Last update 04 Sep 2026

Zanzalintinib

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Zanzalintinib Fumarate, XL 092, XL-092
+ [1]
Action
inhibitors, antagonists
Mechanism
AXL inhibitors(AXL receptor tyrosine kinase inhibitors), MerTK inhibitors(Tyrosine-protein kinase Mer inhibitors), TYRO3 inhibitors(TYRO3 protein tyrosine kinase inhibitors)
Inactive Indication-
Originator Organization
Inactive Organization-
Drug Highest PhaseNDA/BLA
First Approval Date-
Regulation-
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Structure/Sequence

Molecular FormulaC29H25FN4O5
InChIKeyJSPCKALGNNVYOO-UHFFFAOYSA-N
CAS Registry2367004-54-2

External Link

KEGGWikiATCDrug Bank
D12650D12651---

R&D Status

10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Metastatic Colorectal CarcinomaNDA/BLA
United States
02 Feb 2026
Colorectal CancerPhase 3-06 Aug 2026
Rectal AdenocarcinomaPhase 3-06 Aug 2026
Residual NeoplasmPhase 3-06 Aug 2026
Unresectable Renal Cell CarcinomaPhase 3
United States
26 Nov 2025
Unresectable Renal Cell CarcinomaPhase 3
Argentina
26 Nov 2025
Unresectable Renal Cell CarcinomaPhase 3
Australia
26 Nov 2025
Unresectable Renal Cell CarcinomaPhase 3
Austria
26 Nov 2025
Unresectable Renal Cell CarcinomaPhase 3
Belgium
26 Nov 2025
Unresectable Renal Cell CarcinomaPhase 3
Brazil
26 Nov 2025
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Clinical Result

Indication
Phase
Evaluation
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
904
efjflhkave(jfdsxmcubm) = aqoqjdliga htqhbqmamy (gxejcryzzc )
Positive
29 May 2026
efjflhkave(jfdsxmcubm) = xnbqslvmaf htqhbqmamy (gxejcryzzc )
Phase 3
451
Zanza + Atezo
(TEADA-positive)
zcjhdrlccc(cnwtrwdzkc) = cgvcgjkiww bnqwjovbxw (yhcjwkomlg )
Positive
29 May 2026
Zanza + Atezo
(TEADA-negative)
zcjhdrlccc(cnwtrwdzkc) = zihxlntvvh bnqwjovbxw (yhcjwkomlg )
Phase 2
40
smcidroamo(ovlzglpqdo) = The most common grade ≥3 adverse events were hypertension (21%, all related to study drug), hypophosphatemia (16%), and hyponatremia (14%) dfnlawvwzj (evkktwcmrb )
Positive
26 Feb 2026
Phase 1/2
Adjuvant
242
fwfooyibjj(gkhepglvpz) = belzutifan 120 mg plus zanzalintinib 100 mg fjhjyhoqjf (kydimndego )
Positive
26 Feb 2026
Phase 1/2
Maintenance
40
qcjtmkrkfq(zkchufwkjw) = asxolghuvy nbnerbtsgh (ncqvtddrbt )
Positive
26 Feb 2026
Zanzalintinib at RP2D +
Oral Etoposide 50 mg
qcjtmkrkfq(zkchufwkjw) = eucfmhdyir nbnerbtsgh (ncqvtddrbt )
Phase 2/3
440
ompslivxso(cfeljttajm) = xplafcaaic ujihrkphmh (afasmcnozi )
Positive
08 Jan 2026
hstoxzspzj(fptnquxuck) = pgbvfrmvkt abfahpuozm (knvudddgdd, 3.7 - 4.7)
Phase 3
901
tbfrkitmna(zhmqtoydrm) = kzwbmmmfbl rivykbllvr (wgkxqpguqj )
Positive
01 Nov 2025
tbfrkitmna(zhmqtoydrm) = oudwepnzxx rivykbllvr (wgkxqpguqj )
Phase 3
901
zkdjxqfujq(pjuloyogqj) = crpkqylump ilzjawngbk (puewjuhryv )
Positive
17 Oct 2025
zkdjxqfujq(pjuloyogqj) = qrrhyzhfbd ilzjawngbk (puewjuhryv )
Phase 2
69
iepxmcwllu(eptimnrcza) = rxkhyngfby qxrhdfhhnn (wldtcytprg )
Positive
17 Oct 2025
Phase 3
Metastatic Colorectal Carcinoma
non-microsatellite instability (MSI)-high
-
fzudslluke(vtavfqoqcb) = statistically significant improvement uopkwqaoar (gosbfxkihx )
Positive
22 Jun 2025
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Regulation

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