New drug cocktail aims to shrink kidney tumors before surgery
NCT ID NCT07389629
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial is testing whether a combination of two immunotherapy drugs (QL1706) and a targeted therapy (lenvatinib) can shrink kidney tumors before surgery. The goal is to make partial nephrectomy (removing only the tumor) possible for patients whose tumors are currently too complex to operate on safely. About 25 adults with clear cell renal cell carcinoma will receive the drugs for 2 to 4 cycles before surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- QL1706 (iparomlimab and tuvonralimab) plus lenvatinib
- What this could lead to
- If successful, this combination could shrink kidney tumors enough to allow safer, kidney-sparing surgery instead of full kidney removal.
- What could go wrong
- This is a small, early-phase trial with only 25 people, so results may not apply to everyone. The drug combination can cause side effects like high blood pressure, fatigue, or immune-related reactions.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 25 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 to 80 years
- 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.
Inclusion Criteria: 1. Voluntarily sign a written informed consent form (ICF). 2. Age at the time of enrollment is \>= 18 and under 80 years old, with no gender restrictions. 3. The physical fitness score of the Eastern Cooperative Oncology Group (ECOG) in the United States is 0 or 1; 4. Expected survival period \>= 3 months. 5. Preoperative biopsy pathology confirmed renal clear cell carcinoma or renal cell carcinoma mainly composed of clear cell carcinoma; 6. ECOG score 0 or 1; 7. The patient is willing to undergo kidney preservation surgery; 8. Indications for kidney preservation surgery are available, but limited renal cancer with high difficulty of kidney preservation surgery (stage T1N0M0 or T2N0M0, must meet R.E.N.A.L. score \>= 10); 9. At least one measurable lesion (according to mRECIST v1.1 standard) that is suitable for repeated and accurate measurements. 10. Good organ function, screening laboratory test results meet the following criteria: (1) Hematology (no blood components or cell growth factors are allowed to support treatment within 2 weeks before starting treatment): a. Absolute neutrophil count (ANC) \>= 1.5 × 10\^9/L (1500/mm\^3); b. Platelet count (PLT) \>= 100 × 10\^9/L (100000/mm\^3); c. Hemoglobin (HB) \>= 90 g/L; (2) Liver: a. Serum total bilirubin (TBIL) \<= 1.5 × ULN; b. Alanine transaminase (ALT) and aspartate transaminase (AST) \<= 2.5 × ULN; For subjects with liver metastases, AST and ALT are \<= 5 × ULN, while serum albumin (ALB) is \>= 28g/L. Coagulation function: international normalized ratio (INR) and activated partial thromboplastin time (APTT) are \<= 1.5 × ULN; 11. The subjects are willing and able to comply with the scheduled visits, treatment plans, laboratory tests, and other requirements of the study. Exclusion Criteria: 1. lymph node metastasis; 2. The tumor surrounds the renal artery; 3. Renal vein cancer thrombus; 4. Diffuse tumor growth, with no clear boundary from normal renal parenchyma; 5. General poor condition, anesthesia assessment cannot tolerate general anesthesia surgery; 6. Have serious cardiovascular and cerebrovascular diseases, uncontrollable hypertension and diabetes; 7. Patients who have long-term use of immunosuppressants after organ transplantation; 8. Patients who are currently using immunosuppressive drugs; 9. Patients with clear infection or fever; 10. Patients with T-cell lymphoma and myeloma; 11. Patients who have concurrent malignant tumors, are currently undergoing treatment for other benign or malignant tumors, or have a history of other malignant tumors within the past six months; 12. Metastatic renal cell carcinoma. 13. Received Chinese herbal medicine or immunomodulatory drugs with anti-tumor indications within 14 days prior to the first use of the investigational drug; 14. Perform systematic treatment (including thymosin, interferon, interleukin, except for local use to control pleural effusion). 15. Suffering from active or potentially recurrent autoimmune diseases, except for vitiligo, hair loss, psoriasis, or eczema that do not require systemic treatment; Hypothyroidism caused by autoimmune thyroiditis only requires stable doses of hormone replacement therapy; Type I diabetes requiring only a stable dose of insulin replacement therapy. 16. Simultaneously enrolled in another clinical study, unless it is an observational, non interventional clinical study or a follow-up period of an interventional study. 17. Known history of mental illness, drug abuse, alcoholism, or drug use. 18. Pregnant or lactating women. 19. Any past or current illness, treatment, or laboratory test abnormalities may confuse the research results, affect the full participation of the subjects in the study, or participation in the study may not be in the best interests of the subjects.
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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 places running it
1 site. 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
Locations
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Sun Yat-sen University Cancer Center
RECRUITINGGuangzhou, 0755, China
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