A Study of Combining Cabozantinib and Atezolizumab for Advanced/Metastatic NSCLC (Cabatezo-1)

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorJun Zhang, MD, PhD

About this trial

NSCLC patients with low expression level of PD-L1, esp. those with its level less than 1%, do not derive much benefit from anti-PD-1/L1 therapy (e.g. atezoilzumab). In this study, investigators hypothesize that the combination of cabozantinib (a multi-kinase inhibitor) and atezolizumab will result in better therapeutic value.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ability of participant OR Legally Authorized Representative (LAR) to understand this study, and participant or LAR willingness to sign a written informed consent

Males and females age ≥ 18 years

ECOG Performance Status 0 - 1

Pathologically confirmed advanced/metastatic NSCLC, with PD-L1<1% based on IHC using 22C3 antibody

Disqualifiers

Simultaneously enrolled in any therapeutic clinical trial

Current or anticipating use of other investigational agents while participating in this study

Treatment with investigational therapy within 28 days prior to initiation of study treatment

Diagnosed with a psychiatric illness or is in a social situation that would limit compliance with study requirements

Trial design

Design model

Single group

Treatments tested in this trial

  • Cabozantinib

    Drug

    Oral once per day, Days 1 - 21 every 21 days

  • Atezolizumab

    Drug

    Intravenous (IV) once every 21 days

Treatment groups

40 Participants
are divided into 1 treatment group
Group A: Cabozantinib and AtezolizumabExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Objective response rate (ORR)

From baseline to End of Treatment (EOT) due to disease progression using RECIST criteria 1.1

Time frame
through study completion, an average of 1 year

Secondary outcomes

1

Duration of response (DOR)

The response to the study drugs will be determined using RECIST criteria 1.1

Time frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
2

Progression-free survival (PFS)

The lack of progression will be dertermined using RECIST criteria 1.1

Time frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
3

Overall survival (OS)

Medical Record will be followed to watch survival status

Time frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
4

Drug Safety

Safety of drugs will be determined by documenting adverse events and the severity of adverse events will be documented using CTCAE Version 5.0

Time frame
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Jun Zhang, MD, PhD

Lead sponsor

University of Kansas Medical Center

Sponsor institution

Exelixis

Collaborator

Genentech, Inc.

Collaborator

This trial is not recruiting at the moment. You can still explore other options: