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OncoMatch/Clinical Trials/NCT07128680

Immunotherapy (Nivolumab and Ipilimumab) With and Without a Live Biotherapeutic Product (EXL01) for the Treatment of Metastatic Renal Cell Cancer

Is NCT07128680 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Ipilimumab and Nivolumab for advanced clear cell renal cell carcinoma.

Phase 1RecruitingCity of Hope Medical CenterNCT07128680Data as of May 2026

Treatment: Ipilimumab · NivolumabThis phase I trial tests the safety and effectiveness of nivolumab and ipilimumab with and without EXL01 for the treatment of renal cell cancer that has spread from where it first started (primary site) to other places in the body (metastatic). Immunotherapy with monoclonal antibodies, such as nivolumab and ipilimumab, may help the body's immune system attack the tumor, and may interfere with the ability of tumor cells to grow and spread. EXL01 is a live biotherapeutic product containing a strain of bacteria called Faecalibacterium prausnitzii. It may enhance a patient's response to treatment with immune checkpoint inhibitors like nivolumab and ipilimumab by altering the composition of the bacteria in the gut. Adding EXL01 to treatment with nivolumab and ipilimumab may be safe and more effective than giving nivolumab and ipilimumab alone.

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Extracted eligibility criteria

Cancer type

Renal Cell Carcinoma

Disease stage

Required: Stage III, IV

Performance status

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

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-PD-1 therapy

Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways

Cannot have received: systemic anticancer therapy

Exception: One prior adjuvant or neoadjuvant therapy for completely resectable RCC if recurrence occurred at least 6 months after the last dose of adjuvant or neoadjuvant therapy, provided that the patient has fully recovered from acute toxic effects to prior anti-cancer therapy

No prior systemic therapy for RCC with the following exception: One prior adjuvant or neoadjuvant therapy for completely resectable RCC if recurrence occurred at least 6 months after the last dose of adjuvant or neoadjuvant therapy, provided that the patient has fully recovered from acute toxic effects to prior anti-cancer therapy

Cannot have received: cytotoxic, biologic, or other systemic anticancer therapy (including investigational)

Receipt of any type of cytotoxic, biologic, or other systemic anticancer therapy (including investigational) within 4 weeks before first dose of study treatment

Cannot have received: radiation therapy

Radiation therapy for bone metastasis within 2 weeks or any other radiation therapy within 4 weeks before first dose of study treatment. Systemic treatment with radionuclides within 6 weeks before first dose of study treatment

Lab requirements

Blood counts

ANC ≥ 1,000/mm^3; Platelets ≥ 100,000/mm^3; Hemoglobin ≥ 9g/dL

Kidney function

Creatinine clearance of ≥ 30 mL/min per 24-hour urine test or the Cockcroft-Gault formula or serum creatinine < 1.5 x ULN

Liver function

Total bilirubin ≤ 1.5 X ULN (except Gilbert Syndrome up to 3.0 mg/dL); AST ≤ 3.0 x ULN; ALT ≤ x ULN

Cardiac function

No unstable cardiac disease (MI within 6 months, NYHA class III-IV, uncontrolled atrial fibrillation or hypertension)

ANC ≥ 1,000/mm^3; Platelets ≥ 100,000/mm^3; Hemoglobin ≥ 9g/dL; Total bilirubin ≤ 1.5 X ULN (except Gilbert Syndrome up to 3.0 mg/dL); AST ≤ 3.0 x ULN; ALT ≤ x ULN; Creatinine clearance of ≥ 30 mL/min per 24-hour urine test or the Cockcroft-Gault formula or serum creatinine < 1.5 x ULN; cardiac: see exclusion criteria

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

US trial sites

  • City of Hope Medical Center · Duarte, California
  • City of Hope Medical Center · Irvine, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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