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OncoMatch/Clinical Trials/NCT06690697

Combination of Toripalimab and JS004 Therapy for ccRCC

Is NCT06690697 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including JS004 and Toripalimab for clear cell renal cell carcinoma.

Phase 2RecruitingFudan UniversityNCT06690697Data as of May 2026

Treatment: JS004 · Toripalimab · Axitinib · SorafenibThis study is a single center, prospective, randomized controlled phase II clinical trial aimed at examining the efficacy and safety of the combination of toripalimab and JS004 versus standard therapy for second-line treatment of recurrent and metastatic clear cell renal cell carcinoma patients. The study population consists of recurrent and metastatic renal cell carcinoma patients who have undergone radical operation and have been histologically confirmed as clear cell subtype. The subjects will receive JS004 combined with toripalimab or standard second-line treatment. The main endpoint of this study is the Overall Response Rate (ORR). In addition, we will explore the ORR, Disease Control Rate (DCR), Progression-Free Survival (PFS), and Overall Survival (OS) of different subgroups of tertiary lymphoid structures (TLSs) presence, location, density, quantity, and maturity in primary tumors. This study is a randomized controlled trial, with a total of 80 participants planned to be included, with regular follow-up for monitoring disease progression and treatment safety. The study will be conducted at Fudan University Cancer Hospital.

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Extracted eligibility criteria

Cancer type

Renal Cell Carcinoma

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Max 1 prior line
Min 1 prior line

Must have received: systemic therapy

patients who have received one type of systemic therapy in the past and have progressed or become intolerant

Must have received: adjuvant or neoadjuvant therapy — adjuvant or neoadjuvant

patients who have progressed within 6 months after previous adjuvant or neoadjuvant therapy

Cannot have received: anti BTLA antibody

Patients who have previously received treatment with anti BTLA or anti HVEM antibodies

Cannot have received: anti HVEM antibody

Patients who have previously received treatment with anti BTLA or anti HVEM antibodies

Lab requirements

Blood counts

Hemoglobin (HB) ≥ 80g/L; ANC ≥ 1.5 × 10^9/L; WBC ≥ 3.5 × 10^9/L; Platelet count (PLT) ≥ 80 × 10^9/L

Kidney function

Serum creatinine Cr ≤ 1.5 × ULN or creatinine clearance rate ≥ 60 ml/min

Liver function

ALT and AST ≤ 2.5 × ULN (≤ 5 × ULN for liver/bone metastases); Serum total bilirubin (TBIL) ≤ 1.5 × ULN

The main organ functions well, and the laboratory examination indicators meet the following criteria: ... (see above for details)

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