A Randomized Trial of Fianlimab and Cemiplimab +/- Ipilimumab or Ipilimumab Plus Nivolumab in First-line Advanced Renal Cell Carcinoma (RCC)
NCT07188896 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-05-01
Summary
This three-arm randomized phase 2 trial will enroll advanced clear cell RCC patients (all IMDC risk groups). Patients will be randomized 2:2:1 to either Arm A (fianlimab/ cemiplimab/ ipilimumab), Arm B (fianlimab/ cemiplimab), or Arm C (standard ipilimumab/ nivolumab), respectively.
Conditions
- Advanced Renal Cell Carcinoma (aRCC)
- Metastatic Renal Cell Carcinoma ( mRCC)
- Clear Cell Renal Cell Carcinoma (ccRCC)
Interventions
- DRUG
-
Fianlimab
Fianlimab will be co-administered by IV.
- DRUG
-
Ipilimumab will be administered by IV.
- DRUG
-
Nivolumab will be administered by IV. Maintenance nivolumab will then be administered by IV.
- DRUG
-
Cemiplimab will co-administered by IV.
Sponsors & Collaborators
- collaborator INDUSTRY
-
Vanderbilt-Ingram Cancer Center
collaborator OTHER -
Brian Rini
lead OTHER
Principal Investigators
-
Brian Rini, MD · Vanderbilt-Ingram Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-29
- Primary Completion
- 2029-11-30
- Completion
- 2030-11-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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