๐Ÿ›๏ธ Verified NIH Record โ€ข Updated 2026-08-27

Immunotherapy With Nivolumab and Ipilimumab Followed by Nivolumab or Nivolumab With Cabozantinib for Patients With Advanced Kidney Cancer, The PDIGREE Study (NCT03793166)

PD-Inhibitor (Nivolumab) and Ipilimumab Followed by Nivolumab Vs. VEGF TKI Cabozantinib With Nivolumab: A Phase III Trial in Metastatic Untreated REnal Cell CancEr [PDIGREE]

๐Ÿ”ต Active, Not Recruiting Phase3 ๐Ÿ’Š Investigational Drug / Biologic Sponsor: National Cancer Institute (NCI)

๐Ÿฉบ Plain-English Summary (8th-Grade Level)

This phase III trial compares the usual treatment (treatment with ipilimumab and nivolumab followed by nivolumab alone) to treatment with ipilimumab and nivolumab, followed by nivolumab with cabozantinib in patients with untreated renal cell carcinoma that has spread to other parts of the body. The addition of cabozantinib to the usual treatment may make it work better. Immunotherapy with monoclonal antibodies, such as nivolumab and ipilimumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Cabozantinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known how well the combination of cabozantinib and nivolumab after initial treatment with ipilimumab and nivolumab works in treating patients with renal cell cancer that has spread to other parts of the body.

Who can join: Review the eligibility criteria below.

Location: University of South Alabama Mitchell Cancer Institute โ€” Mobile, Alabama

Age range: 18 Years

๐Ÿ“‹ "Do I Qualify?" โ€” 1-Minute Self Screener

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Full eligibility criteria are available on the official NIH protocol. View the criteria โ†—

๐Ÿ“ All Participating Trial Locations (859 Sites)

Showing the first 25 of 859 sites.

  • University of South Alabama Mitchell Cancer Institute โ€” Mobile, Alabama
  • Anchorage Associates in Radiation Medicine โ€” Anchorage, Alaska
  • Anchorage Radiation Therapy Center โ€” Anchorage, Alaska
  • Alaska Breast Care and Surgery LLC โ€” Anchorage, Alaska
  • Alaska Oncology and Hematology LLC โ€” Anchorage, Alaska
  • Alaska Women's Cancer Care โ€” Anchorage, Alaska
  • Anchorage Oncology Centre โ€” Anchorage, Alaska
  • Katmai Oncology Group โ€” Anchorage, Alaska
  • Providence Alaska Medical Center โ€” Anchorage, Alaska
  • Fairbanks Memorial Hospital โ€” Fairbanks, Alaska
  • Kingman Regional Medical Center โ€” Kingman, Arizona
  • Cancer Center at Saint Joseph's โ€” Phoenix, Arizona
  • Highlands Oncology Group - Fayetteville โ€” Fayetteville, Arkansas
  • Mercy Hospital Fort Smith โ€” Fort Smith, Arkansas
  • CHI Saint Vincent Cancer Center Hot Springs โ€” Hot Springs, Arkansas
  • Highlands Oncology Group - Rogers โ€” Rogers, Arkansas
  • Highlands Oncology Group โ€” Springdale, Arkansas
  • Kaiser Permanente-Anaheim โ€” Anaheim, California
  • Mission Hope Medical Oncology - Arroyo Grande โ€” Arroyo Grande, California
  • PCR Oncology โ€” Arroyo Grande, California
  • Kaiser Permanente-Baldwin Park โ€” Baldwin Park, California
  • Kaiser Permanente-Bellflower โ€” Bellflower, California
  • Providence Saint Joseph Medical Center/Disney Family Cancer Center โ€” Burbank, California
  • Community Cancer Institute โ€” Clovis, California
  • University Oncology Associates โ€” Clovis, California

๐Ÿ’ฐ Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA ยง 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

๐Ÿ’ก How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Review the official NIH record below to find the coordinating site.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
๐Ÿ›๏ธ View Official NIH Record โ†—