CI

At a glance

ClinicalIndex Comparison Record
Phase 2Recruiting· 70 target
Drug / intervention
XL092 +1 moredrug
Likely dose
XL092 100 mgfrom record
Key inclusion· 6
  • Advanced or metastatic RCC with clear cell component
  • Prior anti-PD-1 treatment with progression on or after adjuvant anti-PD-1
  • Age ≥18 years at consent
  • ECOG Performance Status 0-1 within 28 days prior to registration
Key exclusion· 22
  • Prior treatment with Zanzalintinib
  • Small molecule kinase inhibitor within 14 days prior to study treatment
  • Cytotoxic, biologic or other systemic anticancer therapy within 28 days prior
  • Other systemic therapy received after anti-PD1

Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.

Search/NCT06863311
NCT06863311Phase 2RecruitingHigh Momentum

EXACT: Randomized Phase II Trial of Zanzalintinib (XL092) in Combination With Immunotherapy in Patients Who Progress on Adjuvant Therapy in Clear Cell RCC

Karie Runcie·interventional·Posted Mar 7, 2025·Updated May 18, 2026

In Brief

A Phase 2 clinical trial evaluating XL092 and Nivolumab for Advanced Renal Cell Carcinoma and 2 related conditions. Currently recruiting, targeting 70 participants across 4 sites.

Signals

Enrolling ahead of pace

Detailed Summary

The study population for this Phase 2 study will include men and women ≥ 18 with confirmed renal cell carcinoma who have progressed on adjuvant anti-PD-1/PD-L1 therapy, the current standard of care. Subjects will be randomized to Arm A or Arm B. Study treatment will be given in 28-day (4 week) cycles. Arm A treatment will consist of zanzalintinib (XL092) alone and will be taken once daily continuously (Day 1-Day 28). Arm B treatment will consist of XL092 plus nivolumab. XL092 will be taken once daily continuously (Day 1-Day 28) and nivolumab will be administered every 4 weeks (Day 1). Treatment will continue until progression by RECIST 1.1, toxicity, or other reasons as appropriate.

Study Details

Study Typeinterventional
Allocation--
Masking--
Primary Purpose--
CountriesUnited States

Timeline

Phase 2Recruiting
2026202720282029
First PostedMar 7, 2025
Enrollment StartMar 13, 2026
Primary CompletionDec 31, 2027
Study CompletionDec 31, 2028
TodayJul 2, 2026
Enrollment to primary: 1.8 yearsPosted 1.3 years agoPrimary completion in 1.5 years

Interventions

XL092drug

100 mg orally

Nivolumabdrug

480 mg intravenously.