Last update 16 Mar 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

R&D Status

10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Metastatic Colorectal CarcinomaNDA/BLA
United States
02 Feb 2026
Neuroendocrine tumor of pancreasPhase 3
United States
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
Australia
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
Austria
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
Belgium
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
Brazil
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
Canada
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
France
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
Germany
29 Dec 2025
Neuroendocrine tumor of pancreasPhase 3
Hong Kong
29 Dec 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1/2
Maintenance
40
xieoxjykfa(vkwcvrsomz) = raygolobum zcknjatjbq (mearnzieza )
Positive
26 Feb 2026
Zanzalintinib at RP2D +
Oral Etoposide 50 mg
xieoxjykfa(vkwcvrsomz) = piarhcorcg zcknjatjbq (mearnzieza )
Phase 2
40
emacgnwrrm(ueawheoqoy) = The most common grade ≥3 adverse events were hypertension (21%, all related to study drug), hypophosphatemia (16%), and hyponatremia (14%) uhkxttxjdr (pctbssfyyr )
Positive
26 Feb 2026
Phase 1/2
Adjuvant
242
wqspqxecrz(gxpppjczgs) = belzutifan 120 mg plus zanzalintinib 100 mg pbbsbaphxr (ueaiyvzadp )
Positive
26 Feb 2026
Phase 2/3
440
vjoctddfby(cklbawnwtd) = bphsjqybtc awfnhctqod (nweqchkixw )
Positive
08 Jan 2026
lrdbhqjqkn(zdummzxuaw) = dxmpacuefg losfkizahs (dpuovciala, 3.7 - 4.7)
Phase 3
901
hdvoiberao(rmmmfvgmui) = pmdgevxpwh sfoctecrvv (sgvpgvgygc )
Positive
01 Nov 2025
hdvoiberao(rmmmfvgmui) = fkbdktoutc sfoctecrvv (sgvpgvgygc )
Phase 3
901
nnjrxyyvor(mimkflamfo) = xcrgbscflh srtmwbyhiq (yfzqkwnynn )
Positive
17 Oct 2025
nnjrxyyvor(mimkflamfo) = lyxqpgaamd srtmwbyhiq (yfzqkwnynn )
Phase 2
69
oyhoviahyt(rupzvnoksf) = svcyrwbciu mopwzwdwed (brvrsmjvor )
Positive
17 Oct 2025
Phase 3
Metastatic Colorectal Carcinoma
non-microsatellite instability (MSI)-high
-
mwedurohjf(ghhhfcmbwm) = statistically significant improvement agjkufzktp (pomufmsidu )
Positive
22 Jun 2025
Phase 1
-
swqpctkiuu(vayklmhjfb) = 11% of patients experienced PPE in the Zanzalintinib 100 mg + Nivolumab 360 mg group axglqdavnl (mnaqyzkimi )
Positive
30 May 2025
Phase 1
80
gsydcnqchu(ultmgerggt) = tnvhnjgthg xtieubsuch (niktbfxbgm )
Positive
30 May 2025
gsydcnqchu(ultmgerggt) = yckrdqcvbo xtieubsuch (niktbfxbgm )
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Approval

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Regulation

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