Skip to content

A Study of XB628 Alone and in Combination With Zanzalintinib in Participants With Recurrent Advanced or Metastatic Solid Tumors

A Phase 1 Dose Escalation and Expansion Study of XB628 as a Single Agent and in Combination With Zanzalintinib in Participants With Advanced or Metastatic Solid Tumors

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06952010
Enrollment
303
Registered
2025-04-30
Start date
2025-05-01
Completion date
2027-11-30
Last updated
2026-06-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Solid Tumor, Immune Sensitive Tumor, Metastatic Solid Tumor, Solid Tumor

Keywords

XB628, Solid tumor, Advanced solid tumor, Metastatic solid tumor, Immune sensitive tumor, PD-L1, Zanzalintinib

Brief summary

This study consists of a Dose-Escalation stage and a Dose Expansion stage. The primary purpose of the dose escalation stage is to determine the maximum tolerated dose (MTD) and/or recommended dosage(s) for expansion (RDE\[s\]); and the dose expansion stage is to evaluate the preliminary antitumor activity of XB628 as a single agent and in combination with zanzalintinib.

Interventions

BIOLOGICALXB628

Intravenous infusion(s)

DRUGZanzalintinib

Oral tablet(s)

Sponsors

Exelixis
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. * Minimum life expectancy of ≥ 12 weeks. * Have a recurrent advanced or metastatic solid tumor that is histologically or cytologically confirmed. * Adequate organ and marrow function. * Not amenable to curative treatment with surgery or radiation. * Received at least 1 line of prior systemic anticancer therapy in the recurrent or metastatic setting. * Acceptable alternative therapy was received, refused, intolerable, or no longer effective. * Capable of understanding and complying with the protocol requirements and provide signed informed consent according to the protocol and local requirements. Key

Exclusion criteria

* Primary brain tumors or known active brain metastases. * Major surgery (eg, gastrointestinal surgery, removal or biopsy of brain metastasis) within 4 weeks before the first dose of study treatment. * Received radiation therapy within 1 week before the first dose of study treatment or clinically relevant ongoing complications from prior radiation therapy. * Received prior therapy targeting NK cells (eg, monalizumab). * A woman of childbearing potential has a positive serum pregnancy test within 7 days prior to study treatment. Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Dose Escalation Cohort: Number of Participants with Dose Limiting Toxicities (DLTs)21 days
Dose Escalation Cohort: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Up to 27 months
Dose Expansion Cohort: Objective Response Rate (ORR)Up to 27 months

Secondary

MeasureTime frame
Area Under the Concentration-time Curve (AUC) of XB62825 months
Maximum Plasma Concentration (Cmax) of XB62825 months
Time to Maximum Concentration (Tmax) of XB62825 months
Elimination Half-life (T1/2) of XB62825 months
Apparent Clearance (CL/F) of XB62825 months
Trough Concentration (Ctrough) of XB62825 months
Number of Participants with Antidrug Antibody (ADA) Response to XB62825 months
RDE for XB62825 months
Dose Expansion Cohort: Duration of Response (DOR)27 months
Dose Expansion Cohort: Progression-Free Survival (PFS) of XB62827 months

Countries

United States

Contacts

CONTACTExelixis Clinical Trials
druginfo@exelixis.com1-888-EXELIXIS (888-393-5494)
CONTACTBackup or International
650-837-7400
STUDY_DIRECTORMedical Director

Exelixis

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 25, 2026