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GU Cancers 2026 | First results of CBM588 with nivolumab and ipilimumab in mRCC

Miguel Zugman, MD, Albert Einstein Israelite Hospital, Sao Paolo, Brazil, discusses initial results from a dose-escalation study (NCT06399419) of CBM588 (Clostridium butyricum MIYAIRI 588) combined with nivolumab and ipilimumab in treatment-naïve metastatic renal cell carcinoma (mRCC). The study demonstrated no dose-limiting toxicities at any dose level, with no dose-dependent increase in immune-related adverse events. Translational analyses revealed dose-dependent modulation of gut microbiome composition and changes in biomarker levels associated with treatment response. This interview took place at the 2026 ASCO GU Cancers Symposium in San Francisco, CA.

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