Study of XL092 in Combination With Immuno-Oncology Agents in Subjects With Solid Tumors (STELLAR-002)

April 1, 2024 updated by: Exelixis

A Dose-Escalation and Expansion Study of the Safety and Efficacy of XL092 in Combination With Immuno-Oncology Agents in Subjects With Unresectable Advanced or Metastatic Solid Tumors

This is a multicenter Phase 1b, open label, dose-escalation and cohort-expansion study, evaluating the safety, tolerability, PK, preliminary antitumor activity, and effect of biomarkers of XL092 administered alone, and in combination with nivolumab (doublet), nivolumab + ipilimumab (triplet) and nivolumab + relatlimab (triplet) in subjects with advanced solid tumors.

In the Expansion Stage, the safety and efficacy of XL092 as monotherapy and in combination therapy will be further evaluated in tumor-specific Expansion Cohorts.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

1078

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Exelixis Clinical Trials
  • Phone Number: 1-888-EXELIXIS (888-393-5494)
  • Email: druginfo@exelixis.com

Study Contact Backup

  • Name: Backup or International
  • Phone Number: 650-837-7400

Study Locations

  • Australia
      • Albury, Australia, 2640
        • Recruiting
        • Exelixis Clinical Site #116
      • Birtinya, Australia, 4575
        • Recruiting
        • Exelixis Clinical Site #35
      • Brisbane, Australia, 4102
        • Recruiting
        • Exelixis Clinical Site #16
      • Saint Leonards, Australia, 2065
        • Recruiting
        • Exelixis Clinical Site #42
      • Sydney, Australia, 2109
        • Recruiting
        • Exelixis Clinical Site #36
  • Austria
      • Graz, Austria, 8036
        • Recruiting
        • Exelixis Clinical Site #94
      • Salzburg, Austria, 5020
        • Active, not recruiting
        • Exelixis Clinical Site #31
      • Wein, Austria, 1090
        • Recruiting
        • Exelixis Clinical Site #106
      • Wien, Austria, 1020
        • Recruiting
        • Exelixis Clinical Site #29
  • Belgium
      • Anderlecht, Belgium, 1070
        • Recruiting
        • Exelixis Clinical Site #39
      • Kortrijk, Belgium, 8500
        • Recruiting
        • Exelixis Clinical Site #37
  • France
      • Besançon, France, 25030
        • Recruiting
        • Exelixis Clinical Site #85
      • Bordeaux, France, 33000
        • Recruiting
        • Exelixis Clinical Site #96
      • Caen, France, 14076
        • Recruiting
        • Exelixis Clinical Site #79
      • Clermont-Ferrand, France, 63011
        • Recruiting
        • Exelixis Clinical Site #118
      • Lyon, France, 69008
        • Recruiting
        • Exelixis Clinical Site #109
      • Marseille, France, 13273
        • Recruiting
        • Exelixis Clinical Site #92
      • Nice, France, 06189
        • Recruiting
        • Exelixis Clinical Site #64
      • Paris, France, 75010
        • Recruiting
        • Exelixis Clinical Site #83
      • Paris, France, 75015
        • Recruiting
        • Exelixis Clinical Site #91
      • Rennes, France, 35042
        • Recruiting
        • Exelixis Clinical Site #80
      • Saint-Herblain, France, 44805
        • Recruiting
        • Exelixis Clinical Site #63
      • Strasbourg, France, 67200
        • Recruiting
        • Exelixis Clinical Site #75
      • Vandœuvre-lès-Nancy, France, 54519
        • Recruiting
        • Exelixis Clinical Site #84
      • Villejuif, France, 94805
        • Recruiting
        • Exelixis Clinical Site #115
  • Germany
      • Essen, Germany, 45147
        • Recruiting
        • Exelixis Clinical Site #103
      • Hamburg, Germany, 22763
        • Recruiting
        • Exelixis Clinical Site #113
      • Heidelberg, Germany, 69120
        • Recruiting
        • Exelixis Clinical Site #108
      • Herne, Germany, 44625
        • Recruiting
        • Exelixis Clinical Site #82
      • Jena, Germany, 07747
        • Recruiting
        • Exelixis Clinical Site #93
      • München, Germany, 81737
        • Recruiting
        • Exelixis Clinical Site #112
      • Nürtingen, Germany, 72622
        • Recruiting
        • Exelixis Clinical Site #102
      • Trier, Germany, 54292
        • Recruiting
        • Exelixis Clinical Site #107
      • Tübingen, Germany, 72076
        • Recruiting
        • Exelixis Clinical Site #95
  • Israel
      • Be'er Sheva, Israel, 8410101
        • Recruiting
        • Exelixis Clinical Site #86
      • Haifa, Israel, 3109601
        • Recruiting
        • Exelixis Clinical Site #72
      • Jerusalem, Israel, 9112001
        • Recruiting
        • Exelixis Clinical Site #52
      • Petah Tikva, Israel, 4941492
        • Recruiting
        • Exelixis Clinical Site #71
      • Tel Aviv, Israel, 6423906
        • Recruiting
        • Exelixis Clinical Site #69
      • Zerifin, Israel, 7030000
        • Recruiting
        • Exelixis Clinical Site #38
  • Italy
      • Ancona, Italy, 60020
        • Recruiting
        • Exelixis Clinical Site #121
      • Bologna, Italy, 40138
        • Recruiting
        • Exelixis Clinical Site #117
      • Firenze, Italy, 50134
        • Recruiting
        • Exelixis Clinical Site #90
      • Milano, Italy, 20132
        • Recruiting
        • Exelixis Clinical Site #101
      • Milano, Italy, 20141
        • Recruiting
        • Exelixis Clinical Site #81
      • Napoli, Italy, 80131
        • Recruiting
        • Exelixis Clinical Site #40
      • Ravenna, Italy, 48121
        • Recruiting
        • Exelixis Clinical Site #74
  • New Zealand
      • Grafton, New Zealand, 1023
        • Recruiting
        • Exelixis Clinical Site #30
      • Hamilton, New Zealand, 3204
        • Recruiting
        • Exelixis Clinical Site #45
  • Poland
      • Bydgoszcz, Poland, 85-796
        • Recruiting
        • Exelixis Clinical Site #20
      • Gdańsk, Poland, 80-219
        • Recruiting
        • Exelixis Clinical Site #28
      • Otwock, Poland, 05-400
        • Recruiting
        • Exelixis Clinical Site #34
      • Poznań, Poland, 60-569
        • Recruiting
        • Exelixis Clinical Site #54
      • Wrocław, Poland, 53-413
        • Recruiting
        • Exelixis Clinical Site #114
  • Spain
      • Badajoz, Spain, 06080
        • Recruiting
        • Exelixis Clinical Site #41
      • Barcelona, Spain, 08041
        • Recruiting
        • Exelixis Clinical Site #27
      • Barcelona, Spain, 08035
        • Recruiting
        • Exelixis Clinical Site #53
      • Barcelona, Spain, 08036
        • Recruiting
        • Exelixis Clinical Site #15
      • L'Hospitalet De Llobregat, Spain, 08908
        • Recruiting
        • Exelixis Clinical Site #120
      • Madrid, Spain, 28041
        • Recruiting
        • Exelixis Clinical Site #19
      • Madrid, Spain, 28034
        • Recruiting
        • Exelixis Clinical Site #43
      • Madrid, Spain, 28033
        • Recruiting
        • Exelixis Clinical Site #57
      • Madrid, Spain, 28040
        • Recruiting
        • Exelixis Clinical Site #58
      • Madrid, Spain, 28040
        • Recruiting
        • Exelixis Clinical Site #77
      • Madrid, Spain, 28046
        • Recruiting
        • Exelixis Clinical Site #100
      • Pamplona, Spain, 31008
        • Recruiting
        • Exelixis Clinical Site #18
      • Santander, Spain, 39008
        • Recruiting
        • Exelixis Clinical Site #119
      • Seville, Spain, 41013
        • Recruiting
        • Exelixis Clinical Site #23
      • Valencia, Spain, 46026
        • Recruiting
        • Exelixis Clinical Site #25
      • Valencia, Spain, 46010
        • Recruiting
        • Exelixis Clinical Site #56
  • Switzerland
      • Chur, Switzerland, 7000
        • Active, not recruiting
        • Exelixis Clinical Site #21
      • St. Gallen, Switzerland, 9007
        • Recruiting
        • Exelixis Clinical Site #22
      • Winterthur, Switzerland, 8401
        • Recruiting
        • Exelixis Clinical Site #44
  • United Kingdom
      • Cambridge, United Kingdom, CB2 0QQ
        • Recruiting
        • Exelixis Clinical Site #110
      • London, United Kingdom, W6 8RF
        • Recruiting
        • Exelixis Clinical Site #99
      • Middlesex, United Kingdom, HA6 2RN
        • Recruiting
        • Exelixis Clinical Site #97
  • United States
    • Arizona
      • Phoenix, Arizona, United States, 85054
        • Recruiting
        • Exelixis Clinical Site #67
      • Tucson, Arizona, United States, 85711
        • Recruiting
        • Exelixis Clinical Site #1
    • California
      • Palo Alto, California, United States, 94304
        • Recruiting
        • Exelixis Clinical Site #123
      • Santa Barbara, California, United States, 93463
        • Recruiting
        • Exelixis Clinical Site #59
    • Colorado
      • Littleton, Colorado, United States, 80124
        • Recruiting
        • Exelixis Clinical Site #87
    • Connecticut
      • New Haven, Connecticut, United States, 06510
        • Recruiting
        • Exelixis Clinical Site #62
    • Delaware
      • Newark, Delaware, United States, 19713
        • Active, not recruiting
        • Exelixis Clinical Site #49
    • Florida
      • Celebration, Florida, United States, 34747
        • Recruiting
        • Exelixis Clinical Site #48
      • Gainesville, Florida, United States, 32610
        • Recruiting
        • Exelixis Clinical Site #11
      • Jacksonville, Florida, United States, 32224
        • Recruiting
        • Exelixis Clinical Site #78
      • Miami, Florida, United States, 33136
        • Recruiting
        • Exelixis Clinical Site #47
      • Plantation, Florida, United States, 33322
        • Recruiting
        • Exelixis Clinical Site #61
      • Tampa, Florida, United States, 33612
        • Recruiting
        • Exelixis Clinical Site #8
    • Illinois
      • Chicago, Illinois, United States, 60612
        • Recruiting
        • Exelixis Clinical Site #26
    • Indiana
      • Indianapolis, Indiana, United States, 46250
        • Recruiting
        • Exelixis Clinical Site #4
    • Kentucky
      • Louisville, Kentucky, United States, 40202
        • Recruiting
        • Exelixis Clinical Site #122
    • Maryland
      • Baltimore, Maryland, United States, 21201
        • Recruiting
        • Exelixis Clinical Site #14
    • Massachusetts
      • Boston, Massachusetts, United States, 02215
        • Recruiting
        • Exelixis Clinical Site #7
    • Michigan
      • Detroit, Michigan, United States, 48202
        • Recruiting
        • Exelixis Clinical Site #13
      • Detroit, Michigan, United States, 48201
        • Recruiting
        • Exelixis Clinical Site #65
    • Minnesota
      • Rochester, Minnesota, United States, 55905
        • Recruiting
        • Exelixis Clinical Site #68
    • Nebraska
      • Omaha, Nebraska, United States, 68130
        • Recruiting
        • Exelixis Clinical Site #2
      • Omaha, Nebraska, United States, 68130
        • Active, not recruiting
        • Exelixis Clinical Site #5
    • Nevada
      • Las Vegas, Nevada, United States, 89052
        • Recruiting
        • Exelixis Clinical Site #55
    • New Jersey
      • East Brunswick, New Jersey, United States, 08816
        • Recruiting
        • Exelixis Clinical Site #88
      • Hackensack, New Jersey, United States, 07601
        • Recruiting
        • Exelixis Clinical Site #105
    • New York
      • New York, New York, United States, 10065
        • Recruiting
        • Exelixis Clinical Site #6
      • New York, New York, United States, 10032
        • Recruiting
        • Exelixis Clinical Site #60
      • Syracuse, New York, United States, 13210
        • Recruiting
        • Exelixis Clinical Site #76
    • North Carolina
      • Durham, North Carolina, United States, 27710
        • Recruiting
        • Exelixis Clinical Site #12
    • Ohio
      • Cleveland, Ohio, United States, 44106
        • Recruiting
        • Exelixis Clinical Site #10
    • Oregon
      • Portland, Oregon, United States, 97239
        • Recruiting
        • Exelixis Clinical Site #51
    • Pennsylvania
      • Hershey, Pennsylvania, United States, 17033
        • Recruiting
        • Exelixis Clinical Site #104
      • Philadelphia, Pennsylvania, United States, 19104
        • Recruiting
        • Exelixis Clinical Site #98
      • Pittsburgh, Pennsylvania, United States, 15232
        • Recruiting
        • Exelixis Clinical Site #24
      • Pittsburgh, Pennsylvania, United States, 15212
        • Recruiting
        • Exelixis Clinical Site #32
    • South Carolina
      • Myrtle Beach, South Carolina, United States, 29572
        • Recruiting
        • Exelixis Clinical Site #9
    • Tennessee
      • Nashville, Tennessee, United States, 37203
        • Recruiting
        • Exelixis Clinical Site #3
    • Texas
      • Austin, Texas, United States, 78705
        • Recruiting
        • Exelixis Clinical Site #46
      • Dallas, Texas, United States, 75246
        • Recruiting
        • Exelixis Clinical Site #89
      • Dallas, Texas, United States, 75246
        • Recruiting
        • Exelixis Clinical Site #111
      • Irving, Texas, United States, 75063
        • Recruiting
        • Exelixis Clinical Site #73
      • Plano, Texas, United States, 75075
        • Recruiting
        • Exelixis Clinical Site #50
      • Tyler, Texas, United States, 75601
        • Recruiting
        • Exelixis Clinical Site #70
    • Virginia
      • Charlottesville, Virginia, United States, 22903
        • Recruiting
        • Exelixis Clinical Site #66
    • Wisconsin
      • Milwaukee, Wisconsin, United States, 53226
        • Recruiting
        • Exelixis Clinical Site #33

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Cytologically or histologically confirmed solid tumor that is unresectable, locally advanced or metastatic.
  • Dose-Escalation Cohorts: Subjects with a solid tumor that is unresectable or metastatic and for which life-prolonging therapies do not exist or available therapies are intolerable or no longer effective.

  • Expansion Cohort 1 (ccRCC): Subjects with unresectable advanced or metastatic RCC with a clear cell component who have not received prior systemic therapy.

    • Note: Prior non-VEGF targeted adjuvant or neoadjuvant is allowed if disease recurrence occurred 6 months after the last dose.

  • Expansion Cohort 2 (ccRCC): Subjects with unresectable advanced or metastatic RCC with a clear cell component.

    • Must have radiographically progressed after a combination therapy consisting of a PD-1/PD-L1 targeting mAb with a VEGFR-TKI or a PD-1 targeting mAb with a CTLA-4 mAb as the preceding line of therapy.
    • Must have received no more than one prior systemic anticancer therapy for unresectable advanced or metastatic renal cell carcinoma.

  • Expansion Cohort 3 (mCRPC): Men with metastatic adenocarcinoma of the prostate.

    • Must have progressed during or after one NHT given for castration-sensitive locally advanced (T3 or T4) or metastatic castration-sensitive prostate cancer (CSPC), M0 CRPC, or mCRPC.

  • Expansion Cohort 4 (UC, ICI-naive): Subjects with histologically confirmed unresectable, locally advanced or metastatic transitional cell carcinoma of the urothelium (including the renal pelvis, ureter, urinary bladder, or urethra).

    • Must have progressed during or after prior first-line platinum-based combination therapy, including subjects who received prior neoadjuvant or adjuvant platinum-containing therapy with disease recurrence < 12 months from the end of last therapy.
    • Must have received no more than 1 prior line of systemic anticancer therapy for unresectable, locally advanced or metastatic disease.

  • Expansion Cohort 5 (UC, ICI-experienced): Subjects with histologically confirmed unresectable, locally advanced or metastatic transitional cell carcinoma of the urothelium (including the renal pelvis, ureter, urinary bladder, or urethra).

    • Must have progressed during or after prior PD-1/PD-L1 targeting ICI therapy given as monotherapy, combination therapy, maintenance therapy or adjuvant therapy.
    • Must have received no more than 2 prior lines of systemic anticancer therapy for unresectable advanced or metastatic disease.

  • Expansion Cohort 6 (nccRCC): Subjects with unresectable advanced or metastatic nccRCC of the following subtypes: Papillary RCC (any type), unclassified RCC, and translocation-associated. Among the eligible histologic subtypes, sarcomatoid features are allowed.

    • No prior systemic anticancer therapy is allowed except adjuvant or neoadjuvant therapy if disease recurrence occurred at least 6 months after the last dose.
  • Expansion Cohort 7 (HCC): Subjects with inoperable locally advanced, recurrent, or metastatic HCC that is not amenable to curative treatment or locoregional therapy.
  • Expansion Cohort 8 (NSCLC): Subjects with Stage IV non-squamous NSCLC with positive PD-L1 expression (tumor proportion score [TPS] 1-49%) and without prior systemic anticancer therapy for metastatic disease.
  • Expansion Cohort 9 (NSCLC): Subjects with Stage IV non-squamous NSCLC who have radiologically progressed following treatment with one prior immune checkpoint inhibitor (anti-PD-1 or anti-PD-L1) for metastatic disease.
  • Expansion Cohort 10 (CRC): Subjects with histologically confirmed unresectable, locally advanced, or metastatic adenocarcinoma of the colon or rectum.
  • Expansion Cohort 11 (HNSCC): Subject with inoperable, refractory, recurrent or metastatic HNSCC of the oral cavity, oropharynx, hypopharynx, and larynx. PD-L1 combined positive score (CPS) ≥1.
  • For all Expansion Cohorts except Cohort 3: Measurable disease per RECIST 1.1 as determined by the Investigator.
  • For expansion cohorts only: Archival tumor tissue material, if available, or fresh tumor tissue if it can be safely obtained.
  • Recovery to baseline or ≤ Grade 1 CTCAE v5 from AE(s) related to any prior treatments unless AE(s) are deemed clinically nonsignificant by the Investigator and/or stable on supportive therapy.
  • Karnofsky Performance Status (KPS) ≥ 70%.
  • Adequate organ and marrow function.
  • Sexually active fertile subjects and their partners must agree to use highly effective methods of contraception.
  • Female subjects of childbearing potential must not be pregnant at screening.

Exclusion Criteria:

  • For all Dose-Escalation cohorts: Prior treatment with XL092. For all Expansion Cohorts: Prior treatment with XL092, nivolumab, ipilimumab or relatlimab with the following exceptions: Prior PD-1/PD-L1, LAG-3 and CTLA-4 targeting therapy for locally advanced or metastatic disease is allowed for Cohort 2 (ccRCC), Cohort 5 (UC), Cohort 9 (NSCLC).
  • For all Dose-Escalation Cohorts and Expansion Cohort 2 (ccRCC), 3 (mCRPC), Cohort 5 (UC), Cohort 9 (NSCLC) and Cohort 10 (CRC): Receipt of any type of small molecule kinase inhibitor (including investigational kinase inhibitor) within 2 weeks before first dose of study treatment.
  • For Cohort 3 (mCRPC): Receipt of abiraterone within 1 week; cyproterone within 10 days; or receipt of flutamide, nilutamide, bicalutamide, enzalutamide, or other androgen receptor inhibitors within 2 weeks before first dose of study treatment.
  • For all Dose-Escalation Cohorts and Expansion Cohort 2 (ccRCC), Cohort 3 (mCRPC), Cohort 5 (UC), Cohort 9 (NSCLC) and Cohort 10 (CRC): Receipt of any type of anticancer antibody or systemic chemotherapy within 4 weeks before first dose of study treatment.
  • Any complementary medications (eg, herbal supplements or traditional Chinese medicines) to treat the disease under study within 2 weeks before first dose of study treatment.
  • Prior external radiation therapy for bone metastasis within 2 weeks, for other tumor sites within 4 weeks, and prior radium-223 therapy within 6 weeks before first dose of study treatment, unless otherwise specified.
  • Known brain metastases or cranial epidural disease unless adequately treated with radiotherapy (including radiosurgery) or surgically removed and stable for at least 4 weeks before first dose of study treatment.
  • Concomitant anticoagulation with oral anticoagulants and platelet inhibitors.
  • Administration of a live, attenuated vaccine within 30 days prior to enrollment.
  • Uncontrolled, significant intercurrent or recent illness.
  • Corrected QT interval calculated by the Fridericia formula (QTcF) > 480 ms per electrocardiogram (ECG) within 14 days before first dose of study treatment.
  • Subjects with inadequately treated adrenal insufficiency.
  • Pregnant or lactating females.
  • Any other active malignancy within two years before first dose of study treatment, except for locally curable cancers that have been apparently cured such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, or breast.
  • For Cohort 2 (ccRCC, 2L): Receipt of a prior triplet therapy including a VEGFR-TKI, a PD1 targeting mAb, and a CTLA-4 mAb.
  • For Cohort 3 (mCRPC): Receipt of a taxane-based chemotherapy for mCRPC.
  • For Cohort 4 (UC, ICI-naïve): Subjects who have had recurrence within the 6 months of completing adjuvant anti-PD-(L)1 treatment.
  • For Cohort 6 (nccRCC, 1L): Subjects with chromophobe, renal medullary carcinoma, or pure collecting duct nccRCC.

  • For Cohort 7 (HCC):

    • Documented hepatic encephalopathy (HE) within 6 months before randomization (see Section 6.5.2 for a case definition of HE).
    • Clinically meaningful ascites (ie, ascites requiring paracentesis or escalation in diuretics) within 6 months before randomization.
    • Subjects who have received any local anticancer therapy including surgery, PEI, RFA, MWA, transarterial chemoembolization (TACE), or transarterial radioembolization (TARE) within 28 days prior to randomization.
    • Subjects with known fibrolamellar carcinoma, sarcomatoid HCC, or mixed hepatocellular cholangiocarcinoma
  • For Cohort 10 (CRC, 2L+): Receipt of prior therapy with regorafenib and/or TAS-102.
  • For Cohort 11 (HNSCC): Primary tumor site of the nasopharyngeal area.

  • For Cohorts 1 (ccRCC, 1L), 2 (ccRCC, 2L), 4, 5 (UC), 7 (HCC), 8 (NSCLC 1L PD-L1 low), 9 (NSCLC, 2L+), 10 (CRC, MSS, 2L+), and 11 (HNSCC):

    • Troponin T (TnT) or I (TnI) > 2 × institutional ULN.

Note: Additional Inclusion and Exclusion criteria may apply.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: XL092 + Nivolumab Dose-Escalation Cohorts
Approximately 12 subjects will accrue across 1-2 dose levels of XL092 following the "rolling 6" design.
Drug: XL092
XL092 orally once daily (qd)
Drug: Nivolumab
360 mg IV infusion once every 3 weeks (q3w)
Other Names:
  • Opdivo
Drug: Nivolumab
3 mg/kg IV infusion once every 3 weeks (q3w) for first four doses, and then 480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Drug: Nivolumab
480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Experimental: XL092 + Nivolumab + Ipilimumab Dose-Escalation Cohorts
Approximately 12 subjects will accrue across 1-2 dose levels of XL092 following the "rolling 6" design.
Drug: XL092
XL092 orally once daily (qd)
Drug: Nivolumab
360 mg IV infusion once every 3 weeks (q3w)
Other Names:
  • Opdivo
Drug: Nivolumab
3 mg/kg IV infusion once every 3 weeks (q3w) for first four doses, and then 480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Drug: Nivolumab
480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Drug: Ipilimumab
1 mg/kg IV infusion once every 3 weeks (q3w) for maximum of four doses
Other Names:
  • Yervoy
Experimental: XL092 Single-Agent Expansion Cohorts
Drug: XL092
XL092 orally once daily (qd)
Experimental: XL092 + Nivolumab Expansion Cohorts
The recommended dose from the dose-escalation stage may be further explored in tumor-specific cohorts.
Drug: XL092
XL092 orally once daily (qd)
Drug: Nivolumab
360 mg IV infusion once every 3 weeks (q3w)
Other Names:
  • Opdivo
Drug: Nivolumab
3 mg/kg IV infusion once every 3 weeks (q3w) for first four doses, and then 480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Drug: Nivolumab
480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Experimental: XL092 + Nivolumab + Ipilimumab Expansion Cohorts
The recommended dose from the dose-escalation stage may be further explored in tumor-specific cohorts.
Drug: XL092
XL092 orally once daily (qd)
Drug: Nivolumab
360 mg IV infusion once every 3 weeks (q3w)
Other Names:
  • Opdivo
Drug: Nivolumab
3 mg/kg IV infusion once every 3 weeks (q3w) for first four doses, and then 480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Drug: Nivolumab
480 mg IV infusion once every 4 weeks (q4w)
Other Names:
  • Opdivo
Drug: Ipilimumab
1 mg/kg IV infusion once every 3 weeks (q3w) for maximum of four doses
Other Names:
  • Yervoy
Experimental: XL092 + Nivolumab + Relatlimab Dose-Escalation Cohorts
Approximately 12 subjects will accrue across 1-2 dose levels of XL092 following the "rolling 6" design.
Drug: XL092
XL092 orally once daily (qd)
Drug: Nivolumab + Relatlimab
IV administration of nivolumab + relatlimab
Experimental: XL092 + Nivolumab + Relatlimab Expansion Cohorts
The recommended dose from the dose-escalation stage may be further explored in tumor-specific cohorts.
Drug: XL092
XL092 orally once daily (qd)
Drug: Nivolumab + Relatlimab
IV administration of nivolumab + relatlimab

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs), including immune-mediated adverse events (imAEs)
Time Frame: up to 36 months
To evaluate the safety of XL092 when administered alone or in combination therapy regimens through the evaluation of incidence and severity of AEs and SAEs, including imAEs
up to 36 months
Expansion Stage: Objective Response Rate (ORR)
Time Frame: up to 24 months
To evaluate ORR in subjects with measurable disease as assessed by the Investigator per RECIST 1.1
up to 24 months
Expansion Stage: Progression-Free Survival (PFS)
Time Frame: up to 24 months
For Cohort 3 (mCRPC): To evaluate duration of radiographic PFS as determined per Prostate Working Group 3 (PCWG3) criteria (Scher et al 2016) by Blinded Independent Radiology Committee (BIRC)
up to 24 months
Expansion Stage: Overall Survival (OS)
Time Frame: 6 months
For Cohort 10 (CRC): Overall Survival (OS) rate
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Exelixis

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

December 14, 2021

Primary Completion (Estimated)

February 1, 2026

Study Completion (Estimated)

May 1, 2026

Study Registration Dates

First Submitted

December 15, 2021

First Submitted That Met QC Criteria

December 15, 2021

First Posted (Actual)

January 4, 2022

Study Record Updates

Last Update Posted (Actual)

April 2, 2024

Last Update Submitted That Met QC Criteria

April 1, 2024

Last Verified

April 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • XL092-002

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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