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.
Treatment: Ipilimumab · Nivolumab — This 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.
Check if I qualifyExtracted 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
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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