A Study of the Effectiveness of Cabozantinib in Combination With Nivolumab as First-line Treatment of Advanced Renal Cell Carcinoma (aRCC) in Adults (CaboCombo)
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ClinicalTrials.gov Identifier: NCT05361434 |
Recruitment Status :
Recruiting
First Posted : May 4, 2022
Last Update Posted : May 6, 2023
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Condition or disease |
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Advanced Renal Cell Carcinoma |
Study Type : | Observational |
Estimated Enrollment : | 311 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | A Prospective Observational International Study of Cabozantinib Tablets in Combination With Nivolumab as First-line Treatment of Advanced Renal Cell Carcinoma in Adults |
Actual Study Start Date : | September 26, 2022 |
Estimated Primary Completion Date : | May 31, 2026 |
Estimated Study Completion Date : | November 30, 2026 |

- Overall survival (OS) rate (death of any cause) from the start of cabozantinib in combination with nivolumab. [ Time Frame: At 18 months follow up ]
- Tumor median progression-free survival (PFS) time [ Time Frame: Every month until month 4, and every 3 months after month 4 up to 42 month or disease progression ]Including clinical and radiographic assessments defined as the time between the start date of cabozantinib in combination with nivolumab and the date of progression or death of any cause. The Kaplan-Meier method will be used to estimate median PFS.
- Proportion of participants who achieve partial or complete response (Objective Response Rate (ORR)) [ Time Frame: Every month until month 4, and every 3 months after month 4 up to 42 month or disease progression ]Assessed by the investigator
- Duration of response (DOR) [ Time Frame: Every month until month 4, and every 3 months after month 4 up to 42 month or disease progression ]Defined as the interval from the date of first response (complete or partial) to treatment with cabozantinib in combination with nivolumab, to progressive disease or death
- Proportion of participants who achieve complete response, partial response or stable disease (Disease Control Rate (DCR)). [ Time Frame: Every month until month 4, and every 3 months after month 4 up to 42 months or disease progression. ]
- Time of response (TTR) [ Time Frame: Every month until month 4, and every 3 months after month 4 up to 42 months or disease progression ]Defined as the time between the start date of cabozantinib in combination with nivolumab and date of first response (complete or partial).
- Pattern of use of cabozantinib under real-world practice conditions. [ Time Frame: Every month until month 4, and every 3 months after month 4 up to 42 months or disease progression ]
- Pattern of use of nivolumab under real-world practice conditions. [ Time Frame: Every month until month 4, and every 3 months after month 4 up to 42 months or disease progression ]
- Incidence of treatment-emergent Adverse Events (TEAEs) including nonserious Adverse Events (AEs), and Serious Advers Events (SAEs). [ Time Frame: Up to 42 months or disease progression ]All AEs will be coded according to the Medical Dictionary for Regulatory Activities (MedDRA) and will be classified by MedDRA PT and SOC.
- Change in disease-related symptoms [ Time Frame: Change from baseline at each visit up to 42 months ]Assessed by the Functional Assessment of Cancer Therapy Kidney Cancer Symptom Index - Disease Related Symptoms (FKSI-DRS) questionnaire
- Change in pain [ Time Frame: Change from baseline at each visit up to 42 months ]Assessed by the Numerical Pain Rating Scale (NPRS)
- Percentage of participants receiving subsequent anticancer therapies following cabozantinib and nivolumab discontinuation [ Time Frame: Up to 42 months. ]Including: Sequences of treatment; drug names and duration of treatment; and reason for end of treatment line

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Probability Sample |
Inclusion Criteria:
- Participants with diagnosis of aRCC with clear-cell component
- Participants with no prior systemic treatment for aRCC with clear-cell component;
- Physician-initiated decision to treat with cabozantinib and nivolumab in combination (prior to study enrolment), according to Cabometyx® and Opdivo® approved local labels;
Exclusion Criteria:
- Current participation in an investigational program with any intervention which could possibly interfere the treatment and impact this study;
- History of allergy or hypersensitivity to Cabometyx® or Opdivo® components.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05361434
Contact: Ipsen Recruitment Enquiries | see email | clinical.trials@ipsen.com |

Study Director: | Ipsen Medical Director | Ipsen |
Responsible Party: | Ipsen |
ClinicalTrials.gov Identifier: | NCT05361434 |
Other Study ID Numbers: |
CLIN-60000-452 |
First Posted: | May 4, 2022 Key Record Dates |
Last Update Posted: | May 6, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Where patient data can be anonymised, Ipsen will share all individual participant data that underlie the results reported in the published journal article with qualified researchers who provide a valid research question. Study documents, such as the study protocol and clinical study report, are not always available. |
Time Frame: | Data are available beginning 6 months and ending 5 years after the publication of the findings in a journal; after this time, only raw data may be available. |
Access Criteria: | Proposals should be submitted to DataSharing@ipsen.com and will be assessed by a scientific review board. |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Carcinoma Carcinoma, Renal Cell Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Adenocarcinoma Kidney Neoplasms Urologic Neoplasms |
Urogenital Neoplasms Neoplasms by Site Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Urogenital Diseases Kidney Diseases Urologic Diseases Male Urogenital Diseases |