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Not yet recruitingNCT07877194SMT112-216Updated Oct 16, 2026

A Clinical Study of Ivonescimab in Combination With Cadonilimab or Ipilimumab for Advanced Renal Cancer

A Phase 2 interventional study of Ivonescimab (dose level 1) combined with Cadonilimab and Ivonescimab (dose level 2) combined with Cadonilimab in Renal Cell Carcinoma, Clear Cell, sponsored by Summit Therapeutics. Not yet recruiting at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Summit Therapeutics · Phase 2, Interventional, and Treatment

Updated Oct 16, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to evaluate the safety and efficacy of Ivonescimab alone or in combination with Cadonilimab or Ipilimumab in the treatment of advanced clear cell renal cell carcinoma (ccRCC).

Read the detailed description

This is a multiregional, randomized, open-label Phase II clinical study to evaluate the safety and efficacy of Ivonescimab alone or in combination with Cadonilimab or Ipilimumab in the treatment of advanced clear cell renal cell carcinoma (ccRCC). Approximately 100 participants will be randomized across five treatment arms: ivonescimab in combination with cadonilimab, ivonescimab in combination with ipilimumab, ivonescimab monotherapy, or nivolumab in combination with ipilimumab.

02

Conditions studied

  • Renal Cell Carcinoma, Clear Cell

Keywords

  • Ivonescimab
  • ccRCC
  • Advanced Renal Cell Carcinoma
  • Clear Cell Renal Cell Carcinoma
03

In context

Carcinoma, Renal Cell

1,992 studies on the registry are indexed under Carcinoma, Renal Cell; 387 are open to participants now.

This study's planned enrollment of 100 is above the median of 42 across 1,501 interventional studies indexed under Carcinoma, Renal Cell.

Browse Carcinoma, Renal Cell studies →

Lead sponsor

Summit Therapeutics is the lead sponsor of 13 studies on the registry; 4 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. Able to understand and voluntarily sign a written informed consent form, which must be signed prior to the performance of the designated study procedures required by the study.
  2. Age ≥ 18 years both male and female.
  3. Karnofsky Performance Status Score (KPS) ≥ 70%.
  4. Expected survival ≥ 6 months.
  5. According to RECIST v1.1, there is at least one measurable lesion that is suitable for repeated and accurate measurements.
  6. Histologically or cytologically, pathologically confirmed renal cancer with a clear cell carcinoma component (ccRCC).
  7. Locally advanced or metastatic RCC not amenable to curative surgery or radiotherapy.
  8. Adequate organ function.

Exclusion criteria

Exclusion Criteria:

  1. Locally advanced disease that is resectable or suitable for local therapy with curative intent.
  2. Histologically or cytologically confirmed renal non-clear cell carcinoma (nccRCC).
  3. Presence of active central nervous system (CNS) metastases.
  4. Previous anti-tumor therapy toxicity has not been resolved.
  5. Have other malignancies within 5 years prior to enrollment.
  6. Known presence of active pulmonary tuberculosis and active syphilis infection.
  7. Other reasons for ineligibility as evaluated by investigator.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Ivo 1 + Cado

    Ivonescimab (dose level 1) + Cadonilimab

    Drug: Ivonescimab (dose level 1) combined with Cadonilimab

  • Experimental
    Ivo 2 + Cado

    Ivonescimab (dose level 2) + Cadonilimab

    Drug: Ivonescimab (dose level 2) combined with Cadonilimab

  • Experimental
    Ivo + Ipi

    Ivonescimab + Ipilimumab

    Drug: Ivonescimab combined with Ipilimumab

  • Experimental
    Ivo

    Ivonescimab

    Drug: Ivonescimab

  • Active comparator
    Nivo + Ipi

    Nivolumab + Ipilimumab

    Drug: Nivolumab combined with Ipilimumab

Interventions

  • DrugIvonescimab (dose level 1) combined with Cadonilimab

    Subjects will receive Ivonescimab (dose level 1) combined with Cadonilimab via intravenous infusion (IV) up to 2 years.

  • DrugIvonescimab (dose level 2) combined with Cadonilimab

    Ivonescimab (dose level 2) combined with Cadonilimab via intravenous infusion (IV) up to 2 years.

  • DrugIvonescimab combined with Ipilimumab

    Ivonescimab combined with Ipilimumab via intravenous infusion (IV) up to 4 cycles. Afterward, Ivonescimab for maintenance treatment up to 2 years total.

  • Ivonescimab monotherapy via intravenous infusion (IV) up to 2 years.

  • DrugNivolumab combined with Ipilimumab

    Nivolumab combined with Ipilimumab via intravenous infusion (IV) up to 4 cycles. Afterward, Nivolumab will be used for maintenance treatment up to 2 years total.

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    ORR per RECIST v1.1 by investigator

    Time frame: From randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 3 years.

  2. Adverse Events (AEs)

    Adverse events (AEs) as characterized by type, incidence, severity, seriousness, and relationship to study treatment

    Time frame: At the time of initiation of the first dose through 90 days after the last dose of study treatment.

Secondary outcomes

  1. Disease Control Rate (DCR)

    DCR assessed by investigator according to RECIST v1.1.

    Time frame: From randomization to first occurrence of disease progression, death or study completion, whichever came first, assessed up to 3 years.

  2. Duration of Response (DoR)

    Duration of response (DoR) assessed by investigator according to RECIST v1.1.

    Time frame: From time of first recorded response randomization to progressive disease, or death or study completion, whichever came first, assessed up to 3 years.

  3. Progression Free Survival (PFS)

    Progression Free Survival (PFS) is defined as the time from randomization to the first documented disease progression (per RECIST v1.1) assessed by investigator or death due to any cause, whichever occurs first.

    Time frame: From randomization to progressive disease or death, whichever came first, assessed up to 3 years.

  4. Overall Survival (OS)

    Overall Survival (OS) is defined as the time from randomization to death due to any cause.

    Time frame: From randomization to death, assessed up to 4 years.

  5. Pharmacokinetics (PK)

    Serum drug concentration at different time points after administration

    Time frame: From first dose of study drug until end of treatment, assessed up to 3 years.

  6. Anti-Drug Antibodies (ADA)

    Number of subjects with detectable anti-drug antibodies (ADA).

    Time frame: From time of initiation of first dose to 30 days after end of treatment.

07

Study locations

2 sites
  • Clinical Study Site
    Los Angeles, California 90067, United States
  • Clinical Study Site
    Beijing, Beijing Municipality, China
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07877194
Lead sponsor
Summit Therapeutics
Responsible party
Sponsor
First posted
Oct 16, 2026
Start date
Oct 19, 2026 (estimated)
Primary completion
Apr 12, 2029 (estimated)
Completion
Dec 12, 2029 (estimated)
Last update
Oct 16, 2026

Study contacts

Summit Clinical Trial Information
Contact
medicalinformation@smmttx.com
1-833-256-0522

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ivonescimab

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