In an exciting development in the treatment of advanced renal cell carcinoma (RCC), Exelixis, Inc. (Nasdaq: EXEL) has announced the compelling five-year follow-up results from the phase 3 CheckMate -9ER trial. Presented at the ASCO GU 2025 conference in Alameda, California, these results highlight the sustained efficacy benefits of CABOMETYX (cabozantinib) in combination with Opdivo (nivolumab) as a first-line treatment compared to sunitinib.
Study Overview
The CheckMate -9ER trial was a pivotal phase 3 study designed to evaluate the safety and efficacy of the combination therapy of CABOMETYX and Opdivo versus sunitinib in patients with previously untreated advanced RCC. The trial included a diverse patient population and was conducted at multiple centers worldwide, providing robust data over a significant follow-up period.
Major Findings
After more than five years of follow-up, the results revealed sustained efficacy of the CABOMETYX-Opdivo combination therapy. The trial showed significant improvements in overall survival (OS) and progression-free survival (PFS), demonstrating a long-term advantage over sunitinib. Notably, these benefits were consistent across various subgroups, making the combination a versatile option for first-line treatment in diverse patient populations with advanced RCC.
Impact on Patient Treatment
This combination therapy has emerged as a transformative treatment option, offering patients not only the potential for longer survival but also a better quality of life compared to the standard treatment with sunitinib. The sustained efficacy results reinforce the importance of the CABOMETYX and Opdivo regimen as a first-line treatment, providing clinicians and patients with a reliable and effective therapeutic alternative in the battle against advanced kidney cancer.
Market Performance and Future Outlook
Despite these positive clinical outcomes, Exelixis Inc. shares have displayed a challenging market performance, currently standing at $35 per share. Over the past month, the stock has trailed the overall market performance. Year-to-date, Exelixis shares have depreciated by -2.42%, contrasting with the 3.29% gain of the overall market. However, the promising results from the CheckMate -9ER trial may potentially boost investor confidence and positively influence future market trends for Exelixis.
Conclusion
The five-year follow-up data from the CheckMate -9ER trial unequivocally underscore the long-term efficacy of the CABOMETYX and Opdivo combination for treating advanced RCC. These findings not only validate the therapeutic potential of this regimen but also offer a renewed sense of hope for patients and healthcare providers. As Exelixis continues to lead in oncology innovation, the future of kidney cancer treatment appears promising and filled with potential.

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