UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060476
Receipt number R000069060
Scientific Title A Multicenter Retrospective Study on the Efficacy and Safety of First-Line Treatments (Nivolumab plus Cabozantinib and Pembrolizumab plus Lenvatinib) for Advanced/Metastatic Renal Cell Carcinoma
Date of disclosure of the study information 2026/01/27
Last modified on 2026/01/27 09:23:21

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Basic information

Public title

A Multicenter Retrospective Study on the Efficacy and Safety of First-Line Treatments (Nivolumab plus Cabozantinib and Pembrolizumab plus Lenvatinib) for Advanced/Metastatic Renal Cell Carcinoma

Acronym

FIRST-RCC

Scientific Title

A Multicenter Retrospective Study on the Efficacy and Safety of First-Line Treatments (Nivolumab plus Cabozantinib and Pembrolizumab plus Lenvatinib) for Advanced/Metastatic Renal Cell Carcinoma

Scientific Title:Acronym

FIRST-RCC

Region

Japan


Condition

Condition

Renal Cell Carcinoma

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To explore the efficacy and safety of nivolumab plus cabozantinib and pembrolizumab plus lenvatinib as optimal first-line treatments for patients with advanced or metastatic renal cell carcinoma.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

PFS(Progression-free Survival) in first-line treatment

Key secondary outcomes

Outcomes in the first-line setting
OS(Overall Survival), PFS-2(Progression-free Survival-2), ORR(Overall Response Rate), DOR(Duration of Overall Response), DCR(Disease Control Rate), TTF(Time to Treatment Failure), BOR(Best Overall Response), TTR(Time to Response), DOT(Duration of Therapy), TTNT(Time to Next Treatment), Reasons for treatment discontinuation, RDI(Relative Dose Intensity), Rate of dose modifications(reduction, interruption, discontinuation), Safety

Outcomes in second-line treatment and beyond
PFS by line of therapy, BOR by line of therapy, DOT by line of therapy, TTNT, Reasons for treatment discontinuation

Treatment sequence


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Patients aged 18 years or older at the initiation of first-line treatment for advanced or metastatic renal cell carcinoma
2.Patients who have not refused to participate in the study following disclosure of study information via an opt-out method
3.Patients with histologically diagnosed renal cell carcinoma
4.Patients who initiated IO+TKI combination therapy (nivolumab plus cabozantinib or pembrolizumab plus lenvatinib) as first-line treatment for advanced or metastatic renal cell carcinoma between April 1, 2022, and September 30, 2023

Key exclusion criteria

1.Patients who had malignancies other than renal cell carcinoma within 2 years prior to the initiation of first-line treatment for advanced or metastatic renal cell carcinoma. However, patients with carcinoma in situ or intramucosal carcinoma that have been curatively treated by local resection or are considered curable are excluded from this restriction.
2.Patients with a history of treatment with immune checkpoint inhibitors prior to the first-line treatment for advanced or metastatic renal cell carcinoma.
3.Patients deemed inappropriate for the study by the principal investigator or investigator due to reasons such as insufficient medical records.

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Yasuhisa
Middle name
Last name Fujii

Organization

Institute of Science Tokyo

Division name

Department of Urology

Zip code

113-8519

Address

Department of Urology

TEL

03-3813-6111

Email

fujii.y.70fa@m.isct.ac.jp


Public contact

Name of contact person

1st name Hajime
Middle name
Last name Tanaka

Organization

Institute of Science Tokyo

Division name

Department of Urology

Zip code

113-8519

Address

1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan

TEL

03-3813-6111

Homepage URL


Email

hjtauro@tmd.ac.jp


Sponsor or person

Institute

Institute of Science Tokyo

Institute

Department

Personal name



Funding Source

Organization

Takeda Pharmaceutical Company Limited

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Maidashi

Address

3-1-1 Maidashi, Higashi-ku, Fukuoka, Fukuoka, Japan

Tel

092-643-7171

Email

mail@crnfukuoka.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 01 Month 27 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 01 Month 14 Day

Date of IRB

2026 Year 01 Month 23 Day

Anticipated trial start date

2026 Year 01 Month 27 Day

Last follow-up date

2026 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Collection of medical information and patient characteristics for patients treated with nivolumab plus cabozantinib or pembrolizumab plus lenvatinib as first-line treatment


Management information

Registered date

2026 Year 01 Month 27 Day

Last modified on

2026 Year 01 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069060