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Zanzalintinib (XL092)

Metastatic colorectal cancer

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

Product information and disease descriptionPlace of product in therapyApproaches to treatmentCurrent treatment options and standard of care

Limitations of current therapies

3 evidence topics · 7 sources

Summary

Available treatments depend on molecular subtype, prior therapy, and resectability. ASCO recommends first-line pembrolizumab for MSI-H or dMMR disease but does not recommend anti-EGFR therapy for RAS-mutant disease. A systematic review of 53 clinical trials reported limited activity for checkpoint-inhibitor monotherapy or checkpoint-inhibitor combinations in MSS colorectal cancer. The LEAP-017 and IMblaze370 trials did not establish their specified overall-survival benefits. These findings limit extrapolation between biomarker groups and between different kinase-inhibitor and immunotherapy combinations.