Drugs / Casdatifan
last change 19 days ago re-read 9 days ago

Casdatifan

also known as AB521

Small molecule

Developed for
clear cell renal carcinoma · renal cell carcinoma
Investigated by
Arcus Biosciences, Inc. · AstraZeneca · BioNTech SE · Bristol-Myers Squibb · Dana-Farber Cancer Institute · Exelixis
+2 more · Pfizer · Vanderbilt-Ingram Cancer Center

Trials 12

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 17 trials
Phase 1 NCT07748988 Sep 2026 → Jul 2030 expected clear cell renal carcinoma Vanderbilt-Ingram Cancer Center Recruiting No outcome recorded
Phase 1 NCT07751250 Aug 2026 → May 2027 expected — Arcus Biosciences, Inc. Recruiting No outcome recorded
Phase 1 NCT06919991 May → Oct 2025 — Arcus Biosciences, Inc. Completed No outcome recorded
Phase 1 NCT06191796 Jan 2024 → May 2025 clear cell renal carcinoma Exelixis Terminated No outcome recorded Stop: Business
Phase 1 NCT05999513 Aug → Oct 2023 — Arcus Biosciences, Inc. Completed No outcome recorded
Phase 1 NCT05536141 Oct 2022 → Mar 2029 expected clear cell renal carcinoma Arcus Biosciences, Inc. Recruiting No outcome recorded
Phase 1 NCT05117554 Nov 2021 → Feb 2023 — Arcus Biosciences, Inc. Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT07293351 Mar 2026 → Nov 2029 expected renal cell carcinoma Bristol-Myers Squibb Recruiting No outcome recorded
Phase 1/2 NCT07227415 Feb 2026 → Nov 2027 expected clear cell renal carcinoma Pfizer Recruiting No outcome recorded
Phase 21 trial
Phase 2 NCT07397611 Mar 2026 → Jan 2028 expected renal cell carcinoma Dana-Farber Cancer Institute Recruiting No outcome recorded
Phase 32 trials
Phase 3 NCT07011719 Sep 2025 → Apr 2028 expected clear cell renal carcinoma Arcus Biosciences, Inc. Recruiting No outcome recorded
Phase 3 NCT07000149 Jul 2025 → Feb 2030 expected clear cell renal carcinoma AstraZeneca Active not recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 9

DateIssuerRelease
2026-07-01 Arcus Biosciences, Inc. Results New Research Published in Nature Links Clinical Activity with HIF‑2a Biology in Advanced Kidney Cancer Patients Treated with Casdatifan arcusbio.com ↗
The study showed that in ccRCC patients with HIF-2a-driven tumors, deeper suppression of HIF-2a-associated production of serum EPO correlated with clinical benefit, including higher response rates and longer PFS.
2026-02-23 Arcus Biosciences, Inc. Results Arcus Presents New Data for its HIF-2a Inhibitor Casdatifan, Which Showed Progression-Free Survival Beyond One Year in Late-Line Kidney Cancer arcusbio.com ↗
Median progression-free survival (mPFS) was 15.1 months, and the confirmed overall response rate (cORR) increased to 45% for the 100mg QD (once daily) tablet cohort in an updated analysis of the ARC-20 study
2025-10-06 Arcus Biosciences, Inc. Results Arcus Biosciences Presents New Data for its HIF-2a Inhibitor Casdatifan and Discloses First Inflammation Programs at Investor Event arcusbio.com ↗
In the 100mg tablet cohort, our Phase 3 dose and formulation, casdatifan showed a 35% confirmed ORR, with two additional responses pending confirmation, and mPFS had not been reached, even with a median follow-up of one year
2025-06-01 Arcus Biosciences, Inc. Results Initial Data from the ARC-20 Study of Casdatifan Plus Cabozantinib Showed Nearly Half of Patients with Metastatic Kidney Cancer Had a Confirmed Response arcusbio.com ↗
Treatment with casdatifan, a HIF-2a inhibitor, plus cabozantinib, a tyrosine kinase inhibitor, showed a confirmed overall response rate (ORR) of 46% in patients who reached a minimum of 12 weeks (two scans) of follow-up
2025-02-15 Arcus Biosciences, Inc. Results New Data Demonstrated Best-in-Class Potential for Casdatifan, a HIF-2a Inhibitor, in Patients with Metastatic Kidney Cancer arcusbio.com ↗
A 9.7-month median progression-free survival (mPFS) was reached for the 50mg twice-daily (BID) casdatifan monotherapy cohort of the Phase 1/1b ARC-20 study; mPFS was not yet reached for other cohorts
2024-11-06 Arcus Biosciences, Inc. Results Arcus Biosciences Reports Third-Quarter 2024 Financial Results and Provides a Pipeline Update arcusbio.com ↗
Together, these data support the potential for casdatifan to be a best-in-class HIF-2a inhibitor for the treatment of ccRCC.
2024-10-24 Arcus Biosciences, Inc. Results First Clinical Data for Arcus Biosciences’ HIF-2a Inhibitor, Casdatifan, Showed Promising Clinical Activity and Tumor Shrinkage in Patients with Metastatic Kidney Cancer arcusbio.com ↗
Low rate of primary progression (19%) and high rate of disease control (81%) was observed in the 100mg expansion cohort with many of those patients still on treatment
2022-03-08 Arcus Biosciences, Inc. Results Arcus Biosciences Presents Data from its Pipeline at Multiple Scientific Conferences arcusbio.com ↗
Initial pharmacokinetic (PK)/pharmacodynamic (PD) data for AB521, Arcus’s HIF-2a inhibitor, in healthy volunteers confirm its potential to have an improved clinical profile compared to that of the only approved HIF-2a inhibitor
2022-02-23 Arcus Biosciences, Inc. Results Arcus Biosciences Reports Fourth Quarter and Full-Year 2021 Financial Results and Provides Corporate Update arcusbio.com ↗
Initial pharmacokinetic (PK)/pharmacodynamic (PD) data for AB521, Arcus’s HIF-2a inhibitor, in healthy volunteers confirm its potential to have an improved clinical profile compared to the approved HIF-2a inhibitor; data to be presented at a conference this March

All press releases naming this drug 23 releases

DateIssuerRelease

Evidence & citations 5 cited values

Every value below carries the sentence it was read from. 13 sources stand behind the page.

FieldValueCited text
Known as Casdatifan ClinicalTrials.gov intervention name — accepted as the source's own label NCT07751250 ↗
10

NCT05536141 ↗

NCT06919991 ↗

NCT07011719 ↗

NCT07227415 ↗

NCT07293351 ↗

NCT07397611 ↗

NCT05999513 ↗

NCT07748988 ↗

NCT05117554 ↗

NCT07000149 ↗

Known as AB521 “A Phase 1, Open-Label, Single-Dose, Parallel-Group Study to Evaluate the Pharmacokinetics of Casdatifan (AB521) in Participants With Moderate Hepatic Impairment Compared to...” NCT07751250 ↗
1

NCT06191796 ↗

Action Inhibit “highly potent and selective tetralin-based HIF-2α inhibitor” PMID 42246926 ↗ Jun 2026
Modality Small molecule “highly potent and selective tetralin-based HIF-2α inhibitor” PMID 42246926 ↗ Jun 2026
Route Oral “casdatifan orally with water under fasting conditions” NCT05117554 ↗