A Study to Investigate the Efficacy and Safety of Volrustomig ± Casdatifan vs Nivolumab + Ipilimumab as 1L Treatment for Advanced ccRCC

NCT ID: NCT07000149

Last Updated: 2026-01-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-28

Study Completion Date

2032-07-29

Brief Summary

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This is a Phase Ib/III, randomized, multicenter, global study evaluating the efficacy and safety of volrustomig in combination with casdatifan for the first-line (1L) treatment of participants with advanced clear cell renal cell carcinoma (ccRCC).

Detailed Description

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The primary purpose of this study is to determine the recommended Phase III dose (RP3D) of volrustomig and measure the efficacy and safety of volrustomig in combination with casdatifan compared with nivolumab plus ipilimumab in participants with advanced ccRCC (as 1L treatment).

The study comprises of 2 parts -

In Phase 1b part of the study, participants will be randomized in a 1:1 ratio to receive either dose 1 or dose 2 of volrustomig in combination with casdatifan.

In Phase III part of the study, participants will be randomized in 1:1:1 to receive either Volrustomig (at the dose to be determined in the Phase Ib) in combination with casdatifan, volrustomig monotherapy or standard of care (nivolumab plus ipilimumab).

Conditions

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Advanced Clear Cell Renal Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Arm 1A (Volrustomig Dose 1 + Casdatifan)

Participants will receive dose 1 of volrustomig in combination with casdatifan.

Group Type EXPERIMENTAL

Volrustomig

Intervention Type DRUG

Volrustomig will be administered as an intravenous (IV) infusion.

Casdatifan

Intervention Type DRUG

Casdatifan will be administered orally.

Arm 1B (Volrustomig Dose 2 + Casdatifan)

Participants will receive dose 2 of volrustomig in combination with casdatifan.

Group Type EXPERIMENTAL

Volrustomig

Intervention Type DRUG

Volrustomig will be administered as an intravenous (IV) infusion.

Casdatifan

Intervention Type DRUG

Casdatifan will be administered orally.

Arm 3A (Volrustomig Dose X + Casdatifan)

Participants will receive Volrustomig at the dose to be determined in the Phase Ib part of the study, in combination with casdatifan.

Group Type EXPERIMENTAL

Volrustomig

Intervention Type DRUG

Volrustomig will be administered as an intravenous (IV) infusion.

Casdatifan

Intervention Type DRUG

Casdatifan will be administered orally.

Arm 3B (Volrustomig Dose 1)

Participants will receive dose 1 of volrustomig.

Group Type EXPERIMENTAL

Volrustomig

Intervention Type DRUG

Volrustomig will be administered as an intravenous (IV) infusion.

Arm 3C (Nivolumab + Ipilimumab)

Participants will receive nivolumab plus ipilimumab as standard of care treatment.

Group Type ACTIVE_COMPARATOR

Nivolumab

Intervention Type DRUG

Nivolumab will be administered as an IV infusion.

Ipilimumab

Intervention Type DRUG

Ipilimumab will be administered as an IV infusion.

Interventions

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Nivolumab

Nivolumab will be administered as an IV infusion.

Intervention Type DRUG

Ipilimumab

Ipilimumab will be administered as an IV infusion.

Intervention Type DRUG

Volrustomig

Volrustomig will be administered as an intravenous (IV) infusion.

Intervention Type DRUG

Casdatifan

Casdatifan will be administered orally.

Intervention Type DRUG

Other Intervention Names

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MEDI5752 AB521 Opdivo Yervoy

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed RCC with clear cell component.
* Advanced/metastatic RCC or recurrent disease that has not previously been treated with systemic therapy in the 1L setting.
* Karnofsky Performance Status ≥ 70%.
* Provision of acceptable tumor sample.
* At least one lesion that can be accurately measured at baseline as ≥ 10 mm in the longest diameter (except lymph nodes, which must have short axis ≥ 15 mm) with computed tomography (CT) or magnetic resonance imaging (MRI) and is suitable for accurate repeated measurements.

Exclusion Criteria

* History of leptomeningeal disease or spinal cord compression.
* Symptomatic brain metastases.
* Medical history of severe chronic obstructive pulmonary disease.
* Active or prior documented autoimmune or inflammatory disorders.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Arcus Biosciences, Inc.

INDUSTRY

Sponsor Role collaborator

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

La Jolla, California, United States

Site Status

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Aurora, Colorado, United States

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Boston, Massachusetts, United States

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New York, New York, United States

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Cleveland, Ohio, United States

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Nashville, Tennessee, United States

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Lubbock, Texas, United States

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East Melbourne, , Australia

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Elizabeth Vale, , Australia

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North Adelaide, , Australia

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Syndey, , Australia

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Beijing, , China

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Guangzhou, , China

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Nanjing, , China

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Nanning, , China

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Shanghai, , China

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Xiamen, , China

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Batumi, , Georgia

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Tbilisi, , Georgia

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Tbilisi, , Georgia

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Tbilisi, , Georgia

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Busan, , South Korea

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Seongnam-si, , South Korea

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Seongnam-si, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Kaohsiung City, , Taiwan

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Taichung, , Taiwan

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Taichung, , Taiwan

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Tainan, , Taiwan

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Countries

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United States Australia China Georgia South Korea Taiwan

Other Identifiers

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2024-519865-23-00

Identifier Type: OTHER

Identifier Source: secondary_id

D798NC00001

Identifier Type: -

Identifier Source: org_study_id

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