Can a drug duo outperform standard care for advanced kidney cancer?
NCT ID NCT03141177
First seen Aug 24, 2026 · Last updated Aug 25, 2026 · Updated 1 time
Summary
This phase 3 trial is comparing a combination of two drugs—nivolumab (an immunotherapy) and cabozantinib (a targeted therapy)—against the current standard drug sunitinib in people with advanced or metastatic kidney cancer who have not yet received systemic treatment. The main goal is to see if the combination delays cancer progression better than sunitinib. Participants are randomly assigned to receive either the combination or sunitinib, and the study tracks how long they live without the cancer worsening, as well as overall survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- nivolumab combined with cabozantinib
- What this could lead to
- If successful, this combination could become a new first-line treatment option for advanced kidney cancer, potentially extending the time before the disease worsens.
- What could go wrong
- The trial is still in progress, and results may not show a clear benefit over the standard treatment. Combining two drugs can also increase 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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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701 people
The number who actually took part.
- Started
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Jul 2017
- Finished
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Apr 2026
- 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.
For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Histological confirmation of RCC with a clear-cell component, including participants who may also have sarcomatoid features * Advanced (not amenable to curative surgery or radiation therapy) or metastatic (AJCC Stage IV) RCC * No prior systemic therapy for RCC with the following exception: i) One prior adjuvant or neoadjuvant therapy for completely resectable RCC if such therapy did not include an agent that targets VEGF or VEGF receptors and if recurrence occurred at least 6 months after the last dose of adjuvant or neoadjuvant therapy Exclusion Criteria: * Any active CNS metastases * Any active, known or suspected autoimmune disease * Any condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of randomization * Participants who have received a live/attenuated vaccine within 30 days of first treatment Other protocol defined inclusion/exclusion criteria could 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.
Contacts and locations
Locations
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Central Coast Medical Oncology Corporation
Santa Maria, California, 93454, United States
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Local Institution - 0001
Southport, Queensland, 4215, Australia
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Local Institution - 0002
North Ryde, New South Wales, 0, Australia
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Local Institution - 0004
Elizabeth Vale, South Australia, 5112, Australia
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Local Institution - 0005
Malvern, Victoria, 3144, Australia
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Local Institution - 0006
Herston, Queensland, 4006, Australia
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Local Institution - 0007
Doubleview, Western Australia, 6018, Australia
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Local Institution - 0008
Sydney, New South Wales, 2010, Australia
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Local Institution - 0009
Sydney, New South Wales, 2139, Australia
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Local Institution - 0010
München, 81675, Germany
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Local Institution - 0011
Tübingen, 72076, Germany
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Local Institution - 0013
Aachen, 52074, Germany
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Local Institution - 0014
Nuremberg, 90419, Germany
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Local Institution - 0016
Bonn, 53127, Germany
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Local Institution - 0017
New York, New York, 10065, United States
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Local Institution - 0020
Moscow, 125284, Russia
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Local Institution - 0021
Cluj-Napoca, 400015, Romania
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Local Institution - 0022
Craiova, 200542, Romania
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Local Institution - 0023
Jena, 07747, Germany
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Local Institution - 0033
Olomouc, 779 00, Czechia
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Local Institution - 0034
Hradec Králové, 500 05, Czechia
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Local Institution - 0035
St Louis, Missouri, 63110, United States
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Local Institution - 0036
Chicago, Illinois, 60612, United States
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Local Institution - 0037
Boston, Massachusetts, 02215, United States
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Local Institution - 0040
Buffalo, New York, 14263, United States
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Local Institution - 0042
Zion, Illinois, 60099, United States
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Local Institution - 0044
Goodyear, Arizona, 85338, United States
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Local Institution - 0045
Santiago, Santiago Metropolitan, 8420383, Chile
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Local Institution - 0046
CABA, Buenos Aires, C1120AAT, Argentina
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Local Institution - 0047
San Miguel de Tucumán, 4000, Argentina
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Local Institution - 0048
Ciudad Autonoma de Buenos Aire, Buenos Aires, 1181, Argentina
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Local Institution - 0049
Córdoba, X5004FHP, Argentina
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Local Institution - 0050
Córdoba, 5000, Argentina
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Local Institution - 0051
Pavia, 27100, Italy
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Local Institution - 0052
Milan, 20132, Italy
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Local Institution - 0053
Padova, Padova, Italy
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Local Institution - 0054
Arezzo, 52100, Italy
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Local Institution - 0055
Naples, 80131, Italy
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Local Institution - 0056
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
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Local Institution - 0057
Belo Horizonte, Minas Gerais, 30130-090, Brazil
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Local Institution - 0058
Barretos, São Paulo, 14784-400, Brazil
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Local Institution - 0060
Porto Alegre, Rio Grande do Sul, 91350-200, Brazil
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Local Institution - 0061
São Paulo, 05651901, Brazil
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Local Institution - 0062
Mexico City, Mexico City, 06100, Mexico
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Local Institution - 0063
Querétaro City, Querétaro, 76000, Mexico
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Local Institution - 0064
Monterrey, Nuevo León, 64460, Mexico
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Local Institution - 0065
Monterrey, Nuevo León, 64000, Mexico
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Local Institution - 0066
Rio de Janeiro, 20231-050, Brazil
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Local Institution - 0067
Portland, Oregon, 97239, United States
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Local Institution - 0068
Houston, Texas, 77030, United States
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Local Institution - 0069
Ramat Gan, 52621, Israel
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Local Institution - 0070
Kfar Saba, 44281, Israel
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Local Institution - 0071
Petah Tikva, 49414, Israel
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Local Institution - 0072
Haifa, 3109601, Israel
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Local Institution - 0073
Westmead, New South Wales, 2145, Australia
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Local Institution - 0074
São Paulo, 01323-020, Brazil
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Local Institution - 0075
Dallas, Texas, 75246, United States
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Local Institution - 0077
Daphne, Alabama, 36526, United States
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Local Institution - 0078
Sherman, Texas, 75090, United States
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Local Institution - 0080
Austin, Texas, 78705, United States
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Local Institution - 0082
Athens, 115 28, Greece
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Local Institution - 0083
Thessaloniki, 546 45, Greece
-
Local Institution - 0084
Biała Podlaska, 21-500, Poland
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Local Institution - 0085
Gdansk, 80-219, Poland
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Local Institution - 0086
Newnan, Georgia, 30265, United States
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Local Institution - 0087
Wichita, Kansas, 67214, United States
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Local Institution - 0088
San Luis Obispo, California, 93401, United States
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Local Institution - 0090
Redondo Beach, California, 90277, United States
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Local Institution - 0091
Fort Wayne, Indiana, 46804, United States
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Local Institution - 0093
Los Angeles, California, 90404, United States
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Local Institution - 0094
Ankara, 06800, Turkey (Türkiye)
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Local Institution - 0095
Edirne, 22030, Turkey (Türkiye)
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Local Institution - 0096
Antalya, 07070, Turkey (Türkiye)
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Local Institution - 0097
Denizli, 20070, Turkey (Türkiye)
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Local Institution - 0099
Saint Petersburg, 197758, Russia
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Local Institution - 0102
Las Vegas, Nevada, 89169, United States
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Local Institution - 0103
Aurora, Colorado, 80045, United States
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Local Institution - 0105
Nashville, Tennessee, 37203, United States
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Local Institution - 0106
Kansas City, Missouri, 64132, United States
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Local Institution - 0107
Ankara, 06018, Turkey (Türkiye)
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Local Institution - 0108
Zapopan, Jalisco, 45070, Mexico
-
Local Institution - 0109
Manchester, M20 4BX, United Kingdom
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Local Institution - 0111
London, EC1A 7BE, United Kingdom
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Local Institution - 0113
Boston, Massachusetts, 02114, United States
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Local Institution - 0114
Viedma, Río Negro Province, 8500, Argentina
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Local Institution - 0115
Tlalpan, Mexico City, 14080, Mexico
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Local Institution - 0116
Mexico City, Mexico City, 14080, Mexico
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Local Institution - 0117
Essen, 45136, Germany
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Local Institution - 0119
Ijuí, Rio Grande do Sul, 98700-000, Brazil
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Local Institution - 0120
Madrid, 28041, Spain
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Local Institution - 0121
Madrid, 28009, Spain
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Local Institution - 0123
Valencia, 46014, Spain
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Local Institution - 0124
Seville, 41013, Spain
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Local Institution - 0125
Barcelona, 08035, Spain
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Local Institution - 0127
Athens, Georgia, 30607, United States
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Local Institution - 0129
South Brisbane, 4101, Australia
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Local Institution - 0130
Bydgoszcz, 85796, Poland
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Local Institution - 0131
Norfolk, Virginia, 23502, United States
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Local Institution - 0132
Tucson, Arizona, 85724-5024, United States
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Local Institution - 0133
Bakersfield, California, 93309, United States
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Local Institution - 0135
Allentown, Pennsylvania, 18103, United States
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Local Institution - 0136
Mérida, Yucatán, 97125, Mexico
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Local Institution - 0138
CABA, 1426, Argentina
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Local Institution - 0139
Ankara, 06620, Turkey (Türkiye)
-
Local Institution - 0140
Truro, TR1 3LJ, United Kingdom
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Local Institution - 0143
Monterrey, Nuevo León, 64060, Mexico
-
Local Institution - 0144
Santander, 39008, Spain
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Local Institution - 0146
Istanbul, 34300, Turkey (Türkiye)
-
Local Institution - 0147
Pavia, 27100, Italy
-
Local Institution - 0148
Akita, Akita, 010-8543, Japan
-
Local Institution - 0149
Tokyo, 160-8582, Japan
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Local Institution - 0150
Niigata, Niigata, 9518520, Japan
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Local Institution - 0151
Bunkyo-ku, Tokyo, 1138603, Japan
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Local Institution - 0152
Adachi-ku, Tokyo, 123-8558, Japan
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Local Institution - 0153
Tokushima, Tokushima, 7708503, Japan
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Local Institution - 0154
Osaka, Osaka-shi, 545-8586, Japan
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Local Institution - 0155
Hidaka-shi, Saitama, 3501298, Japan
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Local Institution - 0156
Hirosaki, Aomori, 036-8563, Japan
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Local Institution - 0157
Sapporo, Hokkaido, 0608648, Japan
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Local Institution - 0158
Bunkyo-ku, Tokyo, 1138519, Japan
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Local Institution - 0159
Morioka, Iwate, 0208505, Japan
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Local Institution - 0160
Osakasayamashi, Osaka, 5898511, Japan
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Local Institution - 0161
Fukuoka, 812-8582, Japan
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Local Institution - 0162
Nagasaki, 8528501, Japan
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Local Institution - 0163
Suita-shi, Osaka, 565-0871, Japan
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Local Institution - 0164
Sapporo, Hokkaido, 0608543, Japan
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Local Institution - 0165
Yamagata, 9909585, Japan
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Local Institution - 0166
Yokohama, Kanagawa, 241-8515, Japan
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Local Institution - 0167
Chiba, 260-8717, Japan
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Local Institution - 0168
Kobe, Hyōgo, 6500017, Japan
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Local Institution - 0169
Okayama, Okayama-ken, 7008558, Japan
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Local Institution - 0170
Osaka, Osaka, 5418567, Japan
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Local Institution - 0171
Yokohama, Kanagawa, 236-0004, Japan
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Local Institution - 0172
Terni, 05100, Italy
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Local Institution - 0173
Minato-ku, Tokyo, 105-8470, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new drug target Hard-to-Treat kidney and ovarian cancers?
- Personalized dosing could tame kidney cancer Drug's side effects
- Can teaching patients about immunotherapy cut severe side effects?
- Can a year of sunitinib delay kidney Cancer's return after lung surgery?
- Can we predict who needs extra therapy after kidney cancer surgery?
- Can a Two-Drug combo outsmart advanced cancers?