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NCT07043608PHASE2NOT_YET_RECRUITING

Zanzalintinib for Metastatic Clear Cell Renal Cell Carcinoma With Bone Metastases

A Phase II Study of Zanzalintinib for Metastatic Clear Cell Renal Cell Carcinoma With Bone Metastases in Patients Previously Treated With Immune Checkpoint Inhibitors

Sponsor: Kelly Fitzgerald, MD + Exelixis

No open prediction endpoints

Endpoints are classified and published by ProgramSignal analysts.

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Key Facts

Study type
INTERVENTIONAL
Conditions
Clear Cell Renal Cell Cancer (ccRCC), Clear Cell Renal Carcinoma, Clear Cell Renal Cell Carcinoma Metastatic, Clear Cell Renal Cancer, Bone Metastases of a Malignant Tumor
Interventions
Zanzalintinib, Investigator Choice of Bone Strengthening Agents (BSA), Non-Investigational Radiation Therapy (RT), Bone Scan
Enrollment
20 participants
Primary completion
Feb 2029
Study completion
Feb 2030
First posted
Jun 2025
Last updated
May 2026

Primary Endpoints (CT.gov)

Proportion of participants who have not progressed at 12 months (PFS12)

Time frame: Up to 12 months

Secondary Endpoints

Percentage of participants with Skeletal Related Events (SRE)

Percentage of participants with osteonecrosis of the jaw (ONJ)

Percentage of participants with reported treatment-related, systemic, adverse events

Eligibility Criteria

Inclusion Criteria: 1. Participants must have unresectable advanced or metastatic RCC with a predominant clear cell histologic component . 2. At least three bone metastases are present and detectable on bone scan, and at least one bone metastasis is NOT planned to be treated with radiation therapy. 3. Previously treated with 1-3 prior lines of therapy in at least one of the following settings: 1. Metastatic setting; must have received combination therapy containing either programmed cell death protein 1 (PD-1) inhibitor/cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitor or PD-1 inhibitor/vascular endothelial growth factor receptor (VEGFR)-targeting tyrosine kinase inhibitors (TKI). 2. Adjuvant setting; must have received pembrolizumab and have had documented progression of disease within 1 year of the first dose of pembrolizumab . 4. Age ≥18 years. 5. Has seen a dentist within 90 days prior to enrollment and been cleared to receive bone-strengthening agents. 6. Avai

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✦ Analyst Commentary

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

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Source

Open on ClinicalTrials.gov