ClinicalTrials.gg
Status unknownNCT04134182Updated Dec 23, 2020

Nivolumab and Ipilimumab in T1aN0M0 Renal Cell Carcinoma Patients Ineligible for Surgical Treatment.

A Phase 2 interventional study of Nivolumab and Ipilimumab in Renal Cell Carcinoma, sponsored by Kidney Cancer Research Bureau. Status unknown at 2 sites in Russian Federation. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-23.

Sponsored by Kidney Cancer Research Bureau · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this Phase 2 study is to evaluate the efficacy and safety of nivolumab, an anti-PD-1 antibody, and ipilimumab, an anti-CTLA-4 antibody, in T1aN0M0 clear-cell RCC patients ineligible for surgical treatment.

Read the detailed description

Surgery remains the standard curative-intent therapy for localized renal cell carcinoma (RCC). Thus, systemic therapy for RCC should still be considered only in patients who have contraindications to surgery.

Results of Phase 3 CheckMate 214 study showed that a combination of nivolumab and ipilimumab has a significant impact on tumor burden in intermediate- and poor-risk metastatic RCC patients with a complete response rate of 11% (Motzer et al. Lancet Oncology 2019). Median time to objective response was 2.8 months. Among all complete responders to nivolumab plus ipilimumab in the intention-to-treat population, 5% achieved a complete response at the first scan, whereas most converted from the partial response at a median of 6.9 months or from the stable disease at a median of 11.3 months.

We hypothesize that this combination could completely eliminate primary tumors in patients with small primary (less than 4 cm) ineligible for surgical treatment. There are no studies evaluating checkpoint inhibitors in this setting in RCC patients.

02

Conditions studied

  • Renal Cell Carcinoma
03

In context

Carcinoma, Renal Cell

2,037 studies on the registry are indexed under Carcinoma, Renal Cell; 395 are open to participants now.

This study's planned enrollment of 8 is below the median of 43 across 1,564 interventional studies indexed under Carcinoma, Renal Cell.

Browse Carcinoma, Renal Cell studies →

Lead sponsor

Kidney Cancer Research Bureau is the lead sponsor of 14 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. proven clear-cell RCC
  2. CT-confirmed measurable primary tumor less than 4 cm and no evidence of extranodal disease (T1aN0M0)
  3. Inability to perform surgery for any reason (functional single kidney with a central, high-complexity RCC, high risk of nephrectomy and dialysis, patients with complex coagulation disorders, etc.) or preference of patient is to have no surgery for any reason
  4. No contradictions to nivolumab and ipilimumab
  5. Age 18 or older
  6. Written

Exclusion criteria

Exclusion Criteria:

  1. prior treatment for RCC
  2. pregnant or nursing
  3. history of serious hypertension, cardiac arrhythmia, congestive heart failure, angina pectoris, or another severe cardiovascular disease (i.e., class III or IV)
  4. evidence of disease
  5. local and/or systemic infections requiring antibiotics within 28 days prior to study entry
  6. other
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (estimated)

Study arms

  • Experimental
    Nivolumab + Ipilimumab

    Patients will receive a combination of ipilimumab, followed by nivolumab for 16 weeks.

    Drug: Nivolumab · Drug: Ipilimumab

Interventions

  • 3 mg/kg intravenously every 2 weeks during 16 weeks

    Also known as: Opdivo

  • 1 mg/kg intravenously every 3 weeks for four doses

    Also known as: Yervoy

06

What researchers measure

Primary outcomes

  1. Complete Response Rate

    percentage of patients with localized RCC who have no tumor in kidney

    Time frame: 16 weeks

Secondary outcomes

  1. Objective response rate

    percentage of patients with localized RCC who have no tumor in kidney or tumor shrinkage more than 30%

    Time frame: 16 weeks

  2. 3-year disease-free survival rate

    percentage of patients who are disease free at 3 years after treatment start

    Time frame: 3 years

  3. 5-year survival rate

    percentage of patients who are alive at 5 years after treatment start

    Time frame: 5 years

  4. Rate of adverse events

    percentage of patients who have adverse events

    Time frame: 16 weeks

07

Study locations

2 of 2 sites recruiting
  • N.N. Blokhin Russian Cancer Research Center
    Moscow, Russian Federation
    Recruiting
    • Maria Volkova, MD · Contact
  • Russian Scientific Center of Roentgenoradiology
    Moscow, Russian Federation
    Recruiting
    • Rustem Gafanov, MD · Contact
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04134182
Lead sponsor
Kidney Cancer Research Bureau
Responsible party
Sponsor
First posted
Oct 22, 2019
Start date
Oct 16, 2019
Primary completion
Sep 2021 (estimated)
Completion
Dec 2021 (estimated)
Last update
Dec 23, 2020

Study contacts

Ilya Tsimafeyeu, MD
Contact
kidneycancer@yandex.ru
+79265646581
Ilya Tsimafeyeu, MD
study director · Kidney Cancer Research Bureau

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Nivolumab · Ipilimumab

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