RecruitingPhase 1Phase 2NCT07293351

A Study to Evaluate the Safety, Tolerability, and Efficacy of Pumitamig Alone or in Combination With Ipilimumab or Cabozantinib in Participants With Advanced Renal Cell Carcinoma (RCC) (ROSETTA RCC-208)

ROSETTA RCC-208: A Phase 1/2 Open-label, Multi-center, Randomized Study of Pumitamig Alone or in Combination With Ipilimumab or Cabozantinib in Participants With Advanced Renal Cell Carcinoma (RCC)


Sponsor

Bristol-Myers Squibb

Enrollment

234 participants

Start Date

Mar 26, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to evaluate the safety, tolerability, and efficacy of Pumitamig alone or in combination with Ipilimumab or Cabozantinib in participants with advanced Renal Cell Carcinoma (RCC)


Eligibility

Min Age: 18 Years

Inclusion Criteria8

  • Participants must have a histologically confirmed diagnosis of locally advanced, unresectable (not amenable to curative surgery or radiation therapy) or metastatic Renal Cell Carcinoma (RCC).
  • Participants must have clear cell RCC (ccRCC) or non-clear cell RCC (nccRCC) may be enrolled in Part 1. Note: Part 2 may only enroll participants with ccRCC.
  • Participants may have favorable, intermediate or poor risk disease categories.
  • Participants must not have received prior systemic therapy for metastatic RCC, with the following exceptions:
  • i) One prior adjuvant or neoadjuvant therapy for completely resectable RCC is allowed if such therapy did not include an agent that targets vascular endothelial growth factor (VEGF) or VEGF receptors and if recurrence occurred at least 6 months after the last dose of adjuvant or neoadjuvant therapy.
  • ii) For Part 1A participants: Prior systemic therapy in the metastatic setting is allowed if the participant has not received any therapy targeting cytotoxic T-lymphocyte antigen 4 (CTLA-4) (e.g., ipilimumab).
  • iii) For Part 1B participants: Prior systemic therapy in the metastatic setting is allowed if the participant has not received prior treatment with cabozantinib.
  • \- Participants must have measurable disease as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Exclusion Criteria10

  • Participants must not have any untreated known CNS metastases.
  • Participants must not have a condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of Cycle 1 Day1 (C1D1).
  • Participants must not have a history of interstitial lung disease or pneumonitis.
  • Participants must not have an uncontrolled pleural or pericardial effusion requiring recurrent therapeutic drainage procedures.
  • Participants must not have significant cardiovascular disease, such as myocardial infarction, unstable angina, arterial thrombosis, cerebrovascular accident within 6 months prior to C1D1, uncontrolled hypertension (≥ 150 systolic, ≥ 90 diastolic mm Hg) despite optimal medical management, or congenital long QT syndrome.
  • Participants must not have a urine protein ≥ 2+ and 24 hour urine protein ≥ 1 g at baseline.
  • Participants must not have evidence of major coagulation disorders.
  • Participants must not have a history of deep vein thrombosis, pulmonary embolism, or any other significant thromboembolism within 6 months prior to C1D1.
  • Participants must not have a history of abdominal fistula or gastrointestinal (GI) perforation within 6 months.
  • Participants must not have had a major surgery or trauma within 28 days prior to C1D1.

Interventions

DRUGPumitamig

Specified dose on specified days

DRUGIpilimumab

Specified dose on specified days

DRUGCabozantinib

Specified dose on specified days

DRUGNivolumab

Specified dose on specified days


Locations(71)

Local Institution - 0117

New Haven, Connecticut, United States

Local Institution - 0134

Washington D.C., District of Columbia, United States

Local Institution - 0126

Orlando, Florida, United States

Local Institution - 0124

Iowa City, Iowa, United States

Local Institution - 0123

Baltimore, Maryland, United States

Local Institution - 0094

St Louis, Missouri, United States

Local Institution - 0096

Hauppauge, New York, United States

Local Institution - 0127

Cleveland, Ohio, United States

Local Institution - 0165

Charleston, South Carolina, United States

Carolina Urologic Research Center, LLC

Myrtle Beach, South Carolina, United States

Local Institution - 0158

Salt Lake City, Utah, United States

Local Institution - 0095

Seattle, Washington, United States

Local Institution - 0154

Buenos Aires, Argentina

Local Institution - 0156

Buenos Aires, Argentina

Local Institution - 0076

North Ryde, New South Wales, Australia

Local Institution - 0111

St Leonards, New South Wales, Australia

Local Institution - 0074

South Brisbane, Queensland, Australia

Local Institution - 0003

Malvern, Australia

Local Institution - 0093

Brasília, Federal District, Brazil

Local Institution - 0007

Calgary, Alberta, Canada

Local Institution - 0109

Montreal, Quebec, Canada

Local Institution - 0009

Montreal, Quebec, Canada

Local Institution - 0105

Santiago, Santiago Metropolitan, Chile

Local Institution - 0005

Santiago, Santiago Metropolitan, Chile

Local Institution - 0163

Santiago, Chile

Local Institution - 0052

Cali, Colombia

Local Institution - 0147

Prague, Praha 5, Czechia

Local Institution - 0149

Brno, Czechia

Local Institution - 0150

Hradec Králové, Czechia

Local Institution - 0044

Helsinki, Etelä-Suomen Lääni, Finland

Local Institution - 0029

Turku, Finland

Local Institution - 0060

Vantaa, Finland

Local Institution - 0083

Lille, Nord, France

Local Institution - 0080

Boredeaux, France

Local Institution - 0028

Villejuif, France

Local Institution - 0025

Jena, Thuringia, Germany

Local Institution - 0026

Hamburg, Germany

Local Institution - 0014

Herne, Germany

Local Institution - 0027

München, Germany

Local Institution - 0059

Dublin, Ireland

Local Institution - 0062

Dublin, Ireland

Local Institution - 0139

Verona, Veneto, Italy

Local Institution - 0073

Milan, Italy

Local Institution - 0087

Napoli Campania, Italy

Local Institution - 0097

Koto-ku, Tokyo, Japan

Local Institution - 0078

Toyoma, Toyama, Japan

Local Institution - 0172

Fukuoka, Japan

Local Institution - 0046

Monterrey, Nuevo León, Mexico

Local Institution - 0048

Oaxaca City, Mexico

Local Institution - 0122

Puebla City, Mexico

Local Institution - 0049

Tlalpan, Mexico

Local Institution - 0108

Tlalpan, Mexico

Local Institution - 0118

Tlalpan, Mexico

Local Institution - 0103

Cluj-Napoca, Romania

Local Institution - 0161

Craiova, Romania

Local Institution - 0100

Iași, Romania

Local Institution - 0101

Sibiu, Romania

Local Institution - 0112

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Local Institution - 0017

Seoul, Seoul-teukbyeolsi, South Korea

Local Institution - 0167

Seoul, South Korea

Local Institution - 0013

Madrid, Spain

Local Institution - 0091

Madrid, Spain

Local Institution - 0043

Seville, Spain

Local Institution - 0054

Chur, Switzerland

Local Institution - 0055

Sankt Gallen, Switzerland

Local Institution - 0056

Zurich, Switzerland

Local Institution - 0057

Cardiff, United Kingdom

Local Institution - 0019

London, United Kingdom

Local Institution - 0063

London, United Kingdom

Local Institution - 0020

Manchester, United Kingdom

Local Institution - 0171

Sulton, Surrey, United Kingdom

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NCT07293351