Study of Casdatifan and Cabozantinib Versus Placebo and Cabozantinib in Patients With Advanced Clear Cell Renal Cell Carcinoma

NCT ID: NCT07011719

Last Updated: 2025-12-23

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

720 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-08

Study Completion Date

2030-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of the study is to evaluate the progression-free survival (PFS) of casdatifan versus placebo when each is given in combination with cabozantinib in adult patients with confirmed advanced or metastatic clear cell Renal Cell Carcinoma who have experienced progression on or after prior anti-PD-1 or anti-PD-L1 immunotherapy.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Metastatic Clear Cell Renal Cell Carcinoma Advanced Clear Cell Renal Cell Carcinoma

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Casdatifan Metastatic Clear Cell Renal Cell Carcinoma Advanced Clear Cell Renal Cell Carcinoma Kidney Cancer PEAK-1 AB521 ccRCC

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Arm A (Experimental Arm)

Casdatifan and cabozantinib taken orally

Group Type EXPERIMENTAL

Casdatifan

Intervention Type DRUG

Administered as specified in the treatment arm

Cabozantinib

Intervention Type DRUG

Administered as specified in the treatment arm

Arm B (Comparator Arm)

Placebo and cabozantinib taken orally

Group Type PLACEBO_COMPARATOR

Cabozantinib

Intervention Type DRUG

Administered as specified in the treatment arm

Placebo

Intervention Type DRUG

Administered as specified in the treatment arm

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Casdatifan

Administered as specified in the treatment arm

Intervention Type DRUG

Cabozantinib

Administered as specified in the treatment arm

Intervention Type DRUG

Placebo

Administered as specified in the treatment arm

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

AB521

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Unresectable and measurable locally advanced or metastatic renal cell carcinoma with a primary clear cell component.
* A Karnofsky Performance Status (KPS) score ≥ 80%
* At least 1 target lesion measurable by computed tomography/magnetic resonance imaging per RECIST 1.1, not within a field of prior radiation therapy.
* Adequate organ and marrow function, ≤ 72 hours prior to randomization.
* Women of childbearing potential (WOCBP) must have a negative serum pregnancy test.

Exclusion Criteria

* Received prior treatment with a HIF-2α inhibitor or cabozantinib.
* Other prior malignancy active within the previous year except for locally curable cancers that have been apparently cured.
* Clinically significant toxicities related to any prior anticancer treatment, or toxicities Grade ≥ 3 per National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI CTCAE v5.0) regardless of relatedness to prior anticancer therapies.
* Uncontrolled or poorly controlled hypertension, as defined by a sustained blood pressure \> 140/90 mm Hg on more than three antihypertensives
* History of leptomeningeal disease or spinal cord compression.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Arcus Biosciences, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Medical Director

Role: STUDY_DIRECTOR

Arcus Biosciences

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

City of Hope - Phoenix Cancer Center

Goodyear, Arizona, United States

Site Status RECRUITING

City Of Hope National Medical Center

Duarte, California, United States

Site Status RECRUITING

University of California San Diego Moores Cancer Center

La Jolla, California, United States

Site Status RECRUITING

University of California San Diego Moores Cancer Center

San Diego, California, United States

Site Status RECRUITING

Piedmont Cancer Institute OneOncology

Atlanta, Georgia, United States

Site Status RECRUITING

City of Hope Cancer Center Atlanta

Newnan, Georgia, United States

Site Status RECRUITING

City of Hope - Chicago Cancer Center

Zion, Illinois, United States

Site Status RECRUITING

Norton Cancer Institute PARENT

Louisville, Kentucky, United States

Site Status RECRUITING

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status RECRUITING

Compass Oncology, OR

Portland, Oregon, United States

Site Status RECRUITING

SCRI Oncology Partners

Nashville, Tennessee, United States

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

United States

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Medical Director

Role: CONTACT

Phone: +1-510-462-3330

Email: [email protected]

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2024-515023-11-00

Identifier Type: CTIS

Identifier Source: secondary_id

PEAK-1

Identifier Type: -

Identifier Source: org_study_id