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A Study of Zanzalintinib in Participants With Recurrent or Progressive Meningioma

  • PhasePhase 2
  • StatusRecruiting
  • Planned enrollment100 people
  • Recruiting US sites20
  • SponsorExelixis
  • RegistryNCT07428616

Recruitment re-checked on ClinicalTrials.gov Oct 30, 2026. Public record; not medical advice.

A Study of Zanzalintinib in Participants With Recurrent or Progressive Meningioma: a one-minute explainerNCT074286161 min

Eligibility

Who can join

The film gives the main points. The full list below is copied from the registry; the study team makes the final decision.

  • Age18 Years to no maximum
  • SexAll
  • Healthy volunteersNo

You may be able to join if

  • Key Inclusion Criteria:
  • Histologically confirmed World Health Organization (WHO) grade 1, 2, or 3 meningioma.
  • Developed recurrent disease or progressive disease (PD) after receiving standard therapy (for example, surgery and/or radiation) or have been deemed ineligible to receive these therapies. At least 1 prior course of meningioma-directed radiotherapy is required, if not contraindicated.
  • Radiologically documented progression of any existing tumor (growth > 15% of the bidimensional enhancing tumor within the prior 6 months or appearance of new lesions (including intra and extracranial manifestations).
  • For participants treated with external beam radiation, interstitial brachytherapy, or radiosurgery, an interval ≥ 24 weeks must have elapsed from completion of therapy to initiation of treatment.
  • Measurable disease by RANO meningioma criteria as determined by the investigator, obtained ≤ 14 days prior to initiation of treatment.
  • Karnofsky performance status (KPS) ≥ 60%.
  • Demonstrate adequate organ and marrow function within 14 days of treatment initiation
  • Key Exclusion Criteria:
  • Prior history of hypertensive encephalopathy at any time.
  • Extracranial lesions invading major blood vessels including, but not limited to, inferior vena cava, pulmonary artery, or aorta.
  • Contraindication to magnetic resonance imaging (MRI).
  • Local therapy (surgery and/or radiation therapy) is indicated per investigator
  • Receipt of any type of cytotoxic, biologic or other systemic anticancer therapy (including investigational) within 4 weeks or 5 half-lives, whichever is shorter, before initiation of treatment. There is no limit on prior systemic therapies
  • Prior Surgery - completed wound healing must occur prior to initiation of treatment; ≥ 8 weeks for major surgery, ≥ 7 days for minor surgery, including stereotactic biopsies.
  • The participant has uncontrolled, significant intercurrent or recent illness including, but not limited to, the following conditions:
  • Cardiovascular disorders, including uncontrolled hypertension,
  • Gastrointestinal (GI) disorders including those associated with a high risk of perforation or fistula formation,
  • Clinically significant hematuria, hematemesis, or hemoptysis of > 0.5 teaspoon (2.5 milliliters [mL]) of red blood within 12 weeks before initiation of treatment or other history of significant bleeding (eg, intracranial hemorrhage/bleeding), or
  • Other clinically significant disorders.
  • Requirement for hemodialysis or peritoneal dialysis.
  • History of solid organ or allogeneic stem cell transplant.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

The treatment

How it is intended to work

This is how the treatment is meant to work. Whether it helps, and how safe it is, is what this trial is testing.

zanzalintinib. An orally bioavailable inhibitor of the receptor tyrosine kinases (RTKs) hepatocyte growth factor receptor (c-Met; HGFR), vascular endothelial growth factor receptor type 2 (VEGFR2), AXL and MER, with potential anti-angiogenesis and antineoplastic activities. Upon oral administration, zanzalintinib targets and binds to c-Met, VEGFR2, AXL and MER, and prevents their RTK activity. This blocks c-Met/VEGFR2/AXL/MER-mediated signal transduction pathways, and inhibits the proliferation and migration of c-Met-, VEGFR2-, AXL- and MER-overexpressing tumor cells. c-Met, overexpressed in many tumor cell types, plays a critical role in tumor formation, proliferation, invasion and metastasis, and contributes to tumor resistance. VEGFR2, overexpressed in certain tumor types, plays an essential role in angiogenesis and the proliferation, survival, migration and differentiation of endothelial cells. AXL and MER, both members of the TAM (Tyro3, Axl and Mer) family of RTKs, are overexpressed by many tumor cell types. They play key roles in tumor cell proliferation, survival, invasion, angiogenesis and metastasis, and their expression is associated with enhanced immunosuppression, drug resistance and poor prognosis. NCI Drug Dictionary

Treatments listed in the registry

  • Zanzalintinib (Drug): Administered as specified in the treatment arm.

The study

Treatment groups

Na · Single Group · masking: None

Zanzalintinib (Experimental)

Participants will receive zanzalintinib once daily (QD).

Goals

What the study measures

Main goals

  • Objective Response Rate (ORR) per Response Assessment in Neuro-oncology (RANO) as Assessed by Blinded Independent Central Review (BICR) (Up to approximately 12 months)

Other goals

  • Progression-free Survival at 6 Months (PFS-6) per RANO as Assessed by BICR and Investigator
  • Duration of Response (DOR) per RANO as Assessed by BICR and Investigator
  • Progression-free Survival (PFS) per RANO as Assessed by BICR and Investigator
  • Overall Survival (OS)
  • Number of Participants with Treatment-emergent Adverse Events (TEAEs)
  • Change from Baseline in Neurologic Function as Measured by the Neurologic Assessment in Neuro-oncology (NANO) Scale Score
  • Change from Baseline in Health-related Quality of Life (HRQoL) as Measured by the EuroQol 5-dimension 5-level Questionnaire (EQ-5D-5L) Score

Planned enrollment: 100 (estimated).

Where

Recruiting US sites

  • University of Alabama, Birmingham, Alabama
  • Mayo Clinic_Arizona, Phoenix, Arizona
  • University of California, San Francisco, San Francisco, California
  • Providence - Saint John's Health Center, Santa Monica, California
  • Mayo Clinic_Jacksonville, Jacksonville, Florida
  • Baptist Health Miami Cancer Institute, Miami, Florida
  • Tampa General Hospital, Tampa, Florida
  • Northwestern University, Chicago, Illinois
  • LSU Health Science Center, New Orleans, Louisiana
  • Massachusetts General Hospital, Boston, Massachusetts
  • Mayo Clinic_Rochester, Rochester, Minnesota
  • Washington University School of Medicine, St Louis, Missouri
  • Memorial Sloan-Kettering Cancer Center, New York, New York
  • Duke University, Durham, North Carolina
  • The Ohio State University College of Medicine (OSUCOM), Columbus, Ohio
  • Brown University Health Cancer Institute, Providence, Rhode Island
  • UT MD Anderson Cancer Center, Houston, Texas
  • UT Health San Antonio Mays Cancer Center, San Antonio, Texas
  • Inova Center for Personalized Health, Fairfax, Virginia
  • UW Carbone Cancer Center, Madison, Wisconsin

Site status as of Oct 30, 2026. Check the live record before contacting a site.

Sources

Where this comes from

Registry record reviewed as fetched Oct 30, 2026, last updated by the sponsor Oct 27, 2026. Public record; not medical advice.

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