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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 303 (estimated) |
| Sponsor | Exelixis Industry-sponsored |
| Drugs / interventions | monalizumab, radiation, zanzalintinib |
| Locations | 11 sites (San Francisco, California and 10 other locations) |
| Status | Recruiting |
| Started | May 1, 2025 |
| Main results expected | May 31, 2027 |
| Study ends | November 30, 2027 |
| Registry record updated | June 24, 2026 |
| Trial ID | NCT06952010 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
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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
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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
- Study coordinator: Exelixis Clinical Trials
- Email: druginfo@exelixis.com
- Phone: 1-888-EXELIXIS (888-393-5494)
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.