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Tyrosine Kinase Inhibitor

Pembrolizumab + Cabozantinib for Kidney Cancer

Phase 1 & 2
Waitlist Available
Led By Elaine Lam, MD
Research Sponsored by University of Colorado, Denver
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Subjects must have histological or cytological documentation of renal cell carcinoma
Subjects must have locally advanced, recurrent, or metastatic disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up time of first response as measured by recist 1.1 to time of progression or death, whichever comes first, up to 5 years
Awards & highlights

Study Summary

This trial is testing a new cancer treatment combining two drugs. The first part will see if the combination is safe and what the best dose is. The second part will test how well the combination works.

Who is the study for?
Adults with advanced kidney cancer who can provide a tumor sample and have good performance status. They must not be pregnant, agree to use contraception, and have no recent treatments or significant health issues that could interfere with the trial. Prior immune therapy is allowed if there were no severe side effects.Check my eligibility
What is being tested?
The study tests Pembrolizumab combined with Cabozantinib in patients with metastatic renal cell carcinoma. Phase I finds the safest dose of Cabozantinib alongside standard Pembrolizumab, then Phase II expands this combination treatment to more patients.See study design
What are the potential side effects?
Possible side effects include fatigue, diarrhea, liver toxicity, high blood pressure, mouth sores, hand-foot syndrome (redness and pain on palms or soles), immune-related reactions like thyroid dysfunction or lung inflammation.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My kidney cancer diagnosis was confirmed through lab tests.
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My cancer has spread or come back and is advanced.
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I have available tumor samples in paraffin blocks or at least 10 slides.
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I am fully active or restricted in physically strenuous activity but can do light work.
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My organ functions are within the required range.
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My cancer has not spread to my bones.
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I am 18 years old or older.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~time of first response as measured by recist 1.1 to time of progression or death, whichever comes first, up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and time of first response as measured by recist 1.1 to time of progression or death, whichever comes first, up to 5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Efficacy of Pembrolizumab and Cabozantinib Based on Objective Response Rate
Secondary outcome measures
Disease Control Rate (DCR), AKA Clinical Benefit Rate (CBR)
Dose Limiting Toxicities
Duration of Response
+3 more

Side effects data

From 2024 Phase 2 trial • 57 Patients • NCT03004183
21%
Fatigue
13%
Nausea
11%
Back pain
9%
Shortness of Breath
9%
Anemia
9%
Abdominal pain
9%
Diarrhea
7%
Pneumonia
7%
Kidney Injury and/or Infection
7%
Dyspnea
7%
Weight Loss
5%
Malnutrition, Hypercalcemia and Weakness
5%
Pneumothorax
5%
Intractable pain, back pain, hip pain
5%
Activated partial thromboplastin time prolonged
4%
Pleural effusion
4%
Atrial fibrillation with rapid ventricular response
2%
Thrombocytopenia
2%
Respiratory failure
2%
Skin rash
2%
colitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Single Arm

Trial Design

3Treatment groups
Experimental Treatment
Group I: Phase 2: Pembrolizumab 200 mg plus Cabozantinib at the RP2DExperimental Treatment2 Interventions
Pembrolizumab 200 mg intravenous (IV) infusion on day 1 of each 21-day cycle in combination with cabozantinib at the RP2D orally once daily for up to 35 cycles, until disease progression, unacceptable toxicity, or consent withdrawal. All participants who stop pembrolizumab after 35 cycles with SD or better may be eligible for up to an additional 17 cycles (approximately 1 year) of pembrolizumab treatment if they progress after stopping pembrolizumab from the initial treatment phase.
Group II: Phase 1: Pembrolizumab 200 mg plus Cabozantinib 60mgExperimental Treatment2 Interventions
Pembrolizumab 200 mg intravenous (IV) infusion on day 1 of each 21-day cycle in combination with cabozantinib 60 mg orally once daily until disease progression, unacceptable toxicity, or consent withdrawal.
Group III: Phase 1: Pembrolizumab 200 mg plus Cabozantinib 40mgExperimental Treatment2 Interventions
Pembrolizumab 200 mg intravenous (IV) infusion on day 1 of each 21-day cycle in combination with cabozantinib 40 mg orally once daily until disease progression, unacceptable toxicity, or consent withdrawal.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cabozantinib
2020
Completed Phase 2
~1080
Pembrolizumab
2017
Completed Phase 2
~2010

Find a Location

Who is running the clinical trial?

Merck Sharp & Dohme LLCIndustry Sponsor
3,886 Previous Clinical Trials
5,054,526 Total Patients Enrolled
University of Colorado, DenverLead Sponsor
1,732 Previous Clinical Trials
2,143,503 Total Patients Enrolled
Elaine Lam, MDPrincipal InvestigatorUniversity of Colorado, Denver
2 Previous Clinical Trials
18 Total Patients Enrolled

Media Library

Cabozantinib (Tyrosine Kinase Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03149822 — Phase 1 & 2
Kidney Cancer Research Study Groups: Phase 1: Pembrolizumab 200 mg plus Cabozantinib 60mg, Phase 1: Pembrolizumab 200 mg plus Cabozantinib 40mg, Phase 2: Pembrolizumab 200 mg plus Cabozantinib at the RP2D
Kidney Cancer Clinical Trial 2023: Cabozantinib Highlights & Side Effects. Trial Name: NCT03149822 — Phase 1 & 2
Cabozantinib (Tyrosine Kinase Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03149822 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many research centers are participating in this project?

"This research is being conducted at 5 centres, which are based in Lone Tree, Fort Collins and Aurora. To limit the amount of travel required, please select the location nearest to you."

Answered by AI

How many candidates will be selected for this experiment?

"Presently, this study is not enrolling new patients. The trial was initially posted on September 28th, 2017 and has had its information updated as recently as August 1st, 2022. There are 2665 other trials for carcinoma and 1108 for Pembrolizumab that are actively recruiting participants if you wish to look into alternative studies."

Answered by AI

Are there any restrictions for who can join this clinical trial?

"This clinical trial is enrolling 45 individuals that have been diagnosed with carcinoma. The age range for participants is 18 to 100 years old. It's important to note that applicants must meet the following requirements: a) Subjects must have locally advanced, recurrent, or metastatic disease., b) Subjects must have histological or cytological documentation of renal cell carcinoma, c) Be willing and able to provide written informed consent/assent for the trial., d) Stated willingness to complywith all study procedures and be available for the duration of the trial., e) Be ≥ 18 years of age on day of signing informed consent., f"

Answered by AI

What types of cancer does Pembrolizumab help to treat?

"Pembrolizumab is a medication that oncologists often prescribe to patients with unresectable melanoma. It can also help those with microsatellite instability high, high risk of recurrence, and disease."

Answered by AI

Are middle-aged adults welcome to join this clinical trial?

"According to the inclusion criteria laid out by the study, people aged 18 to 100 are eligible. There are 121 studies for people under that age bracket and 3742 for seniors."

Answered by AI

What other treatments has Pembrolizumab been studied in relation to?

"As of now, there are 1108 clinical trials studying Pembrolizumab. 135 of those trials are currently in Phase 3. However, these trials for Pembrolizumab are not just limited to Houston as 43132 locations across the globe are running them."

Answered by AI

If a patient meets the requirements, can they join the trial at this time?

"Unfortunately, this particular trial is not actively looking for patients to enroll at the moment. The last time it was updated was on August 1st, 2022. However, there are 2665 other trials recruiting patients with carcinoma and 1108 studies involving Pembrolizumab that are searching for participants."

Answered by AI
~6 spots leftby Apr 2025