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Checkpoint Inhibitor, Tyrosine Kinase Inhibitor

Triple Drug Therapy for Kidney Cancer with Brain Metastases

Phase 2
Recruiting
Led By Jianbo Wang
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Prior therapies for extracranial metastatic renal cell carcinoma as long as it did not include anti- CTLA-4 or cabozantinib or MET inhibitors
Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2
Must not have
Patients with Leptomeningeal disease
AEs from prior anticancer therapy that have not resolved to Grade ≤1 except for alopecia
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights

Summary

This trial is testing the combination of three drugs to treat patients with renal cell carcinoma that has spread to the brain.

Who is the study for?
This trial is for adults with untreated brain metastases from renal cell carcinoma. Participants should have a measurable brain lesion, be in good physical condition (ECOG 0-2), and not need immediate local therapy. They must have normal organ function and agree to contraception if applicable. Exclusions include recent radiation or systemic cancer treatments, significant liver disease, metal implants preventing MRI scans, symptomatic brain metastases needing urgent treatment, certain infections or vaccinations recently, other cancers within the last 5 years, autoimmune diseases.
What is being tested?
The study tests a combination of Nivolumab (an immunotherapy drug), Ipilimumab (another immunotherapy), and Cabozantinib (a medication targeting specific proteins in cancer cells) on patients who haven't treated their kidney cancer's spread to the brain yet. It aims to see how well this combo works together.
What are the potential side effects?
Possible side effects include immune-related reactions like inflammation in organs such as lungs or intestines; skin issues; hormone gland problems; fatigue; liver enzyme changes; high blood pressure from Cabozantinib; diarrhea; mouth sores and hand-foot syndrome.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have had treatments for kidney cancer that has spread, but not with anti-CTLA-4, cabozantinib, or MET inhibitors.
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I can take care of myself and am up and about more than half of the day.
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I am 18 years old or older.
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I have kidney cancer that has spread to my brain and can be measured.
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I am not a candidate for immediate surgery or radiation for my condition.
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My recent blood tests show my organs are functioning well.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have cancer that has spread to the lining of my brain and spinal cord.
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My side effects from cancer treatment are mild, except for hair loss.
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I do not have significant liver disease such as hepatitis or cirrhosis.
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I have not had severe infections or been hospitalized for them in the last 4 weeks.
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I need immediate brain surgery or radiation due to my cancer symptoms.
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I have a specific type of blood cancer, such as acute leukemia or Burkitt lymphoma.
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I need immediate surgery or radiation for cancer outside my brain.
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I have active tuberculosis.
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I have not had any other cancers in the last 5 years.
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I have not received a live vaccine in the last 4 weeks and do not plan to during the study.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Trial Design

3Treatment groups
Experimental Treatment
Group I: NivolumabExperimental Treatment3 Interventions
by vein every 3 weeks for 4 doses
Group II: IpilimumabExperimental Treatment3 Interventions
by vein over 30 minutes every 3 weeks for 4 doses
Group III: CabozantinibExperimental Treatment3 Interventions
tablets by mouth 1 time every day.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nivolumab
2014
Completed Phase 3
~5220
Ipilimumab
2014
Completed Phase 3
~3140
Cabozantinib
2020
Completed Phase 2
~1760

Find a Location

Who is running the clinical trial?

Bristol-Myers SquibbIndustry Sponsor
2,678 Previous Clinical Trials
4,125,605 Total Patients Enrolled
M.D. Anderson Cancer CenterLead Sponsor
3,039 Previous Clinical Trials
1,799,661 Total Patients Enrolled
ExelixisIndustry Sponsor
119 Previous Clinical Trials
19,879 Total Patients Enrolled

Media Library

Nivolumab, Ipilimumab, Cabozantinib (Checkpoint Inhibitor, Tyrosine Kinase Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT05048212 — Phase 2
Kidney Cancer Research Study Groups: Nivolumab, Ipilimumab, Cabozantinib
Kidney Cancer Clinical Trial 2023: Nivolumab, Ipilimumab, Cabozantinib Highlights & Side Effects. Trial Name: NCT05048212 — Phase 2
Nivolumab, Ipilimumab, Cabozantinib (Checkpoint Inhibitor, Tyrosine Kinase Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05048212 — Phase 2
~15 spots leftby Dec 2025