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Trial · NCT04400474

Trial of Cabozantinib Plus Atezolizumab in Advanced and Progressive Neoplasms of the Endocrine System. The CABATEN Study

NCT04400474, Phase 2, Completed, Grupo Espanol de Tumores Neuroendocrinos; results first posted 2025-06-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Trial of Cabozantinib Plus Atezolizumab in Advanced and Progressive Neoplasms of the Endocrine System. The CABATEN Study. Trials, record NCT04400474. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04400474

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Trial of Cabozantinib Plus Atezolizumab in Advanced and Progressive Neoplasms of the Endocrine System. The CABATEN Study
NCT number
NCT04400474
Status
Completed
Phases
Phase 2
Enrollment
93 participants, actual
Lead sponsor
Grupo Espanol de Tumores Neuroendocrinos
Conditions
Neuroendocrine Tumor, Anaplastic Thyroid Cancer, Adenocarcinoma, Pheochromocytoma, Paraganglioma
Interventions
Cabozantinib 40 mg
First posted
2020-05-22
Last updated
2025-06-19
Other registries' IDs
eudract:2019-002279-32
Results first posted
2025-06-19

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (ORR)Through study completion, average 1 year
Radiological objective response rate (ORR) evaluated per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT scan ORR= CR (confirmed complete response) + PR (confirmed partial response) as best response PR (At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm.
SecondarySafety Profile Number of Adverse Events Reactions (TRAEs)TRAEs reported through clinical, up to 100 days after finishing or discontinuing treatment, on average 10 monthsNumber of patients adverse events reaction (TRAEs) related to Cabozantinib
SecondarySafety Profile Number of Adverse Events Reactions (TRAEs) Related With AtezolizumabTRAEs reported through clinical, up to 100 days after finishing or discontinuing treatment, on average 10 monthsNumber of patients with adverse events reaction related to Atezolizumab as assessed by CTCAE v4.0
SecondaryDuration of Response (DoR)
From date of first documented clinical response (PR, CR) until the date of first documented progression, date of death from any cause or patient withdrawal, whichever came first, assessed up to 36 months
the time from the date of first documented CR or PR to the first documented progression or death due to underlying cancer. DoR will be determined based on tumour assessment (RECIST version 1.1 criteria).
SecondaryProgression-free Survival (PFS)From date of randomization until the date of first documented progression, date of death from any cause or patient withdrawal, whichever came first, assessed up to 36 months
Median Progression free survival (mPFS) is defined as the time from the date of inclusion to the date of the first documented disease progression or death due to any cause, whichever occurs first. PFS will be determined based on tumour assessment (RECIST version 1.1 criteria). The local Investigator's assessments will be used for analyses.
SecondaryOverall Survival (OS)Through study period, up to 3 years after completing treatmentMedian Overall Survival (mOS) is calculated as the time from date of inclusion to date of death due to any cause.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (ORR)Through study completion, average 1 year
Patients were enrolled in six cohorts. The main inclusion criteria were as follows: age \> 18 years; Eastern Cooperative Oncology Group performance status (ECOG-PS) of 0 or 1 and adequate organ and bone marrow function.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSafety Profile Number of Adverse Events Reactions (TRAEs)TRAEs reported through clinical, up to 100 days after finishing or discontinuing treatment, on average 10 months
Patients with advanced and refractory endocrine and neuroendocrine neoplasms, Patients were enrolled in six cohorts. The main inclusion criteria were as follows: age \> 18 years; Eastern Cooperative Oncology Group performance status (ECOG-PS) of 0 or 1 and adequate organ and bone marrow function
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYSafety Profile Number of Adverse Events Reactions (TRAEs) Related With AtezolizumabTRAEs reported through clinical, up to 100 days after finishing or discontinuing treatment, on average 10 months
Patients with advanced and refractory endocrine and neuroendocrine neoplasms. Patients were enrolled in six cohorts. The main inclusion criteria were as follows: age \> 18 years; Eastern Cooperative Oncology Group performance status (ECOG-PS) of 0 or 1 and adequate organ and bone marrow function.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDuration of Response (DoR)
From date of first documented clinical response (PR, CR) until the date of first documented progression, date of death from any cause or patient withdrawal, whichever came first, assessed up to 36 months
Patients with advanced and refractory endocrine and neuroendocrine neoplasms. Patients were enrolled in six cohorts. The main inclusion criteria were as follows: age \> 18 years; Eastern Cooperative Oncology Group performance status (ECOG-PS) of 0 or 1 and adequate organ and bone marrow function.
monthsMEDIAN
SECONDARYProgression-free Survival (PFS)From date of randomization until the date of first documented progression, date of death from any cause or patient withdrawal, whichever came first, assessed up to 36 months
Patients with advanced and refractory endocrine and neuroendocrine neoplasms. Patients were enrolled in six cohorts. The main inclusion criteria were as follows: age \> 18 years; Eastern Cooperative Oncology Group performance status (ECOG-PS) of 0 or 1 and adequate organ and bone marrow function.
monthsMEDIAN
SECONDARYOverall Survival (OS)Through study period, up to 3 years after completing treatmentmonthsMEDIAN

Results by group34

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (ORR)LungNET (Lung Typical Andatypical Carcinoids) Cabozantinib 40 mg + Atezolizumab 1200 mg0Participants
Objective Response Rate (ORR)ATC (Anaplastic Thyroid Cancer) Cabozantinib 40 mg + Atezolizumab 1200 mg2Participants
Objective Response Rate (ORR)ACC (Adrenocortical Carcinoma) Cabozantinib 40 mg + Atezolizumab 1200 mg2Participants
Objective Response Rate (ORR)PPGL (Pheochromocytoma/Paraganglioma) Cabozantinib 40 mg + Atezolizumab 1200 mg2Participants
Objective Response Rate (ORR)G1-2 GEP-NET (Well-differentiated Gastroenteropancreatic NET)4Participants
Objective Response Rate (ORR)G3 EP-NEN (Extrapulmonary Neuroendocrine Neoplasms.)0Participants
Safety Profile Number of Adverse Events Reactions (TRAEs)LungNET (Lung Typical and Atypical Carcinoids)8Participants
Safety Profile Number of Adverse Events Reactions (TRAEs)ATC (Anaplastic Thyroid Cancer)11Participants
Safety Profile Number of Adverse Events Reactions (TRAEs)ACC (Adrenocortical Carcinoma)18Participants
Safety Profile Number of Adverse Events Reactions (TRAEs)PPGL (Pheochromocytoma/Paraganglioma)11Participants

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLungNET (Lung Typical and Atypical Carcinoids)9
Overall StudySTARTEDATC (Anaplastic Thyroid Cancer)14
Overall StudySTARTEDACC (Adrenocortical Carcinoma)24
Overall StudySTARTEDPPGL (Pheochromocytoma/Paraganglioma)13
Overall StudySTARTEDG1-2 GEP-NET (Well-differentiated Gastroenteropancreatic NET)24
Overall StudySTARTEDG3 EP-NEN (Extrapulmonary Neuroendocrine Neoplasms.)9
Overall StudyCOMPLETEDLungNET (Lung Typical and Atypical Carcinoids)9
Overall StudyCOMPLETEDATC (Anaplastic Thyroid Cancer)14
Overall StudyCOMPLETEDACC (Adrenocortical Carcinoma)24
Overall StudyCOMPLETEDPPGL (Pheochromocytoma/Paraganglioma)13

Adverse events75

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherGastrointestinal disorders - Other, specifyGastrointestinal disordersAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms139323
otherAbdominal painGastrointestinal disordersAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms229326
otherInfections and infestations - Other, specifyInfections and infestationsAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms159318
otherFeverGeneral disordersAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms129316
otherGeneral disorders and administration site conditions - Other, specifyGeneral disordersAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms99310
otherDiarrheaGastrointestinal disordersAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms4493100
otherAspartate aminotransferase increasedInvestigationsAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms379382
otherAlanine aminotransferase increasedInvestigationsAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms349381
otherVomitingGastrointestinal disordersAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms219341
otherConstipationGastrointestinal disordersAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms139313

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms293
Total, other adverse eventsAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms9193
Total, serious adverse eventsAdvanced and Refractory Endocrine and Neuroendocrine Neoplasms4393

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04400474

GET https://conductscience.org/api/trials/v1/NCT04400474/results?page=2