Actively Recruiting

Phase 2
Age: 18Years +
MALE
NCT05502315

Study of Cabozantinib and Nivolumab in Metastatic Castration Resistant Prostate Cancer

Led by Rana McKay, MD · Updated on 2026-01-23

47

Participants Needed

4

Research Sites

218 weeks

Total Duration

On this page

Sponsors

R

Rana McKay, MD

Lead Sponsor

E

Exelixis

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a multicenter, single-arm, two-stage open-label phase 2 study of the combination of cabozantinib + nivolumab in subjects with advanced castration-resistant prostate cancer (CRPC).

CONDITIONS

Official Title

Study of Cabozantinib and Nivolumab in Metastatic Castration Resistant Prostate Cancer

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Males 18 years of age and older
  • Histological or cytological proof of prostate adenocarcinoma or mixed adenocarcinoma/neuroendocrine tumors (pure small cell prostate cancer not allowed)
  • ECOG performance status of 2 or less
  • Progressive metastatic castration-resistant prostate cancer with castrate serum testosterone levels and disease progression by PSA or imaging
  • Measurable or non-measurable disease allowed; enrollment with only bone metastases capped at 50%
  • Prior exposure to one taxane chemotherapy (or taxane ineligible/refusal) and one androgen receptor-targeting agent
  • Recovery to baseline or Grade 1 or less from prior treatment toxicities
  • Normal organ function with specified laboratory values within 14 days before treatment
  • Agreement to use medically acceptable birth control
  • HIV-positive patients with negative viral loads and CD4 count above 350 on stable antiretroviral therapy
Not Eligible

You will not qualify if you...

  • Disease progression during prior checkpoint inhibitor therapy
  • Prior treatment with cabozantinib
  • Use of kinase inhibitors within 2 weeks prior to study treatment
  • Use of cytotoxic, biologic, or investigational anti-cancer agents within 4 weeks prior
  • Recent treatment with certain prostate cancer therapies within 2 to 4 weeks
  • More than one prior chemotherapy line (first-generation anti-androgens not counted)
  • Live attenuated vaccine within 30 days before study treatment
  • Active autoimmune disease or requiring prednisone over 10 mg daily
  • Imminent or established spinal cord compression
  • Radiation therapy within 1 week before treatment start
  • Untreated or unstable brain metastases
  • History or evidence of pneumonitis or lung inflammation
  • Malabsorption syndrome or dialysis requirement
  • History of organ or stem cell transplant
  • Active hepatitis B/C or tuberculosis needing treatment
  • Use of certain anticoagulants unless stable and without bleeding complications
  • Significant uncontrolled cardiovascular or gastrointestinal diseases
  • Recent major or minor surgery without complete healing
  • QTc interval over 500 ms on ECG
  • Other active malignancies requiring treatment within 3 years except certain skin or superficial bladder cancers
  • Known allergy to study drugs
  • Inability to swallow tablets

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

University of California San Diego

La Jolla, California, United States, 92093

Actively Recruiting

2

University of Chicago Medical Center

Chicago, Illinois, United States, 60637

Actively Recruiting

3

University of Texas Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

4

University of Wisconsin

Madison, Wisconsin, United States, 53705

Actively Recruiting

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Research Team

R

Rana R. McKay, MD

CONTACT

L

LeaEtta Hyer

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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