Drug intelligence / Profile preview

zanzalintinib + XB628

Development stage
Phase 1
Lead developer
Exelixis
Modality
Bispecific Antibodies → Multispecific Antibodies → Engineered Antibody Formats → Antibody-Based Therapeutics, Small Molecules
Administration
Intravenous, Oral
01

Overview

Zanzalintinib + XB628 is an investigational combination therapy consisting of zanzalintinib (XL092), an oral small-molecule multi-targeted tyrosine kinase inhibitor (TKI), and XB628, a bispecific antibody natural killer (NK) cell engager targeting programmed death-ligand 1 (PD-L1) and natural killer group 2 member A (NKG2A). Zanzalintinib inhibits key receptor tyrosine kinases involved in tumor growth, angiogenesis, and immune suppression, including VEGFR2, MET, and the TAM family kinases (AXL, MERTK, and TYRO3). XB628 acts as a dual checkpoint inhibitor and NK cell engager, blocking the inhibitory NKG2A receptor on NK cells and CD8+ T cells while simultaneously targeting PD-L1 on tumor cells to promote adaptive and innate immune-mediated tumor cell killing. Developed by Exelixis in collaboration with Invenra, this combination is being evaluated in a Phase 1 clinical trial (NCT06952010) for patients with recurrent advanced or metastatic solid tumors, with particular interest in colorectal cancer (CRC) and renal cell carcinoma (RCC).

Other names
XB628 + XL092XB628 + zanzalintinibXB628 and zanzalintinibXB-628 and zanzalintinibXB 628 and zanzalintinibXL092 + XB628zanzalintinib and XB628
02

Targets

AXL (AXL receptor tyrosine kinase)HLA-E (Human leukocyte antigen-e)PDCD1 (Programmed cell death protein 1 receptor)VEGFR2 (Vascular endothelial growth factor receptor 2)MET (Mesenchymal-epithelial transition factor receptor)KLRC1 (Killer cell lectin-like receptor subfamily C member 1)CD274 (Programmed cell death protein 1 ligand 1)MERTK (MER proto-oncogene, tyrosine kinase)

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