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A Phase 1 Study of AB521 Monotherapy and Combination Therapies in Renal Cell Carcinoma and Other Solid Tumors

A Phase 1, Open-label, Dose Escalation and Dose Expansion Study, to Investigate the Safety, Tolerability, and Pharmacokinetic Profile of AB521 Monotherapy and Combination Therapies in Participants With Clear Cell Renal Cell Carcinoma and Other Solid Tumors

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05536141
Acronym
ARC-20
Enrollment
362
Registered
2022-09-10
Start date
2022-10-26
Completion date
2029-03-01
Last updated
2026-08-31

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

Conditions

Clear Cell Renal Cell Carcinoma, Solid Tumors

Keywords

Clear Cell Renal Cell Carcinoma, AB521, Casdatifan, Kidney Cancer, Zimberelimab, AB122, Hif2a

Brief summary

The purpose of this study is to evaluate the safety and tolerability of: * casdatifan when taken alone in participants with advanced solid tumor malignancies and clear cell renal cell carcinoma (ccRCC) during the dose escalation stage; and * casdatifan monotherapy and casdatifan in combination with cabozantinib or zimberelimab or zimberelimab and ipilimumab in participants with ccRCC in the dose expansion stage.

Interventions

Administered as specified in the treatment arm

DRUGCabozantinib

Administered as specified in the treatment arm

DRUGZimberelimab

Administered as specified in the treatment arm

DRUGIpilimumab

Administered as specified in the treatment arm

Sponsors

Arcus Biosciences, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Must have at least one measurable lesion per RECIST guidance * Eastern Cooperative Oncology Group (ECOG) performance status score of ≤ 1 * Disease-specific criteria for dose escalation: * Participants may have any pathologically confirmed solid tumor type where no other treatment options are available * Creatinine clearance ≥ 40 mL/min Disease-specific criteria for dose-expansion: * Histologically confirmed ccRCC * Creatinine clearance ≥ 40 mL/min Key

Exclusion criteria

* Use of any live vaccines against infectious diseases (eg, influenza, varicella) within 4 weeks (28 days) of initiation of investigational product * Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with a participant's participation in the clinical study or make the administration of investigational product hazardous * History of trauma or major surgery within 28 days prior to the first dose of investigational product * For all expansion cohorts: prior treatment with an hypoxia inducible factor (HIF)-2α inhibitor. For the casdatifan + cabozantinib combination cohort, any prior treatment with cabozantinib. For casdatifan + zimberelimab and casdatifan + zimberelimab + ipilimumab cohorts, any prior systemic treatment when cancer is present. * Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Number of participants with dose limiting toxicities (DLTs)Up to 4 months
Number of participants with adverse events (AEs)Up to 4 months

Secondary

MeasureTime frame
Objective Response Rate as measured by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1Up to 4 months
Plasma concentration of casdatifanUp to 4 months
Area under the plasma concentration time curve (AUC) of casdatifanUp to 4 months
Maximum Observed Plasma Concentration (Cmax) of casdatifanUp to 4 months

Countries

Australia, South Korea, Spain, United States

Contacts

CONTACTMedical Director
ClinicalTrialInquiry@arcusbio.com+1-510-462-3330
STUDY_DIRECTORMedical Director

Arcus Biosciences

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 1, 2026