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Priya Life Science Compound trial record
Compound · clinical trials

Zanzalintinib clinical trials

Also listed in trial records as XL092
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 16 trials in our USA, France, UK, Spain, Germany, Poland, Australia, Italy, South Korea, Belgium, Czechia, Brazil, Austria, Mexico, Taiwan, Israel, Netherlands, Singapore, China, Denmark, Turkey, Canada, Ireland, Switzerland and Portugal registers that name Zanzalintinib as an intervention. Synced 9 Nov 2026
16Current trials
10Recruiting now
4Lead sponsors
25Country registers
At a glance

Zanzalintinib is named as an intervention in 16 current clinical trials in our USA, France, UK, Spain, Germany, Poland, Australia, Italy, South Korea, Belgium, Czechia, Brazil, Austria, Mexico, Taiwan, Israel, Netherlands, Singapore, China, Denmark, Turkey, Canada, Ireland, Switzerland and Portugal registers. 10 are recruiting patients now. The most common phase is Phase 3. The sponsor with the most trials is Exelixis (11). The most-studied condition is Renal Cell Carcinoma.

How Zanzalintinib works

All drug targets →
Diseases it has been tested for in clinical trials, by furthest phase
  • Metastatic colorectal cancerPhase 3
  • Renal cell carcinomaPhase 3
  • Head and neck squamous cell carcinomaPhase 2/3
  • Neuroendocrine neoplasmPhase 2/3
  • Ewing sarcomaPhase 2
  • Bone sarcomaPhase 2
  • ChondrosarcomaPhase 2
  • Clear cell renal carcinomaPhase 2
  • Differentiated thyroid carcinomaPhase 2
  • Hepatocellular carcinomaPhase 2
30 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL5314428, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 12093, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Zanzalintinib

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Trials by status

  • Recruiting1063%
  • Not yet open16%
  • Active, closed425%
  • By invitation16%

Trials by phase

  • Phase 3638%
  • Phase 1531%
  • Phase 2/3213%
  • Phase 2213%
  • Phase 1/216%
01

Clinical trials of Zanzalintinib

16 trials
StudyPhaseStatusLead sponsorRegisters
A Clinical Study of Belzutifan and Zanzalintinib in People With Recurrent Kidney Cancer Following Adjuvant Therapy (MK-6482-033)
NCT07227402 · Renal Cell Carcinoma
Phase 3 Recruiting Merck Sharp & Dohme LLC Ireland, UK, USA, China, Germany, France, Spain, Italy, Belgium, Denmark, Poland, Austria, Czechia, Brazil, Mexico, South Korea, Taiwan, Singapore, Australia
A Clinical Study of Belzutifan (MK-6482) and Zanzalintinib in People With Renal Cell Carcinoma (RCC) (LITESPARK-034/LS-034/MK-6482-034)
NCT07489495 · Carcinoma, Renal Cell
Phase 3 Recruiting Merck Sharp & Dohme LLC UK, USA, Germany, France, Spain, Italy, Netherlands, Denmark, Poland, Czechia, Turkey, Canada, Brazil, South Korea, Australia, Israel
Zanzalintinib Alone or in Combination With Pembrolizumab and Berahyaluronidase Alfa in Participants With Colorectal Cancer With Molecular Residual Disease
NCT07750158 · Colorectal Cancer
Phase 3 Recruiting Exelixis USA
Zanzalintinib Versus Everolimus in Participants With Locally Advanced or Metastatic Neuroendocrine Tumors
NCT06943755 · Pancreatic Neuroendocrine Tumor (pNET), Extra-Pancreatic Neuroendocrine Tumor (epNET)
Phase 2/3 Recruiting Exelixis UK, USA, China, Germany, France, Spain, Italy, Netherlands, Belgium, Poland, Austria, Canada, Brazil, Mexico, South Korea, Taiwan, Australia
A Study of Zanzalintinib in Participants With Recurrent or Progressive Meningioma
NCT07428616 · Meningioma
Phase 2 Recruiting Exelixis USA
Substudy 03C: A Study of Combination Therapies in Participants With Renal Cell Carcinoma With Recurrent Disease During or After Anti-PD-(L)1 Therapy (MK-3475-03C/KEYMAKER-U03)
NCT07049926 · Renal Cell Carcinoma
Phase 1/2 Recruiting Merck Sharp & Dohme LLC UK, USA, France, Spain, Poland, South Korea, Israel
Study of Zanzalintinib in Combination With Immuno-Oncology or Other Agents in Participants With Solid Tumors
NCT05176483 · Renal Cell Carcinoma (RCC), Metastatic Castration-Resistant Prostate Cancer (mCRPC), Urothelial Carcinoma (UC)
Phase 1 Recruiting Exelixis UK, USA, Germany, France, Spain, Italy, Belgium, Poland, Switzerland, Austria, Australia, Israel
Zanzalintinib in Combination With Paclitaxel in Recurrent High Grade Uterine Cancer
NCT06795009 · ClinicalTrials.gov ↗ · Uterine Cancer, Endometrial Cancer
Phase 1 Recruiting Washington University School of Medicine Mexico
A Study of XB628 Alone and in Combination With Zanzalintinib in Participants With Recurrent Advanced or Metastatic Solid Tumors
NCT06952010 · Solid Tumor, Advanced Solid Tumor, Metastatic Solid Tumor
Phase 1 Recruiting Exelixis USA
Pharmacokinetics (PK) and Safety of Zanzalintinib in Participants With Moderate Hepatic Impairment (HI)
NCT06962332 · Hepatic Impairment, Moderate Hepatic Impairment
Phase 1 Recruiting Exelixis USA
Study to Evaluate the Efficacy of Zanzalintinib in the Treatment of Relapsed or Metastatic Adenoid Cystic Carcinomas of the Head and Neck
NCT07682675 · ClinicalTrials.gov ↗ · Adenoid Cystic Carcinoma of the Salivary Gland, Recurrence, Metastatic Disease
Phase 2 Not yet open UNICANCER France
Long-Term Extension Study for Participants Previously Enrolled in an Exelixis-Sponsored Study
NCT07620574 · Cancer, Renal Cell Carcinoma (RCC), Pancreatic Neuroendocrine Tumors (pNET)
Phase 3 By invitation Exelixis USA
Study of XL092 + Atezolizumab vs Regorafenib in Participants With Metastatic Colorectal Cancer
NCT05425940 · Colorectal Cancer
Phase 3 Active, closed Exelixis UK, USA, Germany, France, Spain, Belgium, Poland, Portugal, South Korea, Taiwan, Singapore, Australia
Study of XL092 + Nivolumab vs Sunitinib in Subjects With Advanced or Metastatic Non-Clear Cell Renal Cell Carcinoma
NCT05678673 · Non-Clear Cell Renal Cell Carcinoma
Phase 3 Active, closed Exelixis UK, USA, Germany, France, Spain, Italy, Netherlands, Poland, Czechia, Turkey, Brazil, South Korea, Singapore, Australia
Study of Zanzalintinib (XL092) + Pembrolizumab vs Pembrolizumab in Subjects With PD-L1 Positive Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
NCT06082167 · Head and Neck Squamous Cell Carcinoma
Phase 2/3 Active, closed Exelixis UK, USA, Germany, France, Spain, Italy, Belgium, Poland, Austria, Czechia, Brazil, Mexico, South Korea, Taiwan, Australia, Israel
A Study of XL092 as Single-Agent and Combination Therapy in Subjects With Solid Tumors
NCT03845166 · Neoplasm Malignant, Renal Cell Carcinoma, Hormone Receptor Positive Breast Carcinoma
Phase 1 Active, closed Exelixis UK, USA, Germany, France, Spain, Italy, Netherlands, Belgium, Czechia, Australia

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Conditions studied with Zanzalintinib

28 conditions
All 28 conditions
Condition (as registered)Trials
Renal Cell Carcinoma3
Renal Cell Carcinoma (RCC)2
Solid Tumor2
Colorectal Cancer2
Head and Neck Squamous Cell Carcinoma1
Carcinoma, Renal Cell1
Metastatic Castration-Resistant Prostate Cancer (mCRPC)1
Urothelial Carcinoma (UC)1
Pancreatic Neuroendocrine Tumor (pNET)1
Extra-Pancreatic Neuroendocrine Tumor (epNET)1
Cancer1
Pancreatic Neuroendocrine Tumors (pNET)1
Extra-Pancreatic NET (epNET)1
Meningioma1
Advanced Solid Tumor1
Metastatic Solid Tumor1
Immune Sensitive Tumor1
Hepatic Impairment1
Moderate Hepatic Impairment1
Adenoid Cystic Carcinoma of the Salivary Gland1
Recurrence1
Metastatic Disease1
Uterine Cancer1
Endometrial Cancer1
Neoplasm Malignant1
Hormone Receptor Positive Breast Carcinoma1
Metastatic Castration-resistant Prostate Cancer1
Non-Clear Cell Renal Cell Carcinoma1
05

Related compounds

06

Questions about Zanzalintinib trials

How many clinical trials are testing Zanzalintinib?

16 current trials in our USA, France, UK, Spain, Germany, Poland, Australia, Italy, South Korea, Belgium, Czechia, Brazil, Austria, Mexico, Taiwan, Israel, Netherlands, Singapore, China, Denmark, Turkey, Canada, Ireland, Switzerland and Portugal registers name Zanzalintinib (also registered as XL092) as a drug or biological intervention, as of the registry sync on 9 November 2026. Completed and withdrawn studies are not counted.

Are Zanzalintinib trials recruiting patients?

Yes. 10 of the 16 trials are recruiting: 9 with sites in USA, 5 with sites in France, 5 with sites in UK, 5 with sites in Spain, 4 with sites in Germany, 5 with sites in Poland, 4 with sites in Australia, 4 with sites in Italy, 4 with sites in South Korea, 3 with sites in Belgium, 2 with sites in Czechia, 3 with sites in Brazil, 3 with sites in Austria, 3 with sites in Mexico, 2 with sites in Taiwan, 3 with sites in Israel, 2 with sites in Netherlands, 1 with sites in Singapore, 2 with sites in China, 2 with sites in Denmark, 1 with sites in Turkey, 2 with sites in Canada, 1 with sites in Ireland and 1 with sites in Switzerland. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Zanzalintinib clinical trials?

Exelixis (11), Merck Sharp & Dohme LLC (3), UNICANCER (1) and Washington University School of Medicine (1). The number in brackets is how many trials each organisation leads.

Are there Zanzalintinib clinical trials in Ireland?

Yes. 1 trial in our Ireland register (ClinicalTrials.gov). Some may be the same study registered in both. See the Irish clinical trials register for sites and contacts.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Zanzalintinib works or whether it is effective, and it is not medical advice.

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Zanzalintinib works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Zanzalintinib (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 9 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.