Drug intelligence / Profile preview

zanzalintinib + nivolumab

Development stage
Phase 3
Lead developer
Exelixis
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

The combination of **zanzalintinib** (a novel, potent, oral small molecule tyrosine kinase inhibitor targeting multiple receptors including MET, AXL, VEGF, and MER) and **nivolumab** (a monoclonal antibody immune checkpoint inhibitor of PD-1) is being investigated for the treatment of advanced or metastatic renal cell carcinoma (RCC)[1][3][5]. Zanzalintinib inhibits multiple pathways involved in tumor growth and angiogenesis, while nivolumab works by enhancing anti-tumor immunity through PD-1 blockade[1][3]. Clinical studies such as STELLAR-002 and STELLAR-304 report a promising overall response rate (63%) and manageable safety profile in untreated stage 4 RCC[1][3][5].

Brand names
XL092 + nivolumab
Other names
zanzalintinib plus nivolumabXL092 plus nivolumabXL-092 plus nivolumabXL 092 plus nivolumab
02

Targets

AXL (AXL receptor tyrosine kinase)MET (Mesenchymal-epithelial transition factor receptor)PDCD1 (Programmed cell death protein 1 receptor)VEGFR2 (Vascular endothelial growth factor receptor 2)MERTK (MER proto-oncogene, tyrosine kinase)

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