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Locally Advanced or Metastatic Renal Cell CarcinomaPhase 2CaboPointNCT03945773

Study of Cabozantinib as 2nd Line Treatment in Subjects With Locally Advanced or Metastatic Renal Cell Carcinoma (RCC) With a Clear-Cell Component Who Progressed After 1st Line Treatment With Checkpoint Inhibitors

A Phase 2 study testing Cabozantinib in people with Locally Advanced or Metastatic Renal Cell Carcinoma, run by Ipsen at 40 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The overall objective of this study is to evaluate the efficacy and safety of cabozantinib as 2nd line treatment in subjects with unresectable, locally advanced or metastatic RCC with a clear-cell component, who progressed after prior Checkpoint Inhibitors (CPI) therapy with ipilimumab and nivolumab in combination or… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Cabozantinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
127 participants
Where
40 sitesin 7 countries
Study dates
8 Jan 2020to 12 Feb 2026
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • All subjects must fulfil all the following criteria to be included in the study:
  • Subjects must provide a signed informed consent prior to any study-related procedures;
  • Male or female subjects must be aged ≥18 years on the day the informed consent is signed;
  • Subjects must have histologically confirmed unresectable, locally advanced (defined as disease not eligible for curative surgery or radiation therapy) or metastatic RCC with a clear-cell carcinoma component;
  • Subjects must have radiographic disease progression, according to Investigator's judgement following 1st line treatment with CPI (ipilimumab plus nivolumab) (Cohort A) or CPI in combination with VEGF-targeted therapy (Cohort B);
  • Subjects present ≥1 target lesion according to RECIST 1.1 per Investigator;
Show all 23Show fewer
  • Subjects should have Eastern Cooperative Oncology Group (ECOG) status 0-1;
  • Subjects with treated brain metastases are eligible if metastases have been shown to be stable as per Investigator's judgement;
  • Subjects must have adequate organ and marrow function, based upon meeting all of the following laboratory criteria within 15 days before baseline:
  • Absolute neutrophil count (ANC) ≥ 1500/mm3 (≥ 1.5 GI/L).
  • Platelets ≥ 100,000/mm3 (≥ 100 GI/L).
  • Haemoglobin ≥ 9 g/dL (≥ 90 g/L).
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) < 3.0 × upper limit of normal (ULN).
  • Total bilirubin ≤ 1.5 × ULN. For subjects with Gilbert's disease ≤ 3 mg/dL (≤ 51.3 μmol/L).
  • Serum creatinine ≤ 2.0 × ULN or calculated creatinine clearance ≥ 30 mL/min (≥ 0.5 mL/sec) using the Cockcroft-Gault equation
  • Urine protein-to-creatinine ratio (UPCR) ≤ 1 mg/mg (≤ 113.2 mg/mmol) creatinine or 24-hour urine protein < 1 g.
  • Subject must have recovered to baseline or ≤ Grade 1 per CTCAE v5 from toxicities related to any prior treatments, unless Adverse Events (AE(s)) are clinically nonsignificant and/or stable on supportive therapy as determined by the Investigator;
  • Subject must have completed a steroid taper if he/she had an immune-related adverse event associated with immune CPI;
  • Female subjects of childbearing potential (i.e. less than or equal to 2 years postmenopause and not surgically sterile) must provide a negative pregnancy test within 7 days prior to the start of study treatment. If a urine test cannot be confirmed as negative, a negative serum pregnancy test is required;
  • Female subjects of childbearing potential (i.e. less than or equal to 2 years post-menopause and not surgically sterile) and their partners must agree to use highly effective methods of contraception that alone or in combination result in a failure rate of less than 1% per year when used consistently and correctly during the course of the study and for 4 months after the last dose of study treatment;
  • All male participants must agree to refrain from donating sperm and unprotected sexual intercourse with female partners during the study and for 120 days after the last dose of study treatment;
  • Subjects must be willing and able to comply with study requirements, remain at the investigational site for the required duration of each study visit and be willing to return to the investigational site for the follow up evaluation, as specified in the protocol
  • Subjects must be covered by social security or be the beneficiary of such a system (only applicable for French subjects).

Who cannot join

  • Subjects will not be included in the study if the subject:
  • Inability to swallow tablets;
  • Was treated with any other investigational medicinal product (IMP) within the last 30 days before baseline;
  • Was previously treated with cabozantinib;
  • Has a contraindication to Magnetic Resonance Imaging (MRI) or contrast medium used for Contrast Tomography (CT)-scan;
  • Presents untreated brain or leptomeningeal metastases, or current clinical or radiographic progression of known brain metastases;
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  • Has a diagnosis of a serious cardiovascular disorder:
  • Congestive heart failure New York Heart Association class 3 or 4, unstable angina pectoris, or serious cardiac arrhythmias;
  • Uncontrolled hypertension, defined as sustained blood pressure (BP) (>140 mm Hg systolic or >90 mm Hg diastolic pressure) despite optimal antihypertensive treatment;
  • Stroke (including transient ischaemic attack (TIA)), myocardial infarction (MI) or other ischaemic event, or thromboembolic event (e.g. deep venous thrombosis, pulmonary embolism) within 6 months before screening;
  • History of risk factors for torsades de pointes (e.g., long QT syndrome);
  • Is receiving concomitant anticoagulation with coumarin agents (e.g. warfarin), direct thrombin inhibitor dabigatran, Direct Factor Xa inhibitors betrixaban or platelet inhibitors (e.g. clopidogrel); Note: The following are allowed anticoagulants: prophylactic use of low-dose aspirin for cardioprotection (per local applicable guidelines) and low dose, low molecular weight heparin (LMWH) are permitted. Therapeutic doses of LMWH or anticoagulation with direct factor Xa inhibitors rivaroxaban, edoxaban, or apixaban in patients without known brain metastases who are on a stable dose of the anticoagulant for at least 1 week before baseline without clinically significant hemorrhagic complications from the anticoagulation regimen or the tumour.
  • Has a gastrointestinal (GI) disorder including those associated with a high risk of perforation or fistula formation:
  • Tumours invading the GI tract, active peptic ulcer disease, inflammatory bowel disease, diverticulitis, cholecystitis, symptomatic cholangitis or appendicitis, acute pancreatitis or acute obstruction of the pancreatic or biliary duct, or gastric outlet obstruction; b) Abdominal fistula, GI perforation, bowel obstruction, or intra-abdominal abscess within 6 months before screening; Note: Complete healing of an intra-abdominal abscess must have been confirmed before screening
  • Presents a corrected QT (QTc) interval calculated by the Fridericia formula (QTcF) > 500 msec within 1 month prior to baseline; Note: If a single ECG shows a QTcF with an absolute value > 500 ms, two additional ECGs at intervals of approximately 3 min must be performed within 30 min after the initial ECG, and the average of these three consecutive results for QTcF will be used to determine eligibility
  • Presents clinically significant haematuria, hematemesis, or haemoptysis of >0.5 teaspoon (2.5 mL) of red blood, or other history of significant bleeding (e.g.
  • pulmonary haemorrhage) within 3 months before screening;
  • Presents cavitating pulmonary lesion(s) or known endobronchial disease manifestation;
  • Presents lesions invading major pulmonary blood vessels;
  • Has been diagnosed with other clinically significant disorders such as:
  • Serious nonhealing wound/ulcer/bone fracture;
  • Malabsorption syndrome;
  • Uncompensated/symptomatic hypothyroidism;
  • Moderate to severe hepatic impairment (Child-Pugh B or C);
  • Requirement for haemodialysis or peritoneal dialysis;
  • History of solid organ transplantation;
  • Has a predicted life expectancy of less than 3 months;
  • Has had prior surgery within 4 weeks prior to baseline. Note: If the subject has undergone major surgery, complete wound healing must have occurred 1 month prior to baseline
  • Has had palliative radiation therapy for bone within 2 weeks or for radiation fields including viscera within 4 weeks prior to baseline. Note: Resolution/healing of side effects must be complete prior to baseline;
  • Has a history of another active malignancy within 3 years from screening except for locally curable cancers that have been apparently cured, such as low-grade thyroid carcinoma, prostate cancer not requiring treatment (Gleason Grade ≤6), basal or squamous cell skin cancer, superficial bladder cancer, in situ melanoma, in situ prostate, cervix or breast carcinoma or other treated malignancies with <5% chance of relapse according to the Investigator;
  • Has a history of allergy to study treatment components or agents with a similar chemical structure or any excipient used in the formulation as listed in the Summary of Product Characteristics (SmPC) document;
  • Has rare hereditary problems of galactose intolerance, the Lapp lactase deficiency or glucose-galactose malabsorption are also excluded;
  • Has a serious medical or psychiatric condition that renders the subject unable to understand the nature, scope and possible consequences of the study, and/or presents an uncooperative attitude;
  • Is pregnant or breastfeeding. A β-human chorionic gonadotrophin (HCG) serum pregnancy test will be performed up to 7 days prior to baseline for all female subjects of childbearing potential (i.e. less than or equal to 2 years post-menopause and not surgically sterile);
  • Is likely to require treatment during the study with drugs that are not permitted by the study protocol;
  • Has abnormal baseline findings, any other medical condition(s) or laboratory findings that, in the opinion of the Investigator, might jeopardise the subject's safety

Trial locations and contacts

40 sites in 7 countries.

40 sites in 7 countries

France12 sites
  • CHRU Besançon

    Besançon, 25000

  • Centre Jean Perrin

    Clermont-Ferrand, 63011

  • Centre Léon Bérard

    Lyon, 69008

  • Institut Paoli Calmettes

    Marseille, 13009

  • Institut de Cancérologie de Lorraine

    Nancy, 54511

  • CHU de Nîmes - Institut de Cancérologie du Gard

    Nîmes, 30029

  • Institut Mutualiste Montsouris

    Paris, 75014

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495

  • Institut de Cancérologie de l'Ouest

    Saint-Herblain, 44800

  • CHU Strasbourg

    Strasbourg, 67091

  • Institut Claudius Régaud

    Toulouse, 31059

  • Gustave Roussy

    Villejuif, 94805

Other trials in France

Germany11 sites
  • Universitätsmedzin Charité

    Berlin, D-10117

  • University Hospital Carl Gustav Carus Dresden

    Dresden, D-1307

  • Universitätsklinikum Essen

    Essen, D-45147

  • University Cancer Center Hamburg Eppendorf

    Hamburg, d-20246

  • Medizinische Hochschule Hannover

    Hanover, D-30625

  • Klinikum Der Friedrich-Schiller-Universitaet Jena

    Jena, D-07747

  • Universitätsklinikum Schleswig-Holstein

    Lübeck, D-23538

  • Otto-von-Guericke-Universität University hospital Magdeburg

    Magdeburg, D-39120

  • University, Hospital Münster

    Münster, D-48149

  • Caritas Krankenhaus St.Josef Klinik für Urologie

    Regensburg, D-93053

  • University Hospital Tuebingen

    Tübingen, D-72076

Other trials in Germany

United Kingdom5 sites
  • Western General Hospital - Edinburgh Cancer Centre

    Edinburgh, EH4 2XU

  • Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX

  • Mount Vernon Hospital

    Northwood, HA6 2RN

  • Royal Cornwall Hospital (RCH) - Sunrise Centre

    Truro, TR1 3LJ

Other trials in United Kingdom

Netherlands4 sites
  • The Netherlands Cancer Institute - Oncology

    Amsterdam, 1066 CX

  • Maxima Medisch Centrum

    Eindhoven, 5604 DB

  • Leiden University Medical Center

    Leiden, 2300-RC

  • Universitair Medisch Centrum Utrecht

    Utrecht, 3584 CX

Other trials in Netherlands

Spain4 sites
  • Hospital de La Santa Creu i Sant Pau

    Barcelona, 08041

  • Hospital Lucus Augusti

    Lugo, 27003

  • M.D. Anderson Center Madrid

    Madrid, 28033

  • Hospital Universitario 12 de Octubre

    Madrid, 28041

Other trials in Spain

Switzerland3 sites
  • Universitätsspital Bern, Inselspital

    Bern, 3010

  • Centre Hospitalier Universitaire Vaudois

    Lausanne, 1011

  • Kantonsspital St. Gallen

    Sankt Gallen, 9007

Other trials in Switzerland

Austria1 site
  • SALK - Salzburger Landesklinik

    Salzburg, A-5020

Other trials in Austria

About this study

Official title: A Phase II, Multicentre, Open-label Study of Cabozantinib as 2nd Line Treatment in Subjects With Unresectable, Locally Advanced or Metastatic Renal Cell Carcinoma With a Clear-Cell Component Who Progressed After 1st Line Treatment With Checkpoint Inhibitors.

The overall objective of this study is to evaluate the efficacy and safety of cabozantinib as 2nd line treatment in subjects with unresectable, locally advanced or metastatic RCC with a clear-cell component, who progressed after prior Checkpoint Inhibitors (CPI) therapy with ipilimumab and nivolumab in combination or CPI combined with Vascular Endothelial Growth Factor (VEGF)-targeted therapy.

Being tested
Cabozantinib
Medical subject headings
Carcinoma, Renal Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CabozantinibDrug

    Also called Cabometyx

    Oral tablets of 60mg, 40mg and 20 mg.

Study groups in NCT03945773
Study groupRoleWhat they receive
Cohort AExperimentalSubjects who radiographically progressed after one prior line by CPI therapy with ipilimumab and nivolumab.
Receives: Drug: Cabozantinib
Cohort BExperimentalSubjects who radiographically progressed after one prior line by CPI therapy combined with VEGF-targeted therapy.
Receives: Drug: Cabozantinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cohort A: Objective Response Rate (ORR) Assessed by Independent Central Review

    ORR was defined as the percentage of participants who achieved a partial response (PR) or complete response (CR) at any timepoint as determined by independent central review per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1. The CR was defined as disappearance of all target lesions. The PR was defined as at least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. The confidence interval of the ORR was calculated using Clopper-Pearson exact method.

    Measured: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months

Secondary outcomes (8)
  1. Time to Response (TTR) Assessed by Independent Central Review and Investigator

    TTR was defined as the time from start of study treatment to the date of first evidence of response (PR or CR as determined by independent central review and Investigator per RECIST 1.1). The CR was defined as disappearance of all target lesions. The PR was defined as at least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR.

    Measured: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months

  2. Duration of Response (DOR) Assessed by Independent Central Review and Investigator

    DOR was defined as the time from first documented response (PR or CR as determined by independent central review and Investigator per RECIST 1.1) to either disease progression (as determined by independent central review and Investigator per RECIST 1.1) or death due to any cause, whichever occurs first. The CR was defined as disappearance of all target lesions. The PR was defined as at least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. The progressive disease (PD) was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters at prior timepoints (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of ≥ 5 millimeters (mm). DOR was calculated using the Kaplan-Meier method.

    Measured: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months

  3. Disease Control Rate (DCR) Assessed by Independent Central Review and Investigator

    DCR was defined as the percentage of participants who achieved a PR, CR or stable disease (SD) as determined by independent central review and Investigator per RECIST 1.1. The CR was defined as disappearance of all target lesions. The PR was defined as at least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. The SD was defined as neither sufficient shrinkage to qualify for CR or PR nor sufficient increase to qualify for PD. The PD was defined at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters at prior timepoints (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of ≥ 5 mm.

    Measured: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months

  4. Progression-free Survival (PFS) Assessed by Independent Central Review and Investigator

    PFS was defined as the time from start of study treatment to either disease progression (as determined by independent central review and Investigator per RECIST 1.1) or death due to any cause, whichever occurs first. The PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters at prior timepoints (including baseline). In addition to the relative increase of 20%, the sum of diameters must also demonstrate an absolute increase of ≥ 5 mm. PFS was calculated using the Kaplan-Meier method.

    Measured: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months

  5. Cohort B: Objective Response Rate Assessed by Independent Central Review

    ORR was defined as the percentage of participants who achieved a PR or CR at any timepoint as determined by independent central review per RECIST 1.1. The CR was defined as disappearance of all target lesions. The PR was defined as at least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. The CI of the ORR was calculated using Clopper-Pearson exact method.

    Measured: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months

  6. Objective Response Rate Assessed by Investigator

    ORR was defined as the percentage of participants who achieved a PR or CR at any timepoint as determined by Investigator per RECIST 1.1. The CR was defined as disappearance of all target lesions. The PR was defined as at least a 30% decrease in the sum of diameters of all target lesions, taking as reference the baseline sum of diameters, in the absence of CR. The CI of the ORR was calculated using Clopper-Pearson exact method.

    Measured: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months

  7. Overall Survival (OS) Assessed by Investigator

    OS was defined as the time from the start of treatment until death due to any cause. OS was calculated using the Kaplan-Meier method.

    Measured: From the start of study treatment (Day 1) up to end of study, 45 months

  8. Change From Baseline in Functional Assessment of Cancer Therapy-Kidney Cancer Symptom Index (FKSI-DRS) Score at Month 40

    The FKSI-DRS questionnaire consisted of 9-items to evaluate participant's symptoms in the past 7 days such as lack of energy, pain, weight-loss, bone-pain, shortness of breath, fatigue, fever, blood in urine etc. Participants rated each question from 0 (not at all) to 4 (very much). Total score was calculated as the sum of the item responses divided by the number of items completed and multiplied by the total number of items in the scale. Total score ranged from 0 to 36. Higher scores indicated less symptoms. Baseline was defined as the last questionnaire answered prior to the first dose of study drug. A negative change from baseline indicated worse outcome.

    Measured: Baseline (Day 1) and Month 40

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 May 2019
  2. Study start8 Jan 2020
  3. Primary completion11 May 2023
  4. Study completion12 Feb 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
127 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03945773
Sponsor's protocol ID
F-FR-60000-023
Other IDs
2018-002820-18, 2024-514479-16-00, 2018
Acronym
CaboPoint
Status last verified
Sep 2026
First submitted
9 May 2019
Last updated
6 Oct 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of study participants.

Publications

  • Albiges L, Schmidinger M, Taguieva-Pioger N, Perol D, Grunwald V, Guemas E. CaboPoint: a phase II study of cabozantinib as second-line treatment in patients with metastatic renal cell carcinoma. Future Oncol. 2022 Mar;18(8):915-926. doi: 10.2217/fon-2021-1006. Epub 2021 Dec 16.

    PubMed 34911359

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Cabozantinib in people with Locally Advanced or Metastatic Renal Cell Carcinoma, run by Ipsen at 40 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 23 inclusion and 36 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 40 sites in France, Germany, United Kingdom, Netherlands, Spain and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Dec 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cohort A: Objective Response Rate (ORR) Assessed by Independent Central Review (time frame: Tumour assessments performed at Screening/Baseline (within 28 days prior start of study treatment) and every 12 weeks, up to approximately 40 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03945773, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2026.

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