Clinical trial Recruiting at 11 sites Phase 1 Interventional Ages 18 and up

Testing XB628 for advanced or metastatic solid tumors

Official title: A Phase 1 Dose Escalation and Expansion Study of XB628 as a Single Agent and in Combination With Zanzalintinib in Participants With Advanced or Metastatic Solid Tumors

Run by Exelixis · NCT06952010 · Data updated 2026-11-12

This study is testing a new treatment called XB628 to see if it can help people with advanced or metastatic solid tumors by finding the right dose that is safe and effective.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment303 (estimated)
SponsorExelixis
Industry-sponsored
Drugs / interventionsmonalizumab, radiation, zanzalintinib
Locations11 sites (San Francisco, California and 10 other locations)
StatusRecruiting
StartedMay 1, 2025
Main results expectedMay 31, 2027
Study endsNovember 30, 2027
Registry record updatedJune 24, 2026
Trial IDNCT06952010 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with recurrent advanced or metastatic solid tumors who have received prior systemic anticancer therapy.

Probably not a fit

Patients with primary brain tumors or known active brain metastases may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This phase 1, first-in-human, open-label, dose-escalation study evaluates XB628, a bispecific antibody designed to engage natural killer (NK) cells by targeting NKG2A and PD-L1. The study aims to determine the maximum tolerated dose (MTD) and recommended dosage(s) for expansion of XB628 as a single agent in participants with recurrent advanced or metastatic solid tumors. Participants will receive escalating doses of XB628 to assess safety and efficacy.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with difficult-to-treat advanced or metastatic solid tumors.

How similar studies have gone: Other studies involving bispecific antibodies and NK cell engagement have shown promise, indicating potential for success in this novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
* Minimum life expectancy of ≥ 12 weeks.
* Have a recurrent advanced or metastatic solid tumor that is histologically or cytologically confirmed.
* Adequate organ and marrow function.
* Not amenable to curative treatment with surgery or radiation.
* Received at least 1 line of prior systemic anticancer therapy in the recurrent or metastatic setting.
* Acceptable alternative therapy was received, refused, intolerable, or no longer effective.
* Capable of understanding and complying with the protocol requirements and provide signed informed consent according to the protocol and local requirements.

Key Exclusion Criteria

* Primary brain tumors or known active brain metastases.
* Major surgery (eg, gastrointestinal surgery, removal or biopsy of brain metastasis) within 4 weeks before the first dose of study treatment.
* Received radiation therapy within 1 week before the first dose of study treatment or clinically relevant ongoing complications from prior radiation therapy.
* Received prior therapy targeting NK cells (eg, monalizumab).
* A woman of childbearing potential has a positive serum pregnancy test within 7 days prior to study treatment.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Where it's running

  • Exelixis Clinical Site #5
    San Francisco, California, United States
    Recruiting
  • Exelixis Clinical Site #4
    New Haven, Connecticut, United States
    Recruiting
  • Exelixis Clinical Site #8
    Tampa, Florida, United States
    Recruiting
  • Exelixis Clinical Site #10
    Boston, Massachusetts, United States
    Recruiting
  • Exelixis Clinical Site #11
    Boston, Massachusetts, United States
    Recruiting
  • Exelixis Clinical Site #6
    St Louis, Missouri, United States
    Recruiting
Show 5 more locations
  • Exelixis Clinical Site #7
    New York, New York, United States
    Recruiting
  • Exelixis Clinical Site #1
    Hickory, North Carolina, United States
    Recruiting
  • Exelixis Clinical Site #3
    Nashville, Tennessee, United States
    Recruiting
  • Exelixis Clinical Site #9
    Houston, Texas, United States
    Recruiting
  • Exelixis Clinical Site #2
    San Antonio, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.