Evicenter
P&T meetings

Zanzalintinib (XL092)

Metastatic colorectal cancer

Manufacturer
Exelixis
Regulatory submission
NDA submitted December 2025
Launch
Not announced
Last updated
65 sources

Clinical evidence

STELLAR-002

11 evidence topics · 2 sources

Objective
Location and study date

No evidence found.

Study design
Eligibility criteria
Age group eligible for the advanced-solid-tumor cohorts
Treatment
Initial combination doses in the reported escalation cohorts
Treatment component or intervalQuoted value
Zanzalintinib daily with nivolumab, mg“100”
Nivolumab with zanzalintinib, mg“360”
Nivolumab dosing interval“q3w”
Initial zanzalintinib daily with nivolumab/relatlimab, mg“60”
Nivolumab/relatlimab dose, mg“480/480”
Nivolumab/relatlimab dosing interval“q4w”
Study outcomes
Rationale for using safety as the primary endpoint

Not applicable.

Statistical analysis description
Number of participants (Planned and analyzed)
Zanzalintinib plus nivolumab/relatlimab dose-escalation cohorts
Zanzalintinib doseQuoted participants
60 mg“24”
100 mg“25”
Description of analysis sets
Dose-escalation design and evaluability
ComponentQuoted description
Enrollment design“rolling six design”
Dose-limiting-toxicity evaluation“DLT-evaluable pts”
Results
Participant disposition

No evidence found.

Baseline characteristics
Colorectal cancer representation in the 19-participant nivolumab cohort
Efficacy results
Health-related quality of life and patient-reported outcomes

No evidence found.

Safety results
Grade 3/4 treatment-emergent adverse events in the nivolumab cohort
Adverse eventQuoted frequency
Fatigue“26%”
Hypertension“16%”
Study limitations
Summary

The reported zanzalintinib plus nivolumab cohort included 19 participants with multiple solid-tumor types; colorectal cancer accounted for 26%. The reported absence of responses and disease-control rate of 42% are cohort-level findings, not colorectal-specific efficacy estimates. The open-label phase 1b design and safety-focused primary endpoint do not provide a randomized comparative estimate of benefit in metastatic colorectal cancer.