ClinicalTrials.gg
Not yet recruitingNCT07773454Updated Aug 19, 2026

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

A Phase 1 interventional study of Zanzalintinib in Cancer and Pediatric Cancer, sponsored by Exelixis. Not yet recruiting. Open to participants aged 12 Months to 17 Years. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Exelixis · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
12 Months to 17 Years
Sex
All
01

Study 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.

02

Conditions studied

  • 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
03

In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 18 is below the median of 60 across 7,703 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Exelixis is the lead sponsor of 57 studies on the registry; 11 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
12 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility 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 for participants ≥ 16 years of age.
  • Have a 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/Exclusion criteria may apply.

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Zanzalintinib

    Participants will receive zanzalintinib oral tablets once daily (QD).

    Drug: Zanzalintinib

Interventions

  • Administered as specified in the treatment arm.

    Also known as: XL092

06

What researchers measure

Primary outcomes

  1. Number of Participants With Dose-Limiting Toxicities (DLTs)

    Time frame: Up to Day 28

  2. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Up to 8 months

Secondary outcomes

  1. Area Under the Concentration-Time Curve (AUC) of Zanzalintinib

    Time frame: From Week 1 Day 1 to Week 21 Day 1

  2. Maximum Plasma Concentration (Cmax) of Zanzalintinib

    Time frame: From Week 1 Day 1 to Week 21 Day 1

  3. Time to Maximum Plasma Concentration (Tmax) of Zanzalintinib

    Time frame: From Week 1 Day 1 to Week 21 Day 1

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07773454
Lead sponsor
Exelixis
Responsible party
Sponsor
First posted
Aug 19, 2026
Start date
Sep 30, 2026 (estimated)
Primary completion
Jul 31, 2028 (estimated)
Completion
Jul 31, 2028 (estimated)
Last update
Aug 19, 2026

Study contacts

Exelixis Clinical Trials
Contact
druginfo@exelixis.com
1-888-393-5494
Medical Director
study director · Exelixis

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Zanzalintinib

Start the discussion