Adding a Live Biotherapeutic Product (CBM588) to Pembrolizumab for the Treatment of Renal Cell Cancer After Surgery
NCT07037004 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 62
Last updated 2026-05-04
Summary
This phase II trial compares the effect of adding a Live Biotherapeutic Product called CBM588 to pembrolizumab versus pembrolizumab alone in preventing return of disease (recurrence) after surgery for patients with renal cell cancer. Pembrolizumab is an immune checkpoint inhibitor. Immunotherapy with monoclonal antibodies such as pembrolizumab may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Pembrolizumab is approved for the treatment of renal cell cancer after surgery. Research has shown that changes to the composition of the healthy bacteria in the body (the microbiome), may improve a patient's response to treatment with immunotherapy. CBM588, a Live Biotherapeutic Product (LBP) containing a bacteria called Clostridium butyricum, has been shown to improve outcomes in patients treated with immunotherapy for other types of cancer. Adding CBM588 to treatment with pembrolizumab after surgery may cause changes in the microbiome that improve patient response to treatment and reduce disease recurrence, compared to pembrolizumab alone.
Conditions
- Clear Cell Renal Cell Carcinoma
- Sarcomatoid Renal Cell Carcinoma
- Stage II Renal Cell Cancer AJCC v8
- Stage III Renal Cell Cancer AJCC v8
- Stage IV Renal Cell Cancer AJCC v8
Interventions
- PROCEDURE
-
Biospecimen Collection
Undergo collection of blood samples
- DRUG
-
Clostridium butyricum CBM588 Strain
Given PO
- PROCEDURE
-
Computed Tomography
Undergo CT
- BIOLOGICAL
-
Given IV
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
City of Hope Medical Center
lead OTHER
Principal Investigators
-
Wesley Yip · City of Hope Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-04
- Primary Completion
- 2028-10-24
- Completion
- 2028-10-24
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Neoadjuvant Pembrolizumab and Lenvatinib for Renal Cell Carcinoma
NCT05733715 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Cabometyx and Avelumab in Patients With Metastatic Renal Cell Carcinoma (mRCC)
NCT03200587 ·Status: COMPLETED ·Phase: PHASE1
-
Study Of Cabozantinib Treatment In Patients With Unresectable, Locally Advanced Or Metastatic Renal Cell Carcinoma Who Progressed After Previous Treatment With Checkpoint Inhibitors
NCT04353765 ·Status: COMPLETED
-
A Study Evaluating the Effect of Pembrolizumab (MK-3475) in Participants With Renal Cell Cancer (MK-3475-031)
NCT02212730 ·Status: TERMINATED ·Phase: PHASE1
-
Carboxyamidotriazole in Treating Patients With Advanced Kidney Cancer
NCT00005045 ·Status: COMPLETED ·Phase: PHASE2
-
Panobinostat and Everolimus in Treating Patients With Metastatic or Unresectable Renal Cell Cancer That Does Not Respond to Treatment With Sunitinib Malate or Sorafenib Tosylate
NCT01582009 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Analysis of Primary and Metastatic Tumors in Patients With Renal Cell Carcinoma and Urothelial Carcinoma
NCT03291028 ·Status: ACTIVE_NOT_RECRUITING
-
Study of Cabozantinib in Combination With Nivolumab and Ipilimumab in Patients With Previously Untreated Advanced or Metastatic Renal Cell Carcinoma
NCT03937219 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Comparing the Outcome of Immunotherapy-Based Drug Combination Therapy With or Without Surgery to Remove the Kidney in Metastatic Kidney Cancer, the PROBE Trial
NCT04510597 ·Status: RECRUITING ·Phase: PHASE3
-
Neoadjuvant Cabozantinib in Treating Patients With Locally Advanced Kidney Cancer
NCT04022343 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Cabozantinib Post First-line Immuno-oncology Checkpoint Inhibitor Containing Combination
NCT04957160 ·Status: COMPLETED
-
A Prospective Registry Study of Stereotactic Ablative Radiotherapy (SABR) for Oligometastatic/Oligometastatic Renal Cell Carcinoma
NCT06585878 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
A Study of Immune Checkpoint Inhibitor Combinations With Axitinib in Participants With Untreated Locally Advanced Unresectable or Metastatic Renal Cell Carcinoma
NCT05805501 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Proof of Principle Study of Pembrolizumab With SBRT in TKI mRCC Patients
NCT02599779 ·Status: COMPLETED ·Phase: PHASE2
-
To Examine the Effects of Axitinib Dose Reduction and Interruption for Adverse Event Management Among Patients Receiving Axitinib in for the Treatment of Advanced Renal Cell Carcinoma
NCT04682587 ·Status: COMPLETED
-
A Phase 1/2, Open-label Study to Evaluate the Safety and Antitumor Activity of MEDI0680 (AMP-514) in Combination With Durvalumab Versus Nivolumab Monotherapy in Participants With Select Advanced Malignancies
NCT02118337 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Testing Cabozantinib, Crizotinib, Savolitinib and Sunitinib in Kidney Cancer Which Has Progressed
NCT02761057 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Cabozantinib as Monotherapy or in Combination With Nivolumab in Patients With Advanced or Metastatic Renal Cell Carcinoma Under Real-life Clinical Setting in 1st Line Treatment.
NCT03647878 ·Status: ACTIVE_NOT_RECRUITING
-
Study of Pembrolizumab (MK-3475) Monotherapy in Locally Advanced/Metastatic Renal Cell Carcinoma (MK-3475-427/KEYNOTE-427)
NCT02853344 ·Status: COMPLETED ·Phase: PHASE2
-
Stereotactic Body Radiotherapy (SBRT) and Sorafenib in Patients With Metastatic, Recurrent, or Unresectable Renal Cell Cancer (RCC)
NCT00672178 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Cabozantinib-s-malate or Sunitinib Malate in Treating Patients With Previously Untreated Locally Advanced or Metastatic Kidney Cancer
NCT01835158 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of Abemaciclib and Cabozantinib in People With Clear Cell Renal Cell Carcinoma (ccRCC)
NCT06835972 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Capecitabine, Gemcitabine, and Bevacizumab in Combination for Patients With Sarcomatoid Renal Cell Carcinoma
NCT00496587 ·Status: COMPLETED ·Phase: PHASE2
-
Nivolumab in Patients With Metastatic Renal Cell Carcinoma Who Have Progresses During or After Prior Systemic Anti-angiogenic Regimen
NCT03013335 ·Status: COMPLETED ·Phase: PHASE2
-
Molecular Residual Disease (MRD) Guided Adjuvant ThErapy in Renal Cell Carcinoma (RCC)
NCT06005818 ·Status: RECRUITING ·Phase: PHASE2