A Phase 2/3, Randomized, Double-Blind, Controlled Study of Zanzalintinib (XL092) in Combination With Pembrolizumab vs Pembrolizumab in First-Line Treatment of Subjects With PD-L1 Positive Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma

ClinicalTrials.gov processed this data on December 20, 2024. Link to the current ClinicalTrials.gov record.

Recruitment Status

RECRUITING (See Contacts and Locations)
Verified December 2024 by Exelixis, Merck Sharp & Dohme LLC

Sponsor

Exelixis

Information Provided by (Responsible Party)

Exelixis

Clinicaltrials.gov Identifier

NCT06082167
Other Study ID Numbers: XL092-305; KEYNOTE-G06
First Submitted: October 9, 2023
First Posted: October 13, 2023
Last Update Posted: December 27, 2024
Last Verified: December 2024
History of Changes

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Study Description

Not Provided
Condition or Disease Intervention/Treatment
  • Head and Neck Squamous Cell Carcinoma
  • Drug: Zanzalintinib
  • Drug: Zanzalintinib-matched Placebo
  • Biological: Pembrolizumab

Study Design

Study TypeInterventional
Anticipated Enrollment600 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingQuadruple
Primary PurposeTreatment
Official TitleA Phase 2/3, Randomized, Double-Blind, Controlled Study of Zanzalintinib (XL092) in Combination With Pembrolizumab vs Pembrolizumab in First-Line Treatment of Subjects With PD-L1 Positive Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
Study Start DateJune 7, 2024
Anticipated Primary Completion DateAugust 2028
Anticipated Study Completion DateMarch 2029

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • Zanzalintinib + Pembrolizumab
    • Subjects with R/M HNSCC will receive zanzalintinib + pembrolizumab
  • Drug: Zanzalintinib
    • Specified doses on specified days
  • Biological: Pembrolizumab
    • Zanzalintinib-Matched Placebo + Pembrolizumab
      • Subjects with R/M HNSCC will receive zanzalintinib-matched placebo + pembrolizumab
    • Drug: Zanzalintinib-matched Placebo
      • Biological: Pembrolizumab

        Outcome Measures

        Primary Outcome Measures

        1. Progression-Free Survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) by Blinded Independent Central Review (BICR) [Approximately 33 months after the first subject is randomized]
          Defined as the time from randomization to the earlier of either radiographic progressive disease (PD) per RECIST 1.1 as determined by the BICR or death from any cause
        2. Overall Survival (OS) [Approximately 50 months after the first subject is randomized]
          Defined as the time from randomization to death due to any cause

        Secondary Outcome Measures

        1. PFS per RECIST 1.1 by Investigator [Approximately 33 months after the first subject is randomized]
          Defined as the time from randomization to the earlier of either radiographic PD per RECIST 1.1 as determined by the Investigator or death from any cause
        2. Objective Response Rate (ORR) per RECIST 1.1 by the BICR and Investigator [Approximately 33 months after the first subject is randomized]
          Defined as the proportion of subjects with the best overall response of complete response (CR) or partial response (PR) per RECIST 1.1 as determined by the BICR and Investigator
        3. Duration of Response (DOR) Per RECIST 1.1 by BICR and Investigator [Approximately 33 months after the first subject is randomized]
          Defined as the time from the first documentation of objective response (subsequently confirmed at a visit ≥ 28 days later) to disease progression or death due to any cause

        Eligibility Criteria

        Ages Eligible for Study 18 Years and Older (Adult, Older Adult)
        Sexes Eligible for Study All
        Accepts Healthy Volunteers No
        Inclusion Criteria
        • Histologically or cytologically-confirmed R/M HNSCC that is considered incurable by local therapy.
        • Subjects should not have had prior systemic therapy administered in the recurrent or metastatic setting. Systemic therapy which was completed more than 6 months prior to randomization if given as part of multimodal treatment for locally advanced disease is allowed.
        • The eligible primary tumor locations are the oropharynx, oral cavity, hypopharynx, and larynx.
        • PD-L1 expression level Combined Positive Score (CPS) ≥ 1.
        • Subjects with oropharyngeal cancer must have HPV status from tumor tissue.
        • Measurable disease according to RECIST 1.1 as determined by the Investigator.
        • Tumor samples (archival or fresh tumor biopsy) are required. If archival tissue is unavailable, must provide fresh tumor tissue biopsy prior to randomization.
        • Recovery to baseline or ≤ Grade 1 severity (CTCAE v5) from adverse events (AEs) related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy.
        • Age 18 years (or the legal age of consent in your country, if higher than 18) or older on the day of consent.
        • Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
        • Adequate organ and marrow function.
        Exclusion Criteria
        • Nasopharynx, salivary gland or occult primary site (regardless of p16 status).
        • Has disease that is suitable for local therapy administered with curative intent.
        • Has received prior therapy with zanzalintinib, any anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX-40, CD137).
        • Life expectancy < 3 months.
        • Had progressive disease within 6 months of completion of curatively intended systemic treatment for locoregionally advanced HNSCC.
        • Radiation therapy for bone metastases within 2 weeks, any other radiation therapy within 4 weeks prior to randomization.
        • Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy and/or surgery (including radiosurgery) and stable for at least 4 weeks prior to randomization.
        • Positive hepatitis B surface antigen (HBsAg) test.
        • Positive hepatitis C virus (HCV) antibody test.
        • Major surgery (eg, GI surgery, removal or biopsy of brain metastasis) within 8 weeks prior to randomization. Complete wound healing from major or minor surgery must have occurred at least prior to randomization.
        • Corrected QT interval calculated by the Fridericia formula (QTcF) > 480 ms per electrocardiogram (ECG) within 28 days before randomization.
        • Pregnant or lactating females.
        • Administration of a live, attenuated vaccine within 30 days before randomization.

        Contacts and Locations

        Sponsors and Collaborators Exelixis, Merck Sharp & Dohme LLC
        Merck Sharp & Dohme LLC
        Locations
        • Exelixis Clinical Site #2 | Fullerton, California, United States, 92835
        • Exelixis Clinical Site #1 | Orange City, Florida, United States, 32763
        • Exelixis Clinical Site #123 | Athens, Georgia, United States, 30607
        • Exelixis Clinical Site #82 | Atlanta, Georgia, United States, 30322
        • Exelixis Clinical Site #19 | Chicago, Illinois, United States, 60611
        • Exelixis Clinical Site #62 | Des Moines, Iowa, United States, 50309
        • Exelixis Clinical Site #100 | Iowa City, Iowa, United States, 52242
        • Exelixis Clinical Site #4 | Saint Louis, Missouri, United States, 63110
        • Exelixis Clinical Site #3 | Shirley, New York, United States, 11967
        • Exelixis Clinical Site #95 | Durham, North Carolina, United States, 27710
        • Exelixis Clinical Site #117 | Wilson, North Carolina, United States, 27893
        • Exelixis Clinical Site #43 | Roanoke, Virginia, United States, 24014
        • Exelixis Clinical Site #73 | Rosario, Santa Fe, Argentina, S2000KZE
        • Exelixis Clinical Site #91 | Buenos Aires, Argentina, C1428AQK
        • Exelixis Clinical Site # 47 | Ciudad Autonoma de Buenos Aire, Argentina, C1015ABO
        • Exelixis Clinical Site #53 | Ciudad Autonoma de Buenos Aire, Argentina, C1056ABJ
        • Exelixis Clinical Site #93 | Cordoba, Argentina, X5000JHQ
        • Exelixis Clinical Site #64 | Córdoba, Argentina, X5008HHW
        • Exelixis Clinical Site #92 | Santa Fe, Argentina, S3000FFU
        • Exelixis Clinical Site #57 | Port Macquarie, New South Wales, Australia, 2444
        • Exelixis Clinical Site # 46 | Adelaide, Australia, 5000
        • Exelixis Clinical Site #39 | Murdoch, Australia, 6150
        • Exelixis Clinical Site #42 | Salzburg, Austria, 5020
        • Exelixis Clinical Site #22 | Bruxelles, Belgium, 1200
        • Exelixis Clinical Site #106 | Charleroi, Belgium, 6000
        • Exelixis Clinical Site #14 | Libramont, Belgium, 6800
        • Exelixis Clinical Site #37 | Sint-Niklaas, Belgium, 9100
        • Exelixis Clinical Site #68 | Passo Fundo, Rio Grande Do Sul, Brazil, 99010-260
        • Exelixis Clinical Site #90 | Porto Alegre, Rio Grande Do Sul, Brazil, 91350 200
        • Exelixis Clinical Site #110 | Jau, Sao Paulo, Brazil, 17210 190
        • Exelixis Clinical Site #65 | Santo André, Sao Paulo, Brazil, 09060-650
        • Exelixis Clinical Site #83 | São José Do Rio Preto, Sao Paulo, Brazil, 15090 000
        • Exelixis Clinical Site #116 | Barretos, Brazil, 14784 400
        • Exelixis Clinical Site #75 | Curitiba, Brazil, 80810 050
        • Exelixis Clinical Site #101 | Curitiba, Brazil, 81520 060
        • Exelixis Clinical Site #97 | Porto Alegre, Brazil, 90110 270
        • Exelixis Clinical Site #102 | Recife, Brazil, 50070 225
        • Exelixis Clinical Site #87 | Rio de Janeiro, Brazil, 20230 130
        • Exelixis Clinical Site #88 | Sao Paulo, Brazil, 1221020
        • Exelixis Clinical Site #76 | São Paulo, Brazil, 01323 030
        • Exelixis Clinical Site #77 | São Paulo, Brazil, 01525 001
        • Exelixis Clinical Site #67 | São Paulo, Brazil, 04014-002
        • Exelixis Clinical Site #98 | São Paulo, Brazil, 05403 900
        • Exelixis Clinical Site #25 | Plovdiv, Bulgaria, 4004
        • Exelixis Clinical Site #94 | Ruse, Bulgaria, 7002
        • Exelixis Clinical Site #15 | Sofia, Bulgaria, 1330
        • Exelixis Clinical Site #11 | Sofia, Bulgaria, 1527
        • Exelixis Clinical Site #54 | Sofia, Bulgaria, 1797
        • Exelixis Clinical Site #33 | Santiago, Chile, 13127
        • Exelixis Clinical Site #52 | Santiago, Chile, 7500859
        • Exelixis Clinical Site #38 | Santiago, Chile, 8331143
        • Exelixis Clinical Site #109 | Santiago, Chile, 8940577
        • Exelixis Clinical Site #50 | Talca, Chile, 3465586
        • Exelixis Clinical Site #51 | Valdivia, Chile, 5090000
        • Exelixis Clinical Site #40 | Viña Del Mar, Chile, 2540364
        • Exelixis Clinical Site #96 | Barranquilla, Colombia, 80020
        • Exelixis Clinical Site #103 | Floridablanca, Colombia, 6810002
        • Exelixis Clinical Site #49 | Nový Jičín, Czechia, 74101
        • Exelixis Clinical Site #58 | Olomouc, Czechia, 77900
        • Exelixis Clinical Site #34 | Prague, Czechia, 14059
        • Exelixis Clinical Site #48 | Praha, Czechia, 15006
        • Exelixis Clinical Site #36 | Praha, Czechia, 18081
        • Exelixis Clinical Site #28 | Marseille, Bouches-du-Rhône, France, 13005
        • Exelixis Clinical Site #16 | Bordeaux, Gironde, France, 33075
        • Exelixis Clinical Site #44 | Rennes, Ille Et Vilaine, France, 35042
        • Exelixis Clinical Site #108 | Saint Priest en Jarez, Loire, France, 42270
        • Exelixis Clinical Site #70 | Lyon, Rhone, France, 69008
        • Exelixis Clinical Site #107 | Le Mans, Sarthe, France, 72000
        • Exelixis Clinical Site #66 | Villejuif, Val De Marne, France, 94805
        • Exelixis Clinical Site #26 | Paris, France, 75013
        • Exelixis Clinical Site #112 | Pierre Benite Cedex, France, 69004
        • Exelixis Clinical Site #105 | Poitiers, France, 86021
        • Exelixis Clinical Site #129 | Athens, Greece, 12462
        • Exelixis Clinical Site #120 | Thessaloniki, Greece, 54622
        • Exelixis Clinical Site #128 | Thessaloniki, Greece, 57001
        • Exelixis Clinical Site #125 | Budapest, Hungary, 1083
        • Exelixis Clinical Site #99 | Kecskemet, Hungary, 6000
        • Exelixis Clinical Site #131 | Salgotarjan, Hungary, 3100
        • Exelixis Clinical Site #132 | Haifa, Israel, 3109601
        • Exelixis Clinical Site #85 | Haifa, Israel, 3436212
        • Exelixis Clinical Site #74 | Jerusalem, Israel, 911201
        • Exelixis Clinical Site #122 | Ramat Gan, Israel, 5265601
        • Exelixis Clinical Site #86 | Tel Aviv, Israel, 6423906
        • Exelixis Clinical Site #21 | Candiolo, Torino, Italy, 10060
        • Exelixis Clinical Site #35 | Brescia, Italy, 25124
        • Exelixis Clinical Site #45 | Catania, Italy, 95123
        • Exelixis Clinical Site #81 | Milano, Italy, 20133
        • Exelixis Clinical Site #55 | Milano, Italy, 20141
        • Exelixis Clinical Site #18 | Napoli, Italy, 80131
        • Exelixis Clinical Site #78 | Rome, Italy, 0168
        • Exelixis Clinical Site #124 | Rozzano, Italy, 20089
        • Exelixis Clinical Site #10 | Verona, Italy, 37134
        • Exelixis Clinical Site #7 | Busan, Gangwon-do, Korea, Republic of, 49267
        • Exelixis Clinical Site #30 | Suwon-si, Gyeonggi-do, Korea, Republic of, 16247
        • Exelixis Clinical Site #17 | Suwon, Gyeonggi-do, Korea, Republic of, 16499
        • Exelixis Clinical Site #9 | Yangsan, Gyeongsangnam-do, Korea, Republic of, 50612
        • Exelixis Clinical Site #69 | Jeonju, Jeollabuk Do, Korea, Republic of, 54907
        • Exelixis Clinical Site #8 | Jeonju, Jeollabuk-do, Korea, Republic of, 54907
        • Exelixis Clinical Site #13 | Busan, Korea, Republic of, 49201
        • Exelixis Clinical Site #5 | Seoul, Korea, Republic of, 3722
        • Exelixis Clinical Site #63 | Seoul, Korea, Republic of, 5505
        • Exelixis Clinical Site #12 | Seoul, Korea, Republic of, 6273
        • Exelixis Clinical Site #6 | Seoul, Korea, Republic of, 6591
        • Exelixis Clinical Site #29 | Seoul, Korea, Republic of, 8308
        • Exelixis Clinical Site #61 | Putrajaya, Kuala Lumpur, Malaysia, 62250
        • Exelixis Clinical Site #60 | Kuala Lumpur, Malaysia, 50586
        • Exelixis Clinical Site #72 | Kuala Lumpur, Malaysia, 59100
        • Exelixis Clinical Site #114 | Guadalajara, Jalisco, Mexico, 44160
        • Exelixis Clinical Site #119 | San Juan del Rio, Queretaro, Mexico, 76800
        • Exelixis Clinical Site #89 | Piotrkow, Trybunalski, Poland, 97 300
        • Exelixis Clinical Site #24 | Cluj-Napoca, Romania, 400641
        • Exelixis Clinical Site #20 | Craiova, Romania, 200542
        • Exelixis Clinical Site #104 | Floreşti, Romania, 407280
        • Exelixis Clinical Site #127 | Ploiesti, Romania, 100337
        • Exelixis Clinical Site #23 | Košice, Slovakia, 04191
        • Exelixis Clinical Site #27 | Trnava, Slovakia, 91775
        • Exelixis Clinical Site #121 | Zilina, Slovakia, 01207
        • Exelixis Clinical Site #115 | Barcelona, Spain, 08025
        • Exelixis Clinical Site #113 | Girona, Spain, 17007
        • Exelixis Clinical Site #130 | La Coruna, Spain, 15009
        • Exelixis Clinical Site #134 | Madrid, Spain, 28027
        • Exelixis Clinical Site #111 | Madrid, Spain, 28033
        • Exelixis Clinical Site #32 | Madrid, Spain, 28034
        • Exelixis Clinical Site #59 | Madrid, Spain, 28040
        • Exelixis Clinical Site #31 | Madrid, Spain, 28046
        • Exelixis Clinical Site #126 | Sevilla, Spain, 41009
        • Exelixis Clinical Site #41 | Zaragoza, Spain, 50009
        • Exelixis Clinical Site #118 | Taipei, Taiwan, 100229
        • Exelixis Clinical Site #71 | Bangkoknoi, Bangkok, Thailand, 10700
        • Exelixis Clinical Site #56 | Chiangmai, Chiang Mai, Thailand, 50200
        • Exelixis Clinical Site #79 | Hat Yai, Songkhla, Thailand, 90110
        • Exelixis Clinical Site #80 | Bangkok, Thailand, 10330
        • Exelixis Clinical Site #84 | Romford, Essex, United Kingdom, RM7 0AG
        • Exelixis Clinical Site #133 | Sutton, United Kingdom, SM2 5PT

        More Information

        Additional Relevant MeSH Terms

        • Carcinoma
        • Carcinoma, Squamous Cell
        • Squamous Cell Carcinoma of Head and Neck
        • Neoplasms, Glandular and Epithelial
        • Neoplasms by Histologic Type
        • Neoplasms
        • Neoplasms, Squamous Cell
        • Head and Neck Neoplasms
        • Neoplasms by Site