New drug combo targets Hard-to-Treat kidney cancer
NCT ID NCT05536141
First seen Jun 27, 2026 · Last updated Sep 01, 2026 · Updated 5 times
Summary
This early-stage study tests a new drug called casdatifan (AB521) alone or combined with other cancer drugs in people with advanced clear cell kidney cancer or other solid tumors. The main goals are to check safety and find the right dose. About 362 participants will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- casdatifan (AB521), cabozantinib, zimberelimab, ipilimumab
- What this could lead to
- If successful, this could point toward a new treatment option for advanced kidney cancer and other solid tumors.
- What could go wrong
- This is an early Phase 1 trial focused on safety and dosing, not yet on effectiveness. The drug may not work or could have side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 362 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2022
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Must have at least one measurable lesion per RECIST guidance * Eastern Cooperative Oncology Group (ECOG) performance status score of ≤ 1 * Disease-specific criteria for dose escalation: * Participants may have any pathologically confirmed solid tumor type where no other treatment options are available * Creatinine clearance ≥ 40 mL/min Disease-specific criteria for dose-expansion: * Histologically confirmed ccRCC * Creatinine clearance ≥ 40 mL/min Key Exclusion Criteria: * Use of any live vaccines against infectious diseases (eg, influenza, varicella) within 4 weeks (28 days) of initiation of investigational product * Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with a participant's participation in the clinical study or make the administration of investigational product hazardous * History of trauma or major surgery within 28 days prior to the first dose of investigational product * For all expansion cohorts: prior treatment with an hypoxia inducible factor (HIF)-2α inhibitor. For the casdatifan + cabozantinib combination cohort, any prior treatment with cabozantinib. For casdatifan + zimberelimab and casdatifan + zimberelimab + ipilimumab cohorts, any prior systemic treatment when cancer is present. * Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
25 sites in 4 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Research Site
RECRUITINGBirmingham, Alabama, 35294, United States
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Research Site
RECRUITINGSan Diego, California, 92093, United States
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Research Site
RECRUITINGSanta Monica, California, 90404, United States
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Research Site
RECRUITINGMiami, Florida, 33136, United States
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Research Site
RECRUITINGAtlanta, Georgia, 30322-1013, United States
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Research Site
RECRUITINGLouisville, Kentucky, 40202, United States
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Research Site
RECRUITINGNew Orleans, Louisiana, 70121, United States
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Research Site
RECRUITINGBaltimore, Maryland, 21287, United States
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Research Site
RECRUITINGBoston, Massachusetts, 02215, United States
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Research Site
RECRUITINGDetroit, Michigan, 48201, United States
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Research Site
RECRUITINGDetroit, Michigan, 48202, United States
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Research Site
RECRUITINGOmaha, Nebraska, 68124, United States
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Research Site
RECRUITINGNew York, New York, 10029, United States
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Research Site
RECRUITINGNew York, New York, 10065, United States
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Research Site
RECRUITINGCleveland, Ohio, 44106, United States
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Research Site
RECRUITINGCleveland, Ohio, 44195, United States
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Research Site
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
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Research Site
RECRUITINGNashville, Tennessee, 37203, United States
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Research Site
RECRUITINGNashville, Tennessee, 37240, United States
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Research Site
RECRUITINGSan Antonio, Texas, 78229, United States
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Research Site
NOT_YET_RECRUITINGCamperdown, Australia
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Research Site
RECRUITINGMelbourne, Australia
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Research Site
RECRUITINGSydney, Australia
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Research Site
RECRUITINGSeoul, South Korea
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Research Site
RECRUITINGBarcelona, Spain
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