Study of Cabozantinib in Combination With Nivolumab and Ipilimumab in Patients With Previously Untreated Advanced or Metastatic Renal Cell Carcinoma (COSMIC-313)
A Randomized, Double-Blind, Controlled Phase 3 Study of Cabozantinib in Combination With Nivolumab and Ipilimumab Versus Nivolumab and Ipilimumab in Subjects With Previously Untreated Advanced or Metastatic Renal Cell Carcinoma of Intermediate or Poor Risk
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina, C1125ABD
- Exelixis Clinical Site #54
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CABA, Argentina, C1120AAT
- Exelixis Clinical Site #63
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Ciudad Autonoma de Buenos Aire, Argentina, C1426ANZ
- Exelixis Clinical Site #110
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Córdoba, Argentina, X5004
- Exelixis Clinical Site #120
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Buenos Aires
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Pilar, Buenos Aires, Argentina, B1629ODT
- Exelixis Clinical Site #153
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Santa Fe Province
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Rosario, Santa Fe Province, Argentina, S2000KZE
- Exelixis Clinical Site #109
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Tucumán Province
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San Miguel de Tucumán, Tucumán Province, Argentina, T4000
- Exelixis Clinical Site #73
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New South Wales
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Albury, New South Wales, Australia, 2640
- Exelixis Clinical Site #32
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Kogarah, New South Wales, Australia, 2217
- Exelixis Clinical Site #35
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North Ryde, New South Wales, Australia, 2109
- Exelixis Clinical Site #27
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Sydney, New South Wales, Australia, 2065
- Exelixis Clinical Site #33
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Queensland
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South Brisbane, Queensland, Australia, 4101
- Exelixis Clinical Site #17
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Woolloongabba, Queensland, Australia, 4102
- Exelixis Clinical Site #14
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South Australia
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Adelaide, South Australia, Australia, 5000
- Exelixis Clinical Site #18
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North Adelaide, South Australia, Australia, 5006
- Exelixis Clinical Site #11
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Victoria
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Ballarat, Victoria, Australia, 3350
- Exelixis Clinical Site #9
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Box Hill, Victoria, Australia, 3128
- Exelixis Clinical Site #23
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Western Australia
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Subiaco, Western Australia, Australia, 6008
- Exelixis Clinical Site #26
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Salzburg, Austria, 5020
- Exelixis Clinical Site #75
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Vienna, Austria, 1090
- Exelixis Clinical Site #126
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Lower Austria
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Wiener Neustadt, Lower Austria, Austria, 2700
- Exelixis Clinical Site #98
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Upper Austria
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Linz, Upper Austria, Austria, 4020
- Exelixis Clinical Site #76
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Brussels, Belgium, 1000
- Exelixis Clinical Site #112
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Hasselt, Belgium, 3500
- Exelixis Clinical Site #146
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São Paulo, Brazil, 01323-001
- Exelixis Clinical Site #119
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São Paulo, Brazil, 01327-001
- Exelixis Clinical Site #141
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Minas Gerais
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Belo Horizonte, Minas Gerais, Brazil, 30130-090
- Exelixis Clinical Site #154
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Paraná
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Curitiba, Paraná, Brazil, 80530-010
- Exelixis Clinical Site #155
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brazil, 90050-170
- Exelixis Clinical Site #158
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Porto Alegre, Rio Grande do Sul, Brazil, 90110-270
- Exelixis Clinical Site #140
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Porto Alegre, Rio Grande do Sul, Brazil, 90610-000
- Exelixis Clinical Site #163
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São Paulo
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Barretos, São Paulo, Brazil, 14784-400
- Exelixis Clinical Site #168
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São José do Rio Preto, São Paulo, Brazil, 15090-000
- Exelixis Clinical Site #162
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Alberta
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Calgary, Alberta, Canada, T2N 4N2
- Exelixis Clinical Site #22
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Manitoba
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Winnipeg, Manitoba, Canada, R3E 0V9
- Exelixis Clinical Site #105
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Ontario
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Ottawa, Ontario, Canada, K1H 8L6
- Exelixis Clinical Site #46
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Toronto, Ontario, Canada, M4N 3M5
- Exelixis Clinical Site #25
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Quebec
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Montreal, Quebec, Canada, H3T 1E2
- Exelixis Clinical Site #113
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Santiago, Chile, 7500921
- Exelixis Clinical Site #91
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Santiago, Chile, 8420383
- Exelixis Clinical Site #100
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Región de La Araucanía (IX)
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Temuco, Región de La Araucanía (IX), Chile, 4810561
- Exelixis Clinical Site #85
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Králová, Czechia, 50005
- Exelixis Clinical Site #89
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Prague, Czechia, 140 59
- Exelixis Clinical Site #114
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Prague, Czechia, 150 06
- Exelixis Clinical Site #118
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Helsinki, Finland, 00029
- Exelixis Clinical Site #50
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Tampere, Finland, 33520
- Exelixis Clinical Site #56
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Turku, Finland, 20520
- Exelixis Clinical Site #52
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Bordeaux, France, 33075
- Exelixis Clinical Site #86
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Le Mans, France, 72000
- Exelixis Clinical Site #71
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Lyon, France, 69373
- Exelixis Clinical Site #78
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Montpellier, France, 34295
- Exelixis Clinical Site #80
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Nice, France, 06189
- Exelixis Clinical Site #66
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Paris, France, 75015
- Exelixis Clinical Site #150
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Reims, France, 51726
- Exelixis Clinical Site #65
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Rennes, France, 35042
- Exelixis Clinical Site #125
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Strasbourg, France, 67000
- Exelixis Clinical Site #128
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Strasbourg, France, 67200
- Exelixis Clinical Site #90
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Toulouse, France, 31059
- Exelixis Clinical Site #42
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Vandœuvre-lès-Nancy, France, 54519
- Exelixis Clinical Site #67
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Villejuif, France, 94800
- Exelixis Clinical Site #37
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Dresden, Germany, 01307
- Exelixis Clinical Site #124
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Baden-Wurttemberg
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Heidelberg, Baden-Wurttemberg, Germany, 69120
- Exelixis Clinical Site #127
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Tübingen, Baden-Wurttemberg, Germany, 72076
- Exelixis Clinical Site #115
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Hesse
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Frankfurt am Main, Hesse, Germany, 60596
- Exelixis Clinical Site #117
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North Rhine-Westphalia
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Münster, North Rhine-Westphalia, Germany, 48149
- Exelixis Clinical Site #139
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Münster, North Rhine-Westphalia, Germany, 90419
- Exelixis Clinical Site #171
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Rhineland-Palatinate
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Mainz, Rhineland-Palatinate, Germany, 55131
- Exelixis Clinical Site #164
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Thuringia
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Jena, Thuringia, Germany, 077477
- Exelixis Clinical Site #137
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Hong Kong, Hong Kong
- Exelixis Clinical Site #28
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Shatin, Hong Kong
- Exelixis Clinical Site #136
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Tuenmen, Hong Kong
- Exelixis Clinical Site #111
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Budapest, Hungary, 1122
- Exelixis Clinical Site #39
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Pécs, Hungary, 7624
- Exelixis Clinical Site #51
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Beersheba, Israel, 84101
- Exelixis Clinical Site #88
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Haifa, Israel, 3109601
- Exelixis Clinical Site #81
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Jerusalem, Israel, 9112001
- Exelixis Clinical Site #84
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Kfar Saba, Israel, 4428164
- Exelixis Clinical Site #121
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Petah Tikva, Israel, 49100
- Exelixis Clinical Site #97
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Ramat Gan, Israel, 5265601
- Exelixis Clincal Site #129
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Arezzo, Italy, 52100
- Exelixis Clinical Site #47
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Modena, Italy, 41124
- Exelixis Clinical Site #60
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Padua, Italy, 35128
- Exelixis Clinical Site #61
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Pavia, Italy, 27100
- Exelixis Clinical Site #59
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Perugia, Italy, 06132
- Exelixis Clinical Site #104
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Terni, Italy, 05100
- Exelixis Clinical Site #68
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Forli - Cesena
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Meldola, Forli - Cesena, Italy, 47014
- Exelixis Clinical Site #41
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Ravenna
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Faenza, Ravenna, Italy, 48018
- Exelixis Clinical Site #70
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Mexico City, Mexico, 03100
- Exelixis Clinical Site #160
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Querétaro, Mexico, 76000
- Exelixis Clinical Site #131
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Querétaro, Mexico, 76090
- Exelixis Clinical Site #161
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Aguascalientes
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Aguascalientes, Aguascalientes, Mexico, 20116
- Exelixis Clinical Site #123
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Guanajuato
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León, Guanajuato, Mexico, 37000
- Exelixis Clinical Site #167
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Jalisco
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Zapopan, Jalisco, Mexico, 45070
- Exelixis Clinical Site #169
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Nuevo León
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Monterrey, Nuevo León, Mexico, 64710
- Exelixis Clinical Site #134
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Oaxaca
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Oaxaca City, Oaxaca, Mexico, 68000
- Exelixis Clinical Site #132
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Amsterdam, Netherlands, 1105 AZ
- Exelixis Clinical Site #144
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Rotterdam, Netherlands, 3015 GD
- Exelixis Clinical Site #149
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Waikato Region
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Hamilton, Waikato Region, New Zealand, 3204
- Exelixis Clinical Site #122
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Wellington Region
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Newtown, Wellington Region, New Zealand, 6021
- Exelixis Clinical Site #148
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Biała Podlaska, Poland, 21-500
- Exelixis Clinical Site #31
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Bydgoszcz, Poland, 85-796
- Exelixis Clinical Site #62
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Gdansk, Poland, 80-219
- Exelixis Clinical Site #135
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Otwock, Poland, 05-400
- Exelixis Clinical Site #99
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Poznan, Poland, 60-693
- Exelixis Clinical Site #83
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Singapore, Singapore, 119074
- Exelixis Clinical Site #77
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Singapore, Singapore, 169610
- Exelixis Clinical Site #40
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Seoul, South Korea, 03722
- Exelixis Clinical Site #143
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Seoul, South Korea, 05505
- Exelixis Clinical Site #151
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Seoul, South Korea, 06351
- Exelixis Clinical Site #152
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Gyeonggi-do
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Seongnam-si, Gyeonggi-do, South Korea, 13620
- Exelixis Clinical Site #147
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Barcelona, Spain, 08035
- Exelixis Clinical Site #43
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Barcelona, Spain, 08036
- Exelixis Clinical Site #36
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Córdoba, Spain, 14004
- Exelixis Clinical Site #49
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Madrid, Spain, 28009
- Exelixis Clinical Site #34
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Madrid, Spain, 28040
- Exelixis Clinical Site #94
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Madrid, Spain, 28041
- Exelixis Clinical Site #20
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Madrid, Spain, 28050
- Exelixis Clinical Site #55
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Oviedo, Spain, 33011
- Exelixis Clinical Site #96
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Valencia, Spain, 46009
- Exelixis Clinical Site #74
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Coruña
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Santiago de Compostela, Coruña, Spain, 15706
- Exelixis Clinical Site #53
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Navarre
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Pamplona, Navarre, Spain, 31008
- Exelixis Clinical Site #45
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Taichung, Taiwan, 404
- Exelixis Clinical Site #142
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Taipei, Taiwan, 10002
- Exelixis Clinical Site #138
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Taoyuan District, Taiwan, 333
- Exelixis Clinical Site #173
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Cambridge, United Kingdom, CB2 0QQ
- Exelixis Clinical Site #72
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Glasgow, United Kingdom, G12 0YN
- Exelixis Clinical Site #93
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London, United Kingdom, EC1A 7BE
- Exelixis Clinical Site #30
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London, United Kingdom, W6 8RF
- Exelixis Clinical Site #172
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Manchester, United Kingdom, M20 4BX
- Exelixis Clinical Site #92
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California
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La Jolla, California, United States, 92093
- Exelixis Clinical Site #116
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Orange, California, United States, 92868-3201
- Exelixis Clinical Site #166
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Florida
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Boca Raton, Florida, United States, 33486
- Exelixis Clinical Site #29
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Miami, Florida, United States, 33176
- Exelixis Clinical Site #44
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Georgia
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Atlanta, Georgia, United States, 30318
- Exelixis Clinical Site #3
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Illinois
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Chicago, Illinois, United States, 60612
- Exelixis Clinical Site #95
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Maine
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Scarborough, Maine, United States, 04074
- Exelixis Clinical Site #69
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Maryland
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Baltimore, Maryland, United States, 21287
- Exelixis Clinical Site #58A
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Exelixis Clinical Site #7B
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Boston, Massachusetts, United States, 02215
- Exelixis Clinical Site #7A
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Boston, Massachusetts, United States, 02215
- Exelixis Clinical Site #7C
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Burlington, Massachusetts, United States, 01805
- Exelixis Clinical Site #6
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Michigan
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Detroit, Michigan, United States, 48201
- Exelixis Clinical Site #15
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Missouri
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Kansas City, Missouri, United States, 64132
- Exelixis Clinical Site #24
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St Louis, Missouri, United States, 63110
- Exelixis Clinical Site #4
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Nebraska
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Omaha, Nebraska, United States, 68130
- Exelixis Clinical Site #2
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New York
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New York, New York, United States, 10032
- Exelixis Clinical Site #159
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New York, New York, United States, 10065
- Exelixis Clinical Site #8
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Syracuse, New York, United States, 13210
- Exelixis Clinical Site #19
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Exelixis Clinical Site #101
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Oregon
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Portland, Oregon, United States, 97239
- Exelixis Clinical Site #107
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- Exelixis Clinical Site #12
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South Carolina
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Charleston, South Carolina, United States, 29425
- Exelixis Clinical Site #102
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Myrtle Beach, South Carolina, United States, 29572
- Exelixis Clinical Site #5
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Tennessee
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Nashville, Tennessee, United States, 37203
- Exelixis Clinical Site #10
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Nashville, Tennessee, United States, 37232
- Exelixis Clinical Site #38
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Virginia
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Fairfax, Virginia, United States, 22031
- Exelixis Clinical Site #64
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Washington
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Seattle, Washington, United States, 98109
- Exelixis Clinical Site #57
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Spokane, Washington, United States, 99208
- Exelixis Clinical Site #1
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Wisconsin
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Madison, Wisconsin, United States, 53792
- Exelixis Clinical Site #13
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Histologically confirmed advanced (not amenable to curative surgery or radiation therapy) or metastatic (AJCC Stage IV) renal cell carcinoma with a clear-cell component.
- Intermediate- or poor-risk RCC as defined by International Metastatic RCC Database Consortium (IMDC) criteria.
- Measurable disease per RECIST 1.1 as determined by the Investigator. Measurable disease must be outside the radiation field if radiation therapy was previously administered.
- Karnofsky Performance Status (KPS) ≥ 70%.
- Adequate organ and marrow function.
Exclusion Criteria:
- Prior systemic anticancer therapy for unresectable locally advanced or metastatic RCC including investigational agents.
- Radiation therapy for bone metastasis within 2 weeks, any other radiation therapy within 4 weeks prior to randomization.
- Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and stable for at least 4 weeks prior to randomization.
- Concomitant anticoagulation with oral anticoagulants or platelet inhibitors.
- Administration of a live, attenuated vaccine within 30 days prior to randomization.
- Uncontrolled, significant intercurrent or recent illness including, but not limited to serious cardiovascular disorders (including uncontrolled hypertension defined as sustained blood pressure (BP) > 150 mm Hg systolic or > 90 mm Hg diastolic despite optimal antihypertensive treatment), GI disorders associated with high risk for perforation or fistula formation, tumors invading GI tract, bowel obstruction, intra-abdominal abscess, clinically significant bleeding events, cavitating pulmonary lesions, or lesions invading major pulmonary blood vessels.
Other clinically significant disorders such as:
- Autoimmune disease that has been symptomatic or required treatment within the past two years from the date of randomization.
- Any condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of randomization.
- Active infection requiring systemic treatment. Acute or chronic hepatitis B or C infection, known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness, or known positive test for tuberculosis infection where there is clinical or radiographic evidence of active myobacterial infection.
- Known history of COVID-19 unless the subject has clinically recovered from the disease at least 30 days prior to randomization.
- Major surgery (eg, nephrectomy, GI surgery, removal or biopsy of brain metastasis) within 4 weeks prior to randomization. Minor surgeries within 10 days prior to randomization. Subjects must have complete wound healing from major or minor surgery before randomization.
- Any other active malignancy at time of randomization or diagnosis of another malignancy within 3 years prior to randomization that requires active treatment, except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, or breast.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Experimental Arm
Cabozantinib + nivolumab + ipilimumab (4 doses) followed by cabozantinib + nivolumab
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Specified dose on specified days.
Other Names:
Specified dose on specified days.
Other Names:
Specified dose on specified days.
Other Names:
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Active Comparator: Control Arm
Cabozantinib-matched placebo + nivolumab + ipilimumab (4 doses) followed by cabozantinib-matched placebo + nivolumab
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Specified dose on specified days.
Other Names:
Specified dose on specified days.
Other Names:
Specified dose on specified days.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Duration of Progression-Free Survival (PFS) by Blinded Independent Radiology Committee (BIRC)
Time Frame: Up to 32 months
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Duration of PFS was defined as the time from randomization to the earlier of either the date of radiographic progression per BIRC or the date of death due to any cause.
PFS (months) = (earliest date of progression, death, censoring - date of randomization + 1)/30.4375.
PFS was determined as per Response Evaluation Criteria in Solid Tumors version (RECIST) v1.1.
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Up to 32 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Duration of Overall Survival (OS)
Time Frame: Up to 58 months
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Duration of OS (months) = (earliest date of death or censoring - date of randomization + 1)/30.4375.
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Up to 58 months
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Labriola MK, George DJ. Setting a new standard for long-term survival in metastatic kidney cancer. Cancer. 2022 Jun 1;128(11):2058-2060. doi: 10.1002/cncr.34177. Epub 2022 Apr 5. No abstract available.
- Hofmann F, Hwang EC, Lam TB, Bex A, Yuan Y, Marconi LS, Ljungberg B. Targeted therapy for metastatic renal cell carcinoma. Cochrane Database Syst Rev. 2020 Oct 14;10(10):CD012796. doi: 10.1002/14651858.CD012796.pub2.
- Mar N, Kaakour D, Rezazadeh Kalebasty A. Renal Cell Carcinoma-Lessons in Diversity, Breakthroughs, and Challenges. JCO Oncol Pract. 2022 Mar;18(3):197-199. doi: 10.1200/OP.21.00446. Epub 2021 Sep 22. No abstract available.
- Choueiri TK, Powles T, Albiges L, Burotto M, Szczylik C, Zurawski B, Yanez Ruiz E, Maruzzo M, Suarez Zaizar A, Fein LE, Schutz FA, Heng DYC, Wang F, Mataveli F, Chang YL, van Kooten Losio M, Suarez C, Motzer RJ; COSMIC-313 Investigators. Cabozantinib plus Nivolumab and Ipilimumab in Renal-Cell Carcinoma. N Engl J Med. 2023 May 11;388(19):1767-1778. doi: 10.1056/NEJMoa2212851.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Urologic Neoplasms
- Kidney Neoplasms
- Neoplasms
- Carcinoma
- Carcinoma, Renal Cell
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Nivolumab
- Ipilimumab
- cabozantinib
Other Study ID Numbers
Other Study ID Numbers
- XL184-313
- 2024-515616-47-00 (Ctis)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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