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OncoMatch/Clinical Trials/NCT05502315

Study of Cabozantinib and Nivolumab in Metastatic Castration Resistant Prostate Cancer

Is NCT05502315 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Cabozantinib and Nivolumab for castration-resistant prostate cancer.

Phase 2RecruitingRana McKay, MDNCT05502315Data as of May 2026

Treatment: Cabozantinib · NivolumabThis is a multicenter, single-arm, two-stage open-label phase 2 study of the combination of cabozantinib + nivolumab in subjects with advanced castration-resistant prostate cancer (CRPC).

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Tumor Agnostic

Disease stage

Required: Stage IV

Metastatic disease required

Progressive mCRPC as defined: 1) castrate levels of serum testosterone < 50 ng/dL AND 2) progressive disease as defined by PSA or radiographic progression. Subjects with measurable and non-measurable disease (i.e., bone only metastases) are allowed.

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Max 1 prior line

Must have received: taxane

Must have exposure to one prior taxane (or be taxane ineligible or refuse taxane)

Must have received: androgen receptor-targeting agent (abiraterone, enzalutamide, apalutamide, darolutamide)

AND one prior AR-targeting agent (for example, abiraterone, enzalutamide, apalutamide, darolutamide)

Cannot have received: checkpoint inhibitor

Exception: disease progression on prior checkpoint inhibitor treatment

Disease progression on prior checkpoint inhibitor treatment

Cannot have received: cabozantinib (cabozantinib)

Prior cabozantinib

Cannot have received: small molecule kinase inhibitor

Receipt of any type of small molecule kinase inhibitor (including investigational kinase inhibitor) within 2 weeks before first dose of study treatment

Cannot have received: cytotoxic, biologic or investigational systemic anti-cancer agent

Receipt of any type of cytotoxic, biologic or investigational systemic anti-cancer agent within 4 weeks before first dose of study treatment

Cannot have received: androgen receptor-targeting agent (abiraterone, apalutamide, darolutamide)

Treatment with abiraterone, apalutamide, or darolutamide within 2 weeks of treatment initiation

Cannot have received: androgen receptor-targeting agent (enzalutamide)

Treatment with enzalutamide within 4 weeks of treatment initiation

Cannot have received: investigational prostate cancer directed therapy

Treatment with investigational prostate cancer directed therapy within 4 weeks of treatment initiation

Cannot have received: chemotherapy

Exception: First-generation anti-androgen use (such as bicalutamide) will not be tabulated as a line of therapy.

Receipt of more than 1 line of chemotherapy (including both hormone sensitive and CRPC)

Lab requirements

Blood counts

WBC: ≥ 2,500/mcL; ANC: ≥ 1,500/mcL; Hemoglobin: ≥ 9 g/dL (transfusions are permitted); Platelet count: ≥ 100,000/mcL

Kidney function

Serum creatinine ≤ 1.5 x ULN or calculated CrCl ≥ 30 mL/min as defined by Cockcroft-Gault equation

Liver function

Total Bilirubin: ≤ 1.5 x ULN (≤ 3 x ULN for subjects with documented Gilbert's disease); SGOT (AST): ≤ 3 x ULN; SGPT (ALT): ≤ 3 x ULN; Alkaline Phosphatase (ALP): ≤ 5 x ULN with documented bone metastases; Serum Albumin: ≥ 2.8 g/dL

Cardiac function

QTcF ≤ 500 ms per ECG within 14 days before first dose of study treatment

Normal organ function with acceptable initial laboratory values within 14 days of treatment start: WBC: ≥ 2,500/mcL; ANC: ≥ 1,500/mcL; Hemoglobin: ≥ 9 g/dL (transfusions are permitted); Platelet count: ≥ 100,000/mcL; Serum creatinine ≤ 1.5 x ULN or calculated CrCl ≥ 30 mL/min as defined by Cockcroft-Gault equation; Total Bilirubin: ≤ 1.5 x ULN (≤ 3 x ULN for subjects with documented Gilbert's disease); SGOT (AST): ≤ 3 x ULN; SGPT (ALT): ≤ 3 x ULN; Alkaline Phosphatase (ALP): ≤ 5 x ULN with documented bone metastases; Serum Albumin: ≥ 2.8 g/dL; Urine protein/creatinine ratio (UPCR): ≤ 2 mg/mg (≤ 113.2 mg/mmol), or 24-h urine protein ≤ 2 g; QTcF ≤ 500 ms per ECG within 14 days before first dose of study treatment

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

US trial sites

  • University of California San Diego · La Jolla, California
  • University of Chicago Medical Center · Chicago, Illinois
  • University of Texas Southwestern Medical Center · Dallas, Texas
  • University of Wisconsin · Madison, Wisconsin

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