Clinical trial Recruiting at 24 sites Phase 1 Interventional Ages 18 and up

Evaluating AB521 for kidney cancer and other solid tumors

Official title: 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

Run by Arcus Biosciences, Inc. · NCT05536141 · Data updated 2026-11-12

This study is testing a new treatment called casdatifan, alone and with other medications, to see if it helps people with advanced kidney cancer and other solid tumors feel better.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment362 (estimated)
SponsorArcus Biosciences, Inc.
Industry-sponsored
Drugs / interventionszimberelimab, ipilimumab, cabozantinib
Locations25 sites (Birmingham, Alabama and 24 other locations)
StatusRecruiting
StartedOctober 26, 2022
Main results expectedMarch 2029
Study endsMarch 2029
Registry record updatedNovember 2, 2026
Trial IDNCT05536141 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals with advanced clear cell renal cell carcinoma or other solid tumors who have limited treatment options.

Probably not a fit

Patients with significant comorbidities or those who have had recent major surgeries may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to assess the safety and tolerability of casdatifan, both as a standalone treatment and in combination with cabozantinib or zimberelimab, for patients with advanced solid tumors, particularly clear cell renal cell carcinoma (ccRCC). The trial consists of a dose escalation phase to determine the optimal dosage and a dose expansion phase focusing on ccRCC patients. Participants must have measurable lesions and meet specific health criteria to be eligible for the study.

Why it matters

Potential benefit: If successful, this study could provide a new treatment option for patients with advanced kidney cancer and other solid tumors.

How similar studies have gone: Other studies have shown promise with similar combination therapies in treating renal cell carcinoma, suggesting potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion 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/Exclusion criteria may apply.

Where it's running

  • Research Site
    Birmingham, Alabama, United States
    Recruiting
  • Research Site
    San Diego, California, United States
    Recruiting
  • Research Site
    Santa Monica, California, United States
    Recruiting
  • Research Site
    Miami, Florida, United States
    Recruiting
  • Research Site
    Atlanta, Georgia, United States
    Recruiting
  • Research Site
    Louisville, Kentucky, United States
    Recruiting
Show 19 more locations
  • Research Site
    New Orleans, Louisiana, United States
    Recruiting
  • Research Site
    Baltimore, Maryland, United States
    Recruiting
  • Research Site
    Boston, Massachusetts, United States
    Recruiting
  • Research Site
    Detroit, Michigan, United States
    Recruiting
  • Research Site
    Detroit, Michigan, United States
    Recruiting
  • Research Site
    Omaha, Nebraska, United States
    Recruiting
  • Research Site
    New York, New York, United States
    Recruiting
  • Research Site
    New York, New York, United States
    Recruiting
  • Research Site
    Cleveland, Ohio, United States
    Recruiting
  • Research Site
    Cleveland, Ohio, United States
    Recruiting
  • Research Site
    Pittsburgh, Pennsylvania, United States
    Recruiting
  • Research Site
    Nashville, Tennessee, United States
    Recruiting
  • Research Site
    Nashville, Tennessee, United States
    Recruiting
  • Research Site
    San Antonio, Texas, United States
    Recruiting
  • Research Site
    Melbourne, Australia
    Recruiting
  • Research Site
    Sydney, Australia
    Recruiting
  • Research Site
    Seoul, South Korea
    Recruiting
  • Research Site
    Barcelona, Spain
    Recruiting
  • Research Site
    Camperdown, Australia
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Cadonilimab and Lenvatinib in advanced kidney cancer

    This study tests whether Cadonilimab plus Lenvatinib can help adults with unresectable, advanced renal cell carcinoma, especially clear cell type, after prior treatments.

    Recruiting Phase 2 Cancer Institute and Hospital, Chinese Academy of Medical Sciences · Beijing, Panjiayuan Nanli · NCT07909265

  • BA1203 in advanced solid tumors: safety and early signs of activity

    This early-phase trial tests BA1203 in adults with advanced solid tumors to see if it is safe, tolerable, how the drug behaves in the body, and whether it shows any early signs of effectiveness.

    Recruiting Phase 1 Shandong Boan Biotechnology Co., Ltd · Beijing · NCT07876609

  • BL-M08D treatment in melanoma and other solid tumors

    A phase Ib/II study tests BL-M08D1 injections in adults with locally advanced or metastatic melanoma and other solid tumors to see if it is safe and helpful.

    Recruiting Phase 1/2 Sichuan Baili Pharmaceutical Co., Ltd. · Beijing, Beijing Municipality · NCT07841925

  • CAIX-targeted PET/CT imaging in solid tumors

    Researchers are testing a CAIX-targeted PET/CT imaging agent to see if it detects and reflects CAIX levels in solid tumors like clear cell renal cell carcinoma, NSCLC, and breast cancer.

    Recruiting Zhongnan Hospital · Wuhan, Hubei · NCT07833085

  • REC-7735 for PIK3CA-H1047R-mutant solid tumors

    This study tests REC-7735 in people with unresectable, locally advanced, or metastatic solid tumors that carry the PIK3CA-H1047R mutation.

    Recruiting at 3 sites Phase 1/2 Recursion Pharmaceuticals Inc. · Grand Rapids, Michigan and 2 other locations · NCT07819136

  • Preferences of physicians and patients for cell therapies in advanced solid tumors

    This study tests how doctors and patients weigh the benefits, risks, and burdens of CAR-T, TIL, TCR-T, and NK cell therapies in advanced solid cancers.

    Recruiting Zhejiang University · Hangzhou, Zhejiang · NCT07813000

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.