CClinicalTrials.gg
Active, not recruitingNCT05425940STELLAR-303Updated Jul 17, 2026

Study of XL092 + Atezolizumab vs Regorafenib in Participants With Metastatic Colorectal Cancer

A Phase 3 interventional study of XL092 and Atezolizumab in Colorectal Cancer, sponsored by Exelixis. Active, not recruiting at 133 sites in 16 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-17.

Sponsored by Exelixis · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
901
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to evaluate XL092 + atezolizumab versus regorafenib in participants with microsatellite stable/microsatellite instability low (MSS/MSI-low) metastatic colorectal cancer (mCRC) who have progressed during, after or are intolerant to standard-of-care (SOC) therapy.

02

Conditions studied

  • Colorectal Cancer

Keywords

  • Colorectal Cancer
03

In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 901 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Exelixis is the lead sponsor of 57 studies on the registry; 12 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Participants with histologically or cytologically confirmed adenocarcinoma of the colon or rectum.

    • Documented rat sarcoma (RAS) status (mutant or wild-type [WT]), by tissue-based analysis.
    • Documented NOT to have microsatellite instability-high (MSI-high) or mismatch repair deficient (dMMR) CRC by tissue-based analysis.
  • Has received SOC anticancer therapies as prior therapy for metastatic CRC and has radiographically progressed, is refractory or intolerant to these therapies.

    • Systemic SOC anticancer therapy if approved and available in the country where the participant is randomized.
    • Radiographic progression during treatment with or within 4 months following the last dose of the most recent approved SOC chemotherapy regimen.
  • Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as determined by the Investigator.
  • Available archival tumor biopsy material. If archival tissue is unavailable, must provide fresh tumor tissue biopsy prior to randomization.
  • Recovery to baseline or ≤ Grade 1 severity (common terminology criteria for adverse events [CTCAE] version 5) from adverse events (AEs) related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Adequate organ and marrow function.
  • Fertile participants and their partners must agree to use highly effective methods of contraception during the course of the study and after the last dose of treatment.
  • Females of childbearing potential must not be pregnant at screening.

Key Exclusion Criteria:

  • Prior treatment with XL092, regorafenib, trifluridine/tipiracil, or programmed cell death protein-1/and its ligand (PD-L1/PD-1) targeting immune checkpoint inhibitors (ICIs).
  • Receipt of a small molecule kinase inhibitor (including investigational agents) within 2 weeks before randomization.
  • Receipt of any type of anticancer antibody therapy, systemic chemotherapy, or hormonal anti-cancer therapy within 3 weeks (or bevacizumab within 4 weeks) before randomization.
  • Radiation therapy for bone metastasis within 2 weeks, any other radiation therapy within 4 weeks before randomization.
  • Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery (including radiosurgery) and stable for at least 4 weeks before randomization.
  • Has uncontrolled, significant intercurrent or recent illness.
  • Major surgery (example, gastrointestinal (GI) surgery, removal or biopsy of brain metastasis) within 4 weeks prior to randomization.
  • Systemic treatment with, or any condition requiring, either corticosteroids (> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days prior to randomization.
  • Corrected QT interval calculated by the Fridericia formula (QTcF) > 460 milliseconds (ms) within 10 days before randomization.
  • History of psychiatric illness likely to interfere with ability to comply with protocol requirements or give informed consent.
  • Pregnant or lactating females.
  • Inability to swallow study treatment formulation, inability to receive IV administration, or presence of GI condition that might affect the absorption of study drug.
  • Previously identified allergy or hypersensitivity to components of the study treatment formulations.
  • Any other active malignancy or diagnosis of another malignancy within 2 years before randomization. Exceptions are noted in the protocol.
  • Administration of a live, attenuated vaccine within 30 days before randomization.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
901 participants (actual)

Study arms

  • Experimental
    XL092 + Atezolizumab

    Participants with mCRC will receive XL092 + atezolizumab.

    Drug: XL092 · Drug: Atezolizumab

  • Active comparator
    Regorafenib

    Participants with mCRC will receive active comparator of regorafenib.

    Drug: Regorafenib

Interventions

  • DrugXL092

    Supplied as tablets; administered orally daily.

  • DrugAtezolizumab

    Supplied as 1200 milligrams (mg)/20 milliliter (mL) vials; administered as a 1200 mg intravenous (IV) infusion once in a 3-week cycle (q3w).

    Also known as: Tecentriq®

  • DrugRegorafenib

    Supplied as 40 mg tablets; administered orally daily at 160 mg for the first 21 days of each 28-day cycle.

    Also known as: Stivarga®

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS) of XL092 + Atezolizumab Versus Regorafenib in All Randomized Participants

    Time frame: Up to 32 months

  2. Overall Survival (OS) of XL092 + Atezolizumab Versus Regorafenib in Randomized Non-Liver Metastases (NLM) Participants

    Time frame: Up to 32 months

Secondary outcomes

  1. Progression-Free Survival (PFS) as Assessed by the Investigator

    Time frame: Up to 26 months

  2. Duration of Response (DOR) as Assessed by the Investigator

    Time frame: Up to 36 months

  3. Objective Response Rate (ORR) as Assessed by the Investigator

    Time frame: Up to 36 months

  4. Number of Participants with Treatment Emergent Adverse Events (TEAEs)

    Time frame: Up to 36 months

  5. Maximum Observed Plasma Drug Concentration (Cmax) of XL092

    Time frame: Predose up to 72 hours postdose

  6. Time to Maximum Observed Plasma Drug Concentration (Tmax) of XL092

    Time frame: Predose up to 72 hours postdose

  7. Number of Participants who Develop Antidrug Antibodies (ADA) Against Atezolizumab

    Time frame: Up to 36 months

07

Study locations

133 sites
  • Exelixis Clinical Site #65
    Jonesboro, Alabama 72401, United States
  • Exelixis Clinical Site #30
    Phoenix, Arizona 85004, United States
  • Exelixis Clinical Site #70
    Tucson, Arizona 85719, United States
  • Exelixis Clinical Site #9
    Duarte, California 91010, United States
  • Exelixis Clinical Site #55
    La Jolla, California 92037, United States
  • Exelixis Clinical Site #77
    Los Angeles, California 90095, United States
  • Exelixis Clinical Site #105
    Orange, California 92868, United States
  • Exelixis Clinical Site #80
    Santa Monica, California 90404, United States
  • Exelixis Clinical Site #5
    Santa Rosa, California 95403, United States
  • Exelixis Clinical Site #82
    Sylmar, California 91342, United States
  • Exelixis Clinical Site #58
    Torrance, California 90505, United States
  • Exelixis Clinical Site #81
    Whittier, California 90602, United States
  • Exelixis Clinical Site #125
    New Haven, Connecticut 06510, United States
  • Exelixis Clinical Site #16
    Miami Beach, Florida 33140, United States
  • Exelixis Clinical Site #60
    Orlando, Florida 32804, United States
  • Exelixis Clinical Site #4
    Marietta, Georgia 30060, United States
  • Exelixis Clinical Site #3
    Joliet, Illinois 60435, United States
  • Exelixis Clinical Site #102
    Indianapolis, Indiana 46250, United States
  • Exelixis Clinical Site #10
    Westwood, Kansas 66205, United States
  • Exelixis Clinical Site #47
    Lexington, Kentucky 40536, United States
  • Exelixis Clinical Site #7
    New Orleans, Louisiana 70112, United States
  • Exelixis Clinical Site #22
    St Louis, Missouri 63141, United States
  • Exelixis Clinical Site #8
    Billings, Montana 59102, United States
  • Exelixis Clinical Site #1
    Omaha, Nebraska 68130, United States
  • Exelixis Clinical Site #15
    Albuquerque, New Mexico 87131, United States
  • Exelixis Clinical Site #11
    New York, New York 10016, United States
  • Exelixis Clinical Site #59
    New York, New York 10029, United States
  • Exelixis Clinical Site #17
    The Bronx, New York 10461, United States
  • Exelixis Clinical Site #74
    Charlotte, North Carolina 28204, United States
  • Exelixis Clinical Site #6
    Cincinnati, Ohio 45219, United States
  • Exelixis Clinical Site #12
    Oklahoma City, Oklahoma 73142, United States
  • Exelixis Clinical Site #75
    Portland, Oregon 97210, United States
  • Exelixis Clinical Site #106
    Philadelphia, Pennsylvania 19107, United States
  • Exelixis Clinical Site #18
    Pittsburgh, Pennsylvania 15212, United States
  • Exelixis Clinical Site #103
    Pittsburgh, Pennsylvania 15232, United States
  • Exelixis Clinical Site #24
    Greenville, South Carolina 29607, United States
  • Exelixis Clinical Site #56
    Chattanooga, Tennessee 37404, United States
  • Exelixis Clinical Site #76
    Nashville, Tennessee 37203, United States
  • Exelixis Clinical Site #133
    Nashville, Tennessee 37232, United States
  • Exelixis Clinical Site #450
    Fairfax, Virginia 22031, United States
  • Exelixis Clinical Site #14
    Roanoke, Virginia 24014, United States
  • Exelixis Clinical Site #13
    Seattle, Washington 98101, United States
  • Exelixis Clinical Site #32
    Seattle, Washington 98104, United States
  • Exelixis Clinical Site #89
    Seattle, Washington 98109, United States
  • Exelixis Clinical Site #2
    Spokane, Washington 99208, United States
  • Exelixis Clinical Site #83
    Albury, 2640, Australia
  • Exelixis Clinical Site #53
    Bankstown, 2200, Australia
  • Exelixis Clinical Site #117
    Bedford Park, 5042, Australia
  • Exelixis Clinical Site #97
    Heidelberg, 3084, Australia
  • Exelixis Clinical Site #19
    Melbourne, 3002, Australia
  • Exelixis Clinical Site #23
    Melbourne, 3021, Australia
  • Exelixis Clinical Site #27
    Port Macquarie, 2444, Australia
  • Exelixis Clinical Site #64
    Woodville South, 5011, Australia
  • Exelixis Clinical Site #43
    Antwerp, 2300, Belgium
  • Exelixis Clinical Site #51
    Brussels, 1200, Belgium
  • Exelixis Clinical Site #35
    Namur, 5000, Belgium
  • Exelixis Clinical Site #52
    Besançon, 25030, France
  • Exelixis Clinical Site #84
    Dijon, 21079, France
  • Exelixis Clinical Site #88
    Herbault, 34298, France
  • Exelixis Clinical Site #71
    Lyon, 69008, France
  • Exelixis Clinical Site #87
    Marseille, 13385, France
  • Exelixis Clinical Site #38
    Paris, 75020, France
  • Exelixis Clinical Site #93
    Suresnes, 92150, France
  • Exelixis Clinical Site #127
    Hanover, Niedersach 30625, Germany
  • Exelixis Clinical Site #109
    Dresden, 01307, Germany
  • Exelixis Clinical Site #113
    Frankfurt am Main, 60488, Germany
  • Exelixis Clinical Site #61
    Hamburg, 20249, Germany
  • Exelixis Clinical Site #63
    Hamburg, 22763, Germany
  • Exelixis Clinical Site #91
    München, 81737, Germany
  • Exelixis Clinical Site #25
    Hong Kong, Hong Kong
  • Exelixis Clinical Site #33
    Hong Kong, Hong Kong
  • Exelixis Clinical Site #128
    Nyíregyháza, Szabolcs-Szatmar-Bereg County 4400, Hungary
  • Exelixis Clinical Site #41
    Budapest, 1097, Hungary
  • Exelixis Clinical Site #129
    Budapest, 1122, Hungary
  • Exelixis Clinical Site #48
    Debrecen, 4302, Hungary
  • Exelixis Clinical Site #122
    Győr, 9024, Hungary
  • Exelixis Clinical Site #57
    Auckland, 1023, New Zealand
  • Exelixis Clinical Site #49
    Dunedin, 9016, New Zealand
  • Exelixis Clinical Site #69
    Hamilton, 3204, New Zealand
  • Exelixis Clinical Site #104
    Wellington, 6021, New Zealand
  • Exelixis Clinical Site #20
    Bydgoszcz, 85-796, Poland
  • Exelixis Clinical Site #68
    Opole, 45-061, Poland
  • Exelixis Clinical Site #26
    Siedlce, 08-110, Poland
  • Exelixis Clinical Site #42
    Tomaszów Mazowiecki, 97-200, Poland
  • Exelixis Clinical Site #31
    Warsaw, 02-507, Poland
  • Exelixis Clinical Site #108
    Almada, 2805-267, Portugal
  • Exelixis Clinical Site #120
    Coimbra, 3000-075, Portugal
  • Exelixis Clinical Site #99
    Guimarães, 4835-044, Portugal
  • Exelixis Clinical Site #131
    Lisbon, 1500-650, Portugal
  • Exelixis Clinical Site #124
    Lisbon, 1649-035, Portugal
  • Exelixis Clinical Site #96
    Lisbon, 400-038, Portugal
  • Exelixis Clinical Site #132
    Singapore, 119228, Singapore
  • Exelixis Clinical Site #100
    Singapore, 168583, Singapore
  • Exelixis Clinical Site #39
    Singapore, 217562, Singapore
  • Exelixis Clinical Site #98
    Singapore, 258499, Singapore
  • Exelixis Clinical Site #94
    Singapore, 329563, Singapore
  • Exelixis Clinical Site #36
    Goyang-si, 10408, South Korea
  • Exelixis Clinical Site #29
    Gyeonggi-do, 14068, South Korea
  • Exelixis Clinical Site #28
    Hwasun, 58128, South Korea
  • Exelixis Clinical Site #37
    Seongnam-si, 13620, South Korea

Showing the first 100 of 133 sites across 16 countries.

08

References and documents

Publications

  • Hecht JR, Park YS, Tabernero J, Lee MA, Lee S, Virgili AC, Van den Eynde M, Fontana E, Fakih M, Asghari G, So J, Stein A, Dubreuil O, Bodnar L, He CS, Wang G, Smith R, Eng C, Saeed A; STELLAR-303 study investigators. Zanzalintinib plus atezolizumab versus regorafenib in refractory colorectal cancer (STELLAR-303): a randomised, open-label, phase 3 trial. Lancet. 2025 Nov 15;406(10517):2360-2370. doi: 10.1016/S0140-6736(25)02025-2. Epub 2025 Oct 20. PubMed 41130252 ↗
  • Saeed A, Tabernero J, Parikh A, Van den Eynde M, Karthaus M, Gerlinger M, Wang Z, Wang G, Smith R, Hecht JR. STELLAR-303: randomized phase III study of zanzalintinib + atezolizumab in previously treated metastatic colorectal cancer. Future Oncol. 2024;20(24):1733-1743. doi: 10.1080/14796694.2024.2352276. Epub 2024 Jul 23. PubMed 39041200 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05425940
Lead sponsor
Exelixis
Responsible party
Sponsor
First posted
Jun 21, 2022
Start date
Sep 7, 2022
Primary completion
Jun 16, 2026
Completion
Jan 31, 2027 (estimated)
Last update
Jul 17, 2026

Study contacts

Medical Director
study director · Exelixis

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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