germany
Exelixis Clinical Site #117
Frankfurt am Main, Hesse, Germany
Exelixis Clinical Site #139
Münster, North Rhine-Westphalia, Germany
Exelixis Clinical Site #171
Münster, North Rhine-Westphalia, Germany
Exelixis Clinical Site #164
Mainz, Rhineland-Palatinate, Germany
Exelixis Clinical Site #137
Jena, Thuringia, Germany
Exelixis Clinical Site #124
Dresden, , Germany
Exelixis Clinical Site #28
Hong Kong, , Hong Kong
Exelixis Clinical Site #136
Shatin, , Hong Kong
Exelixis Clinical Site #111
Tuenmen, , Hong Kong
Exelixis Clinical Site #39
Budapest, , Hungary
Exelixis Clinical Site #51
Pécs, , Hungary
Exelixis Clinical Site #88
Beersheba, , Israel
Exelixis Clinical Site #81
Haifa, , Israel
Exelixis Clinical Site #84
Jerusalem, , Israel
Exelixis Clinical Site #121
Kfar Saba, , Israel
Exelixis Clinical Site #97
Petah Tikva, , Israel
Exelixis Clincal Site #129
Ramat Gan, , Israel
Exelixis Clinical Site #41
Meldola, Forli - Cesena, Italy
Exelixis Clinical Site #70
Faenza, Ravenna, Italy
Exelixis Clinical Site #47
Arezzo, , Italy
Exelixis Clinical Site #60
Modena, , Italy
Exelixis Clinical Site #61
Padua, , Italy
Exelixis Clinical Site #59
Pavia, , Italy
Exelixis Clinical Site #104
Perugia, , Italy
Exelixis Clinical Site #68
Terni, , Italy
Exelixis Clinical Site #123
Aguascalientes, Aguascalientes, Mexico
Exelixis Clinical Site #167
León, Guanajuato, Mexico
Exelixis Clinical Site #169
Zapopan, Jalisco, Mexico
Exelixis Clinical Site #134
Monterrey, Nuevo León, Mexico
Exelixis Clinical Site #132
Oaxaca City, Oaxaca, Mexico
Exelixis Clinical Site #160
Mexico City, , Mexico
Exelixis Clinical Site #131
Querétaro, , Mexico
Exelixis Clinical Site #161
Querétaro, , Mexico
Exelixis Clinical Site #144
Amsterdam, , Netherlands
Exelixis Clinical Site #149
Rotterdam, , Netherlands
Exelixis Clinical Site #122
Hamilton, Waikato Region, New Zealand
Exelixis Clinical Site #148
Newtown, Wellington Region, New Zealand
Exelixis Clinical Site #31
Biała Podlaska, , Poland
Exelixis Clinical Site #62
Bydgoszcz, , Poland
Exelixis Clinical Site #135
Gdansk, , Poland
Exelixis Clinical Site #99
Otwock, , Poland
Exelixis Clinical Site #83
Poznan, , Poland
Exelixis Clinical Site #77
Singapore, , Singapore
Exelixis Clinical Site #40
Singapore, , Singapore
Exelixis Clinical Site #147
Seongnam-si, Gyeonggi-do, South Korea
Exelixis Clinical Site #143
Seoul, , South Korea
Exelixis Clinical Site #151
Seoul, , South Korea
Exelixis Clinical Site #152
Seoul, , South Korea
Exelixis Clinical Site #53
Santiago de Compostela, Coruña, Spain
Exelixis Clinical Site #45
Pamplona, Navarre, Spain
Exelixis Clinical Site #43
Barcelona, , Spain
Exelixis Clinical Site #36
Barcelona, , Spain
Exelixis Clinical Site #49
Córdoba, , Spain
Exelixis Clinical Site #34
Madrid, , Spain
Exelixis Clinical Site #94
Madrid, , Spain
Exelixis Clinical Site #20
Madrid, , Spain
Exelixis Clinical Site #55
Madrid, , Spain
Exelixis Clinical Site #96
Oviedo, , Spain
Exelixis Clinical Site #74
Valencia, , Spain
Exelixis Clinical Site #142
Taichung, , Taiwan
Exelixis Clinical Site #138
Taipei, , Taiwan
Exelixis Clinical Site #173
Taoyuan District, , Taiwan
Exelixis Clinical Site #72
Cambridge, , United Kingdom
Exelixis Clinical Site #93
Glasgow, , United Kingdom
Exelixis Clinical Site #30
London, , United Kingdom
Exelixis Clinical Site #172
London, , United Kingdom
Exelixis Clinical Site #92
Manchester, , United Kingdom
Countries
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References
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Choueiri TK, Powles T, Albiges L, Burotto M, Szczylik C, Zurawski B, Yanez Ruiz E, Maruzzo M, Suarez Zaizar A, Fein LE, Schutz FA, Heng DYC, Wang F, Mataveli F, Chang YL, van Kooten Losio M, Suarez C, Motzer RJ; COSMIC-313 Investigators. Cabozantinib plus Nivolumab and Ipilimumab in Renal-Cell Carcinoma. N Engl J Med. 2023 May 11;388(19):1767-1778. doi: 10.1056/NEJMoa2212851.
Labriola MK, George DJ. Setting a new standard for long-term survival in metastatic kidney cancer. Cancer. 2022 Jun 1;128(11):2058-2060. doi: 10.1002/cncr.34177. Epub 2022 Apr 5. No abstract available.
Mar N, Kaakour D, Rezazadeh Kalebasty A. Renal Cell Carcinoma-Lessons in Diversity, Breakthroughs, and Challenges. JCO Oncol Pract. 2022 Mar;18(3):197-199. doi: 10.1200/OP.21.00446. Epub 2021 Sep 22. No abstract available.
Hofmann F, Hwang EC, Lam TB, Bex A, Yuan Y, Marconi LS, Ljungberg B. Targeted therapy for metastatic renal cell carcinoma. Cochrane Database Syst Rev. 2020 Oct 14;10(10):CD012796. doi: 10.1002/14651858.CD012796.pub2.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Other Identifiers
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2024-515616-47-00
Identifier Type: CTIS
Identifier Source: secondary_id
XL184-313
Identifier Type: -
Identifier Source: org_study_id
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