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Study of Zanzalintinib in Children and Adolescents With Relapsed or Refractory Solid Tumors

A Phase 1 Dose-Escalation Study of XL092 in Children and Adolescents With Relapsed or Refractory Solid Tumors

Status
Not yet recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07773454
Enrollment
18
Registered
2026-08-19
Start date
2026-09-30
Completion date
2028-07-31
Last updated
2026-08-19

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

Conditions

Cancer, Pediatric Cancer

Keywords

Solid tumors, Brain tumors, Nervous system tumors, Relapsed, Refractory, Sarcoma and/or osteosarcoma, Central nervous system (CNS), Neuroendocrine tumors, Progressed, Brain

Brief summary

The primary purpose of this study is to determine the pediatric maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D), and to evaluate the safety and tolerability of zanzalintinib.

Interventions

DRUGZanzalintinib

Administered as specified in the treatment arm.

Sponsors

Exelixis
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Months to 17 Years
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Participants must be \< 17 years old. * Participants must have a minimum body weight of ≥ 10 kilograms (kg) at enrollment. * Performance status of ≥ 50% as measured by Lansky for participants \< 16 years of age or Karnofsky for participants ≥ 16 years of age. * Have a relapsed or refractory solid tumor, including primary CNS tumors (excluding lymphoma). Key

Exclusion criteria

* For participants with CNS primary tumors, evidence of intracranial or intratumoral hemorrhage are excluded. * Diagnosis of lymphoma. * Lesions invading major blood vessels including, but not limited to, inferior vena cava, pulmonary artery, or aorta. NOTE: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frame
Number of Participants With Dose-Limiting Toxicities (DLTs)Up to Day 28
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)Up to 8 months

Secondary

MeasureTime frame
Area Under the Concentration-Time Curve (AUC) of ZanzalintinibFrom Week 1 Day 1 to Week 21 Day 1
Maximum Plasma Concentration (Cmax) of ZanzalintinibFrom Week 1 Day 1 to Week 21 Day 1
Time to Maximum Plasma Concentration (Tmax) of ZanzalintinibFrom Week 1 Day 1 to Week 21 Day 1

Contacts

CONTACTExelixis Clinical Trials
druginfo@exelixis.com1-888-393-5494
STUDY_DIRECTORMedical Director

Exelixis

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 20, 2026