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Nivolumab

Phase 3

Metastatic Kidney Cancer | Small molecule | Oncology |Rein Therapeutics, Inc.|Last Updated: Jan 16, 2025

Target and mechanism

Molecular targetPDCD1
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,250

FDA Designations

No designations recorded

Clinical trial landscape

Nivolumab · 1 trial · 2 indications

Phase 3 1
NCT06364631CARE1 Pragmatic Clinical TrialMetastatic Kidney Cancer
RECRUITING1,250 Analytics
PHASE3RECRUITING
CARE1 Pragmatic Clinical Trial
Metastatic Kidney CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival (OS).
At end of study, 97 months

From randomization to time of death

Secondary Endpoints

Progression-free survival according to RECIST 1.1
At end of study, 97 months
Objective Response Rate (ORR) according to RECIST 1.1
At end of treatment, 60 months
Quality of Life via questionnaire EQ-5D-5L
Baseline, Month 3, Month 6, Month 9, Month 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: ICI - ICI CombinationOTHERNivolumab (3 mg/kg infusion, every 3 weeks) x 4 doses + ipilimumab (1 mg/kg infusion, every 3 weeks) x 4 doses. At the end of the 4 injections carried out 21 days apart and in the absence of limiting side effects or progression justifying the cessation of the treatment according to the investigating doctor, maintenance treatment with nivolumab will be continued, at a rate of one injection every 2 weeks at a dose of 240 mg or every 4 weeks at a dose of 480 mg depending on the choice of the investigating doctor. Nivolumab will be administered for a maximum of 2 years. Patients are required to receive all four doses of NIVO+IPI before beginning NIVO monotherapy except for ipilimumab-induced toxicity compatible with nivolumab maintenance.
Arm B: VEGFR-TKI- ICI arm (axitinib + pembrolizumab)OTHERInvestigator's choice between: * Axitinib (5 mg oral twice a day) + pembrolizumab (200 mg flat IV every 3 weeks or 400 mg flat IV every 6 weeks). * Cabozantinib (40 mg oral, once a day away from meals) + nivolumab infusion (480 mg flat dose every 4 weeks) * Lenvatinib (20 mg oral, once a day) + pembrolizumab (200 mg flat IV every 3 weeks or 400 mg flat IV every 6 weeks)

Interventions

NameTypeDescription
NivolumabDRUGBriefly, nivolumab is administered as an approximately 30-minute (240mg every 2 weeks) or 60-minute (480mg every 4 weeks) IV infusion. Nivolumab is to be administered first. The nivolumab infusion must be promptly followed by a saline flush to clear the line of nivolumab before starting the ipilimumab infusion.
IpilimumabDRUGThe second infusion will always be ipilimumab and will start at least 30 minutes after completion of the nivolumab infusion. Ipilimumab is to be administered as an approximately 30-minute IV infusion. When administered together, nivolumab and ipilimumab will be administered on Day 1 of each 21-day cycle.
PembrolizumabDRUGPembrolizumab is to be administered as an approximately 30-minute IV infusion.
CabozantinibDRUGCabozantinib is a medication that is taken orally every day, once a day away from meals at the initial dose of 40 mg/day.
AxitinibDRUGAxitinib is a medication that is taken orally every day, 2 times a day continuously, at the starting dose of 5mg x2/day.
LenvatinibDRUGLenvatinib is a medication that is taken orally every day, once a day at the initial dose of 20mg/day.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites46

Inclusion Criteria: 1. Histologically confirmed metastatic (AJCC Stage IV) renal cell carcinoma with a clear-cell component. 2. Intermediate- or poor-risk mRCC as defined by IMDC classification. 3. Adult male or female patients (≥ 18 years of age at inclusion). 4. Karnofsky Performance Status (KPS)...

Countries:AustriaCzechiaFranceNetherlands
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Competitive Landscape -Kidney Cancer 112 trials (matched to "Metastatic Kidney Cancer")

Recent Changes (Last 90 Days)

LOWMay 24, 2026NCT06364631studyFirstPostDate: changed

Frequently asked questions about Nivolumab

What is Nivolumab used for in metastatic kidney cancer?

Nivolumab is an investigational small molecule being studied for the treatment of metastatic kidney cancer, also referred to as metastatic kidney carcinoma. It is currently in Phase 3 clinical development for this indication.

What does Nivolumab target?

Nivolumab targets PDCD1, which is a programmed cell death protein 1 receptor. It acts as an inhibitor of this target, which plays a role in the regulation of immune responses.

Who is developing Nivolumab?

Nivolumab is being developed by Rein Therapeutics, Inc., a biopharmaceutical company. The company is conducting clinical trials to evaluate the drug for the treatment of metastatic kidney cancer.

What phase is Nivolumab in?

Nivolumab is in Phase 3 clinical development. It is an investigational drug and has not yet been approved for any use. The ongoing Phase 3 trial is actively recruiting participants.

What clinical trials is Nivolumab in?

Nivolumab is being evaluated in a Phase 3 clinical trial with the identifier NCT06364631, titled CARE1 Pragmatic Clinical Trial. This trial is recruiting 1,250 participants with metastatic kidney cancer across Austria, Czechia, France, and the Netherlands.

Is Nivolumab the same as CHEMBL2108738?

Yes, Nivolumab is also known by the ChEMBL identifier CHEMBL2108738. This identifier is used in chemical and biological databases to reference the compound.