Recruiting
Phase 1

AB521

Sponsor:

Arcus Biosciences, Inc.

Code:

NCT05536141

Conditions

Clear Cell Renal Cell Carcinoma

Solid Tumors

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

casdatifan

Cabozantinib

Zimberelimab

Ipilimumab

Study Details

Brief summary:

The purpose of this study is to evaluate the safety and tolerability of:

  • casdatifan when taken alone in participants with advanced solid tumor malignancies and clear cell renal cell carcinoma (ccRCC) during the dose escalation stage; and
  • casdatifan monotherapy and casdatifan in combination with cabozantinib or zimberelimab or zimberelimab and ipilimumab in participants with ccRCC in the dose expansion stage.

Conditions

Clear Cell Renal Cell Carcinoma

Solid Tumors

Study ID

NCT05536141

Start date

Oct 26, 2022

Status verified date

Apr, 2026

Completion date

Mar, 2029

Anticipated

Primary completion date

Mar, 2029

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

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.

Study Design

Enrollment

362 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Dose Escalation Cohort 1

Participants will receive casdatifan orally once daily

experimental: Dose Escalation Cohort 2

Participants will receive casdatifan orally once daily

experimental: Dose Escalation Cohort 3

Participants will receive casdatifan orally twice daily

experimental: Dose Escalation Cohort 4

Participants will receive casdatifan orally once daily

experimental: Dose Escalation Cohort 5

Participants will receive casdatifan orally once daily

experimental: Dose Expansion Cohort 1

Participants will receive casdatifan orally

experimental: Dose Expansion Cohort 2

Participants will receive casdatifan orally

experimental: Dose Expansion Cohort 3

Participants will receive casdatifan orally

experimental: Dose Expansion Cohort 4

Participants will receive casdatifan orally with with cabozantinib orally

experimental: Dose Expansion Cohort 5

Participants will receive casdatifan orally

experimental: Dose Expansion Cohort 6

Participants will receive casdatifan orally

experimental: Dose Expansion Cohort 7

Participants will receive casdatifan orally with zimberelimab infusion

experimental: Dose Expansion Cohort 8

Participants will receive casdatifan orally

experimental: Dose Expansion Cohort 9

Participants will receive casdatifan orally with zimberelimab infusion and ipilimumab infusion

experimental: Dose Expansion Cohort 10

Participants will receive casdatifan orally with zimberelimab infusion and ipilimumab infusion

Interventions

casdatifan

Administered as specified in the treatment arm

Cabozantinib

Administered as specified in the treatment arm

Zimberelimab

Administered as specified in the treatment arm

Ipilimumab

Administered as specified in the treatment arm

Primary outcome measure

  • Number of participants with dose limiting toxicities (DLTs) [ Time Frame: Up to 4 months ]
  • Number of participants with adverse events (AEs) [ Time Frame: Up to 4 months ]

Central Contacts and Locations

Locations

Research Site

Recruiting

Birmingham, Alabama, United States, 35294

Research Site

Recruiting

San Diego, California, United States, 92093

Research Site

Recruiting

Santa Monica, California, United States, 90404

Research Site

Recruiting

Miami, Florida, United States, 33136

Research Site

Recruiting

Atlanta, Georgia, United States, 30322-1013

Research Site

Recruiting

Louisville, Kentucky, United States, 40202

Research Site

Recruiting

New Orleans, Louisiana, United States, 70121

Research Site

Recruiting

Baltimore, Maryland, United States, 21287

Research Site

Recruiting

Boston, Massachusetts, United States, 02215

Research Site

Recruiting

Detroit, Michigan, United States, 48201

Research Site

Recruiting

Detroit, Michigan, United States, 48202

Research Site

Recruiting

Omaha, Nebraska, United States, 68124

Research Site

Recruiting

New York, New York, United States, 10029

Research Site

Recruiting

New York, New York, United States, 10065

Research Site

Recruiting

Cleveland, Ohio, United States, 44106

Research Site

Recruiting

Cleveland, Ohio, United States, 44195

Research Site

Recruiting

Pittsburgh, Pennsylvania, United States, 15232

Research Site

Recruiting

Nashville, Tennessee, United States, 37203

Research Site

Recruiting

Nashville, Tennessee, United States, 37240

Research Site

Recruiting

San Antonio, Texas, United States, 78229

More Information

Sponsor

Arcus Biosciences, Inc.

Last update posted

Aug 31, 2026

Last verified

Apr, 2026

Keywords

  • Clear Cell Renal Cell Carcinoma
  • AB521
  • Casdatifan
  • Kidney Cancer
  • Zimberelimab
  • AB122
  • Hif2a

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Arcus Biosciences, Inc. on 2026-08-31.