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Randomized, Double-Blind, Active-Control, Multicenter Phase 3 Trial of Casdatifan and Cabozantinib Versus Placebo and Cabozantinib in Patients With Advanced Clear Cell Renal Cell Carcinoma

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-515023-11-00
Acronym
PEAK-1
Enrollment
308
Registered
2025-11-24
Start date
2026-01-22
Completion date
Unknown
Last updated
2026-01-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Clear Cell Renal Cell Carcinoma, Metastatic Clear Cell Renal Cell Carcinoma

Brief summary

PFS is defined as the time from date of randomization until PD or death from any cause, whichever comes first, as assessed by BICR according to RECIST 1.1.

Detailed description

OS is defined as the time from date of randomization until the date of death from any cause., ORR is defined as the proportion of patients who have achieved confirmed complete response (CR) or confirmed partial response (PR) to study therapy, as assessed by BICR according to RECIST 1.1., Duration of response is measured from the time of first response (CR or PR) until the date of first documented PD or death, whichever comes first, as assessed by BICR according to RECIST 1.1., Disease control rate (DCR) is defined as the proportion of patients who have achieved confirmed CR, confirmed PR, or stable disease for ≥ 16 weeks from date of randomization, as assessed by BICR according to RECIST 1.1., The incidence and severity of treatment-emergent adverse events and treatment-emergent serious adverse events, and any clinically meaningful trends in safety parameters., Time to first symptom deterioration in National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Symptom Index – Disease Related Symptoms (NFKSI-DRS) Items 1-9 sub-scale score.

Interventions

DRUGCABOZANTINIB
DRUGPLACEBO

Sponsors

Arcus Biosciences Inc.
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
PFS is defined as the time from date of randomization until PD or death from any cause, whichever comes first, as assessed by BICR according to RECIST 1.1.

Secondary

MeasureTime frame
OS is defined as the time from date of randomization until the date of death from any cause., ORR is defined as the proportion of patients who have achieved confirmed complete response (CR) or confirmed partial response (PR) to study therapy, as assessed by BICR according to RECIST 1.1., Duration of response is measured from the time of first response (CR or PR) until the date of first documented PD or death, whichever comes first, as assessed by BICR according to RECIST 1.1., Disease control rate (DCR) is defined as the proportion of patients who have achieved confirmed CR, confirmed PR, or stable disease for ≥ 16 weeks from date of randomization, as assessed by BICR according to RECIST 1.1., The incidence and severity of treatment-emergent adverse events and treatment-emergent serious adverse events, and any clinically meaningful trends in safety parameters., Time to first symptom deterioration in National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy-Kidney Sy

Countries

Czechia, France, Germany, Italy, Netherlands, Poland, Romania, Spain

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026