Zanzalintinib Versus Everolimus in Participants With Locally Advanced or Metastatic Neuroendocrine Tumors

NCT ID: NCT06943755

Last Updated: 2025-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

440 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-21

Study Completion Date

2029-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The primary purpose of this study is to assess the effectiveness of zanzalintinib compared to everolimus in participants with previously treated, unresectable, locally advanced or metastatic neuroendocrine tumors.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Pancreatic Neuroendocrine Tumor (pNET) Extra-Pancreatic Neuroendocrine Tumor (epNET)

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Zanzalintinib

Participants will receive zanzalintinib oral tablets once daily.

Group Type EXPERIMENTAL

Zanzalintinib

Intervention Type DRUG

Administered as specified in the treatment arm.

Everolimus

Participants will receive everolimus oral tablets once daily.

Group Type ACTIVE_COMPARATOR

Everolimus

Intervention Type DRUG

Administered as specified in the treatment arm.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Zanzalintinib

Administered as specified in the treatment arm.

Intervention Type DRUG

Everolimus

Administered as specified in the treatment arm.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

XL092 Afinitor

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Histologically confirmed, locally advanced/unresectable or metastatic, well-differentiated Grade 1, 2, or 3 NETs of pancreatic origin or extra-pancreatic origin.
* Allowed prior lines of therapy, based on the site of NET and functional status.
* Documented radiographic disease progression per RECIST 1.1, as assessed by the Investigator based on imaging assessments (computed tomography \[CT\] or magnetic resonance imaging \[MRI\]) within 12 months before randomization.
* Measurable disease according to RECIST 1.1 as determined by the Investigator.
* Archival tumor tissue is required, if available. If archival tumor tissue is not available, a fresh biopsy may be submitted if it can be safely and feasibly obtained. Every attempt should be made to provide tumor tissue.

Exclusion Criteria

* Histologically confirmed neuroendocrine carcinomas (including small cell lung cancer), medullary thyroid cancer, pheochromocytoma, paraganglioma, Merkel cell carcinoma, and mixed neuroendocrine non-neuroendocrine neoplasm (MiNEN).
* Prior treatment with a vascular endothelial growth factor receptor (VEGFR) -targeting tyrosine kinase inhibitor or a mammalian target of rapamycin (mTOR) inhibitor.
* Systemic chemotherapy and any liver-directed or other ablative therapy within 4 weeks before randomization.
* Systemic radionuclide therapy within 6 weeks before randomization.
* Radiation therapy for bone metastases within 2 weeks, any other radiation therapy, except as indicated above, within 4 weeks before randomization.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Exelixis

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Medical Director

Role: STUDY_DIRECTOR

Exelixis

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Exelixis Clinical Site #18

Beverly Hills, California, United States

Site Status RECRUITING

Exelixis Clinical Site #16

Los Angeles, California, United States

Site Status RECRUITING

Exelixis Clinical Site #12

Santa Monica, California, United States

Site Status RECRUITING

Exelixis Clinical Site #19

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Exelixis Clinical Site #11

Tampa, Florida, United States

Site Status RECRUITING

Exelixis Clinical Site #9

Lexington, Kentucky, United States

Site Status RECRUITING

Exelixis Clinical Site #8

Boston, Massachusetts, United States

Site Status RECRUITING

Exelixis Clinical Site #1

Grand Rapids, Michigan, United States

Site Status RECRUITING

Exelixis Clinical Site #5

St Louis, Missouri, United States

Site Status RECRUITING

Exelixis Clinical Site #14

Albuquerque, New Mexico, United States

Site Status RECRUITING

Exelixis Clinical Site #7

New York, New York, United States

Site Status RECRUITING

Exelixis Clinical Site #17

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Exelixis Clinical Site #6

Durham, North Carolina, United States

Site Status RECRUITING

Exelixis Clinical Site #20

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Exelixis Clinical Site #10

Grapevine, Texas, United States

Site Status RECRUITING

Exelixis Clinical Site #15

Salt Lake City, Utah, United States

Site Status RECRUITING

Exelixis Clinical Site #3

Charlottesville, Virginia, United States

Site Status RECRUITING

Exelixis Clinical Site #13

Fairfax, Virginia, United States

Site Status RECRUITING

Exelixis Clinical Site #2

San Juan, , Puerto Rico

Site Status RECRUITING

Exelixis Clinical Site # 4

San Juan, , Puerto Rico

Site Status WITHDRAWN

Countries

Review the countries where the study has at least one active or historical site.

United States Puerto Rico

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Exelixis Clinical Trials

Role: CONTACT

1-888-EXELIXIS (888-393-5494)

Backup or International

Role: CONTACT

650-837-7400

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2025-521043-20-00

Identifier Type: CTIS

Identifier Source: secondary_id

XL092-311

Identifier Type: -

Identifier Source: org_study_id