A Phase 1 Study of AB521 in Renal Cell Carcinoma and Other Solid Tumors (ARC-20)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT05536141 |
Recruitment Status :
Recruiting
First Posted : September 10, 2022
Last Update Posted : November 9, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Clear Cell Renal Cell Carcinoma Solid Tumors | Drug: AB521 | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 146 participants |
Allocation: | Non-Randomized |
Intervention Model: | Sequential Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 1, Open-label, Dose Escalation and Dose Expansion Study, to Investigate the Safety, Tolerability, and Pharmacokinetic Profile of AB521 Monotherapy in Participants With Clear Cell Renal Cell Carcinoma and Other Solid Tumors |
Actual Study Start Date : | October 26, 2022 |
Estimated Primary Completion Date : | January 2026 |
Estimated Study Completion Date : | January 2026 |

Arm | Intervention/treatment |
---|---|
Experimental: Dose Escalation Cohort 1
Participants will receive AB521 orally once daily
|
Drug: AB521
Administered as specified in the treatment arm |
Experimental: Dose Escalation Cohort 2
Participants will receive AB521 orally once daily
|
Drug: AB521
Administered as specified in the treatment arm |
Experimental: Dose Escalation Cohort 3
Participants will receive AB521 orally twice daily
|
Drug: AB521
Administered as specified in the treatment arm |
Experimental: Dose Escalation Cohort 4
Participants will receive AB521 orally
|
Drug: AB521
Administered as specified in the treatment arm |
Experimental: Dose Expansion Cohort 1
Participants will receive AB521 orally
|
Drug: AB521
Administered as specified in the treatment arm |
Experimental: Dose Expansion Cohort 2
Participants will receive AB521 orally
|
Drug: AB521
Administered as specified in the treatment arm |
Experimental: Dose Expansion Cohort 3
Participants will receive AB521 orally
|
Drug: AB521
Administered as specified in the treatment arm |
- Number of participants with dose limiting toxicities (DLTs) [ Time Frame: Up to 4 months ]
- Number of participants with adverse events (AEs) [ Time Frame: Up to 4 months ]
- Objective Response Rate as measured by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 [ Time Frame: Up to 4 months ]
- Plasma concentration of AB521 [ Time Frame: Up to 4 months ]
- Area under the plasma concentration time curve (AUC) of AB521 [ Time Frame: Up to 4 months ]
- Maximum Observed Plasma Concentration (Cmax) of AB521 [ Time Frame: Up to 4 months ]

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- Disease-specific criteria for dose escalation:
- Participants may have any pathologically confirmed solid tumor type where no other treatment options are available.
- Disease-specific criteria for dose-expansion:
- Histologically confirmed ccRCC, must have received prior treatment in the metastatic setting (either individually or in combination) with an anti-programmed cell death protein 1 (anti-PD-1) therapy and a tyrosine kinase inhibitor (TKI), and no prior treatment with a hypoxia inducible factor (HIF)-2 alpha (α)-targeting therapy.
- Must have at least one measurable lesion per RECIST guidance.
- Eastern Cooperative Oncology Group (ECOG) performance status score of ≤ 1.
Key Exclusion Criteria:
- Use of any live vaccines against infectious diseases (eg, influenza, varicella) within 4 weeks (28 days) of initiation of investigational product.
- Underlying medical conditions that, in the investigator's judgment, will make the administration of investigational product hazardous (eg, interstitial lung disease, active infections requiring antibiotics, recent hospitalizations with unresolved symptoms) or obscure the interpretation of toxicity determination or AEs.
- History of trauma or major surgery within 28 days prior to the first dose of investigational product.
- For monotherapy dose expansion: prior treatment with an HIF-2α inhibitor.
- Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05536141
Contact: Medical Director | +1-510-462-3330 | ClinicalTrials@arcusbio.com |
United States, Kentucky | |
University of Louisville Brown Cancer Center | Recruiting |
Louisville, Kentucky, United States, 40202 | |
United States, Louisiana | |
Mid-Florida Hematology & Oncology Centers, PA | Recruiting |
New Orleans, Louisiana, United States, 70121 | |
United States, Massachusetts | |
Dana-Farber Cancer Institute | Recruiting |
Boston, Massachusetts, United States, 02215 | |
United States, Michigan | |
Barbara Ann Karmanos Cancer Center | Recruiting |
Detroit, Michigan, United States, 48201 | |
United States, Nebraska | |
Nebraska Cancer Specialists - Oncology Hematology West PC | Recruiting |
Omaha, Nebraska, United States, 68124 | |
United States, New York | |
Next Oncology Virginia | Recruiting |
New York, New York, United States, 10029 | |
United States, Tennessee | |
Sarah Cannon | Recruiting |
Nashville, Tennessee, United States, 37203 | |
United States, Texas | |
South Texas Accelerated Research Therapeutics, LLC | Recruiting |
San Antonio, Texas, United States, 78229 | |
Korea, Republic of | |
Seoul National University Bundang Hospital | Recruiting |
Seoul, Korea, Republic of, 13620 | |
Samsung Medical Center | Recruiting |
Seoul, Korea, Republic of, 6351 | |
Asan Medical Center | Recruiting |
Seoul, Korea, Republic of | |
Severance Hospital Cancer Center | Recruiting |
Seoul, Korea, Republic of |
Study Director: | Medical Director | Arcus Biosciences |
Responsible Party: | Arcus Biosciences, Inc. |
ClinicalTrials.gov Identifier: | NCT05536141 |
Other Study ID Numbers: |
ARC-20 |
First Posted: | September 10, 2022 Key Record Dates |
Last Update Posted: | November 9, 2023 |
Last Verified: | November 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | Arcus will provide access to individual de-identified participant data and related study documents [e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)] upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. For more information, please visit our website. |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Clinical Study Report (CSR) |
URL: | https://trials.arcusbio.com/our-transparency-policy |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Clear Cell Renal Cell Carcinoma Solid Tumor Malignancies Pharmacokinetics Pharmacodynamics AB521 |
Carcinoma Carcinoma, Renal Cell Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Adenocarcinoma Kidney Neoplasms Urologic Neoplasms |
Urogenital Neoplasms Neoplasms by Site Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Urogenital Diseases Kidney Diseases Urologic Diseases Male Urogenital Diseases |