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NCT07042919PHASE1, PHASE2NOT_YET_RECRUITING

Zanzalintinib in Second Line and Beyond for the Treatment of Advanced Liver Cancer

A Phase Ib/II Study of Zanzalintinib in Second Line and Beyond for the Treatment of Advanced Hepatocellular Carcinoma

Sponsor: Northwestern University + National Cancer Institute (NCI)

No open prediction endpoints

Endpoints are classified and published by ProgramSignal analysts.

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Key Facts

Study type
INTERVENTIONAL
Conditions
Advanced Hepatocellular Carcinoma, Cirrhosis, Stage III Hepatocellular Carcinoma AJCC v8, Stage IV Hepatocellular Carcinoma AJCC v8
Interventions
Biospecimen Collection, Computed Tomography, Echocardiography Test, Magnetic Resonance Imaging
Enrollment
53 participants
Primary completion
Mar 2029
Study completion
Mar 2031
First posted
Jun 2025
Last updated
Jun 2025

Primary Endpoints (CT.gov)

Dose-limiting toxicity (DLT) (Phase Ib dose-escalation only)

Time frame: Through the duration of cycle 1 (cycle length = 28 days)

Recommended phase 2 dose (Phase Ib dose escalation only)

Time frame: Up to 1 year

Incidence of adverse events (AEs) (Phase Ib)

Time frame: Up to 30 days from last dose of study treatment

Secondary Endpoints

Incidence of AEs

Median progression-free survival (PFS) (Phase Ib and II)

Overall survival (Phase Ib and II)

Eligibility Criteria

Inclusion Criteria: * Patients with confirmed diagnosed hepatocellular carcinoma (HCC) who are not amendable to curative treatments * Patients must have documented objective radiographic progression during or after treatment with any first or second line therapy, or intolerance to any first or second line therapy, which include immunotherapy-based combination, or non-immunotherapy-based treatment, except cabozantinib * Patients must have a Child-Pugh class A or Child-Pugh class B (B7 or B8) score for cirrhosis mortality. Child-Pugh class B, B9 is excluded * Patients must have measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v)1.1 * Patients may have had up to two prior lines therapy (not including cabozantinib) in the advanced metastatic setting. Palliative radiation or locoregional therapies are not considered a line of therapy * Patients must be age ≥ 18 years * Patients must exhibit a/an Eastern Cooperative Oncology Group (ECOG) Status

Read full criteria on CT.gov →

✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov