Can a rapid drug switch outsmart advanced kidney cancer?

NCT ID NCT05188118

First seen Jul 29, 2026 · Last updated Jul 30, 2026 · Updated 1 time

Summary

This pilot study is testing whether a rapid, timed sequence of different drugs can improve outcomes for people with advanced or inoperable clear cell kidney cancer. Participants first receive cabozantinib, then a combination of two immunotherapies (ipilimumab and nivolumab), followed by further treatment based on how their cancer responds. The goal is to see if this fast-switching strategy can shrink tumors or slow disease progression.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
a rapid sequence of cabozantinib, ipilimumab, nivolumab, lenvatinib, and everolimus
What this could lead to
If successful, this approach could point toward a more effective treatment strategy for advanced kidney cancer by rapidly switching between drug classes.
What could go wrong
This is a very early, small pilot study with only 10 participants, so results may not apply broadly. The combination of multiple drugs also raises the risk of significant side effects.

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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

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029, United States

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