Clinical trial Recruiting at 26 sites Phase 1 Interventional Ages 18 and up

Treatment of advanced clear cell kidney cancer with XmAb®819

Official title: A Phase 1 Multiple Dose Study to Evaluate the Safety and Tolerability of XmAb819 in Subjects With Relapsed or Refractory Clear Cell Renal Cell Carcinoma

Run by Xencor, Inc. · NCT05433142 · Data updated 2026-11-12

This study is testing a new drug called XmAb®819 to see if it’s safe and effective for people with advanced clear cell kidney cancer who haven't responded to other treatments.

More Clear Cell Renal Cell Carcinoma trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment307 (estimated)
SponsorXencor, Inc.
Industry-sponsored
Locations26 sites (Phoenix, Arizona and 25 other locations)
StatusRecruiting
StartedJune 13, 2022
Main results expectedFebruary 2027
Study endsDecember 2028
Registry record updatedAugust 3, 2026
Trial IDNCT05433142 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals with measurable relapsed or refractory clear cell renal cell carcinoma who have progressed after standard therapies.

Probably not a fit

Patients with active central nervous system metastases or those who have had prior treatment with investigational anti-ENPP3/CD203c therapies 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 Phase 1 clinical trial evaluates the safety and tolerability of XmAb®819 in patients with relapsed or refractory clear cell renal cell carcinoma. The study is divided into two parts: a dose escalation phase to determine the minimum safe and biologically active dose, and a dose expansion phase to further assess the drug's effects. Participants will receive XmAb®819 either intravenously or subcutaneously, and the study will also examine pharmacokinetics, pharmacodynamics, and preliminary antitumor activity. Eligible patients must have measurable disease and have previously undergone standard therapies.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced clear cell renal cell carcinoma who have limited treatment choices.

How similar studies have gone: Other studies have shown promise with similar immunotherapy approaches, but this specific treatment is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Subjects must have measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST 1.1) as assessed by the local site investigator. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions.
* Subjects who have relapsed and refractory ccRCC, pRCC, NSCLC, and CRC with evidence of disease progression on standard-of-care therapies
* ECOG performance status of 0 or 1.
* All subjects must have adequate tumor sample available (slides or archival FFPE blocks)

Exclusion Criteria:

* Prior treatment with an investigational anti-ENPP3/CD203c therapy
* History of serious allergic or anaphylactic/hypersensitivity reaction to monoclonal antibody therapy
* Systemic antineoplastic therapy within 5 half-lives on the first dose of study treatment.
* Failure to recover from any clinically significant toxicity related to previous anticancer treatment
* Have known active central nervous system metastases and/or carcinomatous meningitis. Subjects with previously treated brain metastases may participate provided they are radiologically stable,
* Active known autoimmune disease (except that subjects are permitted to enroll if they have vitiligo; type 1 diabetes mellitus; residual hypothyroidism due to an autoimmune condition that is treatable with hormone replacement therapy only; psoriasis, atopic dermatitis, or another autoimmune skin condition that is managed without systemic therapy; or arthritis that is managed without systemic therapy beyond oral acetaminophen and nonsteroidal anti-inflammatory drugs)
* Evidence of any serious infection requiring IV anti-infective treatment within 14 days prior to the first dose of study drug
* Have a known additional malignancy that is progressing or has required active treatment within the past 2 years

Where it's running

  • Xencor Investigative Site
    Phoenix, Arizona, United States
    Recruiting
  • Xencor Investigative Site
    Duarte, California, United States
    Recruiting
  • Xencor Investigative Site
    Sacramento, California, United States
    Recruiting
  • Xencor Investigative Site
    New Haven, Connecticut, United States
    Recruiting
  • Xencor Investigative Site
    Jacksonville, Florida, United States
    Recruiting
  • Xencor Investigative Site
    Atlanta, Georgia, United States
    Recruiting
Show 20 more locations
  • Xencor Investigative Site
    Chicago, Illinois, United States
    Recruiting
  • Xencor Investigative Site
    Chicago, Illinois, United States
    Recruiting
  • Xencor Investigative Site
    Louisville, Kentucky, United States
    Recruiting
  • Xencor Investigative Site
    Rochester, Minnesota, United States
    Recruiting
  • Xencor Investigative Site
    New Brunswick, New Jersey, United States
    Recruiting
  • Xencor Investigative Site
    New York, New York, United States
    Recruiting
  • Xencor Investigative Site
    New York, New York, United States
    Recruiting
  • Xencor Investigative Site
    Charlotte, North Carolina, United States
    Recruiting
  • Xencor Investigative Site
    Durham, North Carolina, United States
    Recruiting
  • Xencor Investigative Site
    Cincinnati, Ohio, United States
    Recruiting
  • Xencor Investigative Site
    Columbus, Ohio, United States
    Recruiting
  • Xencor Investigative Site
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Xencor Investigative Site
    Nashville, Tennessee, United States
    Recruiting
  • Xencor Investigative Site
    Seattle, Washington, United States
    Recruiting
  • Xencor Investigative Site
    Leuven, Belgium
    Recruiting
  • Xencor Investigative Site
    Bourdeaux, France
    Recruiting
  • Xencor Investigative Site
    Villejuif, France
    Recruiting
  • Xencor Investigative Site
    Barcelona, Spain
    Recruiting
  • Xencor Investigative Site
    Madrid, Spain
    Recruiting
  • Xencor Investigative Site
    Cambridge, Cambridgeshire, United Kingdom
    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

  • 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

  • Immune cell therapy for advanced clear cell kidney cancer

    This study tests a patient's own tumor-infiltrating lymphocytes (TIL) therapy, given after conditioning with chemotherapy and then interleukin-2, in adults with advanced clear cell renal cell carcinoma who have tried prior treatments.

    Recruiting at 2 sites Phase 1 Hangzhou Huasai Biomedicine Co., Ltd. · Beijing and 1 other locations · NCT07770802

  • Theranostic pair labeled PD-32766D/T in CA9-positive clear cell kidney cancer

    This study tests a matching diagnostic agent PD-32766D and a therapeutic agent PD-32766T in adults with CA9-expressing clear cell renal cell carcinoma to see if the treatment is safe and shows signs of effect.

    Recruiting Phase 1 PeptiDream Inc. · Omaha, Nebraska · NCT07688187

  • LNK001 CAR T therapy in advanced clear cell kidney cancer

    This study tests a CAR T-cell therapy called LNK001 to see if it can help people with advanced clear cell renal cell carcinoma after other treatments.

    Recruiting Phase 1 M.D. Anderson Cancer Center · Houston, Texas · NCT07564232

  • Neoadjuvant immunotherapy with botensilimab and balstilimab for high-risk non-metastatic clear cell RCC

    This trial tests whether giving botensilimab and balstilimab before kidney tumor surgery is safe and helps patients with high‑risk non‑metastatic clear cell RCC proceed to nephrectomy.

    Recruiting at 5 sites Phase 2 National Cancer Institute (NCI) · Irvine, California and 4 other locations · NCT07516366

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.