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OncoMatch/Clinical Trials/NCT05024318

NeoAdjuvant Pembrolizumab and STEreotactic Radiotherapy Prior to Nephrectomy for Renal Cell Carcinoma

Is NCT05024318 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Pembrolizumab for renal cell carcinoma, clear cell, somatic.

Phase 2RecruitingPeter MacCallum Cancer Centre, AustraliaNCT05024318Data as of May 2026

Treatment: PembrolizumabThis is a prospective, open label, phase II, randomised, non-comparative clinical trial, evaluating changes in tumour-responsive T-cells following neoadjuvant stereotactic ablative body radiotherapy (SABR) with or without pembrolizumab, prior to nephrectomy, in patients with localised primary clear cell renal cell carcinoma (ccRCC).

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Extracted eligibility criteria

Cancer type

Renal Cell Carcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: anti-PD-1/PD-L1/PD-L2 or immune-regulatory antibody

Had prior treatment with any anti-PD-1, or anti-PD-L1, or PD-L2 agent or with an antibody targeting any other immune-regulatory receptors or mechanisms. Examples of such antibodies include antibodies against IDO, PD-L1, IL-2R, and GITR

Cannot have received: radiotherapy

Exception: previous radiotherapy to the upper abdomen with radiation dose overlap to the involved kidney

Previous radiotherapy to the upper abdomen with radiation dose overlap to the involved kidney

Cannot have received: investigational agent/device

Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to randomisation

Lab requirements

Blood counts

WBC ≥ 3 X 10^9/L; ANC ≥1.5 X 10^9/L; Platelets ≥ 100 X 10^9/L; Haemoglobin ≥ 100 g/L independent of transfusion

Kidney function

Serum Creatinine ≤1.5 X ULN or measured or calculated CrCl ≥ 30 ml/min; GFR can also be used in place of serum creatinine or CrCl

Liver function

Total bilirubin ≤1.5 X ULN except for patients with known Gilbert's Syndrome; AST and ALT ≤1.5 X ULN; Albumin > 30 g/L

Patients must have adequate bone marrow, hepatic and renal function documented within 28 days prior to randomisation

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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