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

Sponsor: Arcus Biosciences, Inc.

Sponsor score: 0

ClinicalTrials ID:NCT07011719

This clinical trial assesses progression-free survival in patients with advanced clear cell renal cell carcinoma using casdatifan or placebo with cabozantinib. Eligible participants must have unresectable, measurable disease, a KPS score ≥ 80%, and adequate organ function. Interventions include casdatifan, cabozantinib, or placebo, administered per treatment arm specifications.

Patient Parameters

Program Overview

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.

Eligibility Criteria

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.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Locations

FACILITYZIPCITYSTATE
City of Hope - Phoenix Cancer Center85338GoodyearArizona
City Of Hope National Medical Center91010DuarteCalifornia
University of California San Diego Moores Cancer Center92103La JollaCalifornia
University of California San Diego Moores Cancer Center92103San DiegoCalifornia
Piedmont Cancer Institute OneOncology30318AtlantaGeorgia
City of Hope Cancer Center Atlanta30265NewnanGeorgia
City of Hope - Chicago Cancer Center60099ZionIllinois
Norton Cancer Institute PARENT40207LouisvilleKentucky
Compass Oncology, OR97212PortlandOregon
SCRI Oncology Partners37203NashvilleTennessee

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