Actively Recruiting

Phase 2
Phase 3
Age: 18Years +
All Genders
NCT06943755

Zanzalintinib Versus Everolimus in Participants With Locally Advanced or Metastatic Neuroendocrine Tumors

Led by Exelixis · Updated on 2026-04-17

440

Participants Needed

80

Research Sites

201 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The primary purpose of this study is to assess the effectiveness of zanzalintinib compared to everolimus in participants with previously treated, unresectable, locally advanced or metastatic neuroendocrine tumors.

CONDITIONS

Official Title

Zanzalintinib Versus Everolimus in Participants With Locally Advanced or Metastatic Neuroendocrine Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically confirmed, locally advanced/unresectable or metastatic, well-differentiated Grade 1, 2, or 3 neuroendocrine tumors of pancreatic or extra-pancreatic origin.
  • Allowed prior lines of therapy based on tumor site and functional status.
  • Radiographic disease progression per RECIST 1.1 within 12 months before randomization.
  • Measurable disease according to RECIST 1.1.
  • Archival tumor tissue available, or fresh biopsy if safely obtainable.
Not Eligible

You will not qualify if you...

  • Histologically confirmed neuroendocrine carcinomas including small cell lung cancer, medullary thyroid cancer, pheochromocytoma, paraganglioma, Merkel cell carcinoma, and mixed neuroendocrine non-neuroendocrine neoplasm.
  • Prior treatment with VEGFR-targeting tyrosine kinase inhibitor or mTOR inhibitor.
  • Systemic chemotherapy or liver-directed/ablative therapy within 4 weeks before randomization.
  • Systemic radionuclide therapy within 6 weeks before randomization.
  • Radiation therapy for bone metastases within 2 weeks or other radiation therapy within 4 weeks before randomization.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 80 locations

1

Exelixis Clinical Site #43

Birmingham, Alabama, United States, 35294

Actively Recruiting

2

Exelixis Clinical Site #36

Phoenix, Arizona, United States, 85054

Actively Recruiting

3

Exelixis Clinical Site #42

Tucson, Arizona, United States, 85724

Actively Recruiting

4

Exelixis Clinical Site #18

Beverly Hills, California, United States, 90211

Actively Recruiting

5

Exelixis Clinical Site #16

Los Angeles, California, United States, 90033

Actively Recruiting

6

Exelixis Clinical Site #54

Palo Alto, California, United States, 94305

Actively Recruiting

7

Exelixis Clinical Site #12

Santa Monica, California, United States, 90404

Actively Recruiting

8

Exelixis Clinical Site #29

Vallejo, California, United States, 94589

Actively Recruiting

9

Exelixis Clinical Site #19

Washington D.C., District of Columbia, United States, 20007

Actively Recruiting

10

Exelixis Clinical Site #35

Jacksonville, Florida, United States, 32224

Actively Recruiting

11

Exelixis Clinical Site #11

Tampa, Florida, United States, 33612

Actively Recruiting

12

Exelixis Clinical Site #9

Lexington, Kentucky, United States, 40536

Actively Recruiting

13

Exelixis Clinical Site #23

Metairie, Louisiana, United States, 70006

Actively Recruiting

14

Exelixis Clinical Site #8

Boston, Massachusetts, United States, 02215

Actively Recruiting

15

Exelixis Clinical Site #47

Detroit, Michigan, United States, 48202

Actively Recruiting

16

Exelixis Clinical Site #1

Grand Rapids, Michigan, United States, 49546

Actively Recruiting

17

Exelixis Clinical Site #38

Rochester, Minnesota, United States, 55905

Actively Recruiting

18

Exelixis Clinical Site #5

St Louis, Missouri, United States, 63110

Actively Recruiting

19

Exelixis Clinical Site #25

Omaha, Nebraska, United States, 68198

Actively Recruiting

20

Exelixis Clinical Site #14

Albuquerque, New Mexico, United States, 87131

Actively Recruiting

21

Exelixis Clinical Site #59

Buffalo, New York, United States, 14263

Actively Recruiting

22

Exelixis Clinical Site #7

New York, New York, United States, 10029

Actively Recruiting

23

Exelixis Clinical Site #53

Rochester, New York, United States, 14642

Actively Recruiting

24

Exelixis Clinical Site #17

Chapel Hill, North Carolina, United States, 27599

Actively Recruiting

25

Exelixis Clinical Site #6

Durham, North Carolina, United States, 27710

Actively Recruiting

26

Exelixis Clinical Site #57

Fargo, North Dakota, United States, 58102

Actively Recruiting

27

Exelixis Clinical Site #39

Cleveland, Ohio, United States, 44106

Actively Recruiting

28

Exelixis Clinical Site #28

Columbus, Ohio, United States, 43221

Actively Recruiting

29

Exelixis Clinical Site #27

Portland, Oregon, United States, 97210

Actively Recruiting

30

Exelixis Clinical Site #20

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

31

Exelixis Clinical Site #21

Pittsburgh, Pennsylvania, United States, 15232

Actively Recruiting

32

Exelixis Clinical Site #24

Knoxville, Tennessee, United States, 37920

Actively Recruiting

33

Exelixis Clinical Site #65

Nashville, Tennessee, United States, 37232

Actively Recruiting

34

Exelixis Clinical Site #10

Dallas, Texas, United States, 75264

Actively Recruiting

35

Exelixis Clinical Site #15

Salt Lake City, Utah, United States, 84112

Actively Recruiting

36

Exelixis Clinical Site #3

Charlottesville, Virginia, United States, 22903

Actively Recruiting

37

Exelixis Clinical Site #13

Fairfax, Virginia, United States, 22031

Actively Recruiting

38

Exelixis Clinical Site #34

Seattle, Washington, United States, 98109

Actively Recruiting

39

Exelixis Clinical Site #31

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

40

Exelixis Clinical Site #40

Saint Leonards, New South Wales, Australia, 2065

Actively Recruiting

41

Exelixis Clinical Site #67

Woodville South, South Australia, Australia, 5011

Actively Recruiting

42

Exelixis Clinical Site #51

Clayton, Victoria, Australia, 3168

Actively Recruiting

43

Exelixis Clinical Site #68

Clayton, Victoria, Australia, 3168

Actively Recruiting

44

Exelixis Clinical Site #55

Herston, Australia, 4029

Actively Recruiting

45

Exelixis Clinical Site #48

Graz, Austria, 8036

Actively Recruiting

46

Exelixis Clinical Site #61

Ottawa, Canada, K1H8L6

Actively Recruiting

47

Exelixis Clinical Site #49

Toronto, Canada, M4N3M5

Actively Recruiting

48

Exelixis Clinical Site #63

Hong Kong, China

Actively Recruiting

49

Exelixis Clinical Site 58

Berlin, Germany, 13125

Actively Recruiting

50

Exelixis Clinical Site #52

Tübingen, Germany, 72076

Actively Recruiting

51

Exelixis Clinical Site #75

Würzburg, Germany, 97080

Actively Recruiting

52

Exelixis Clinical Site #77

China, Hong Kong

Actively Recruiting

53

Exelixis Clinical Site #78

Naples, Naples, Italy, 80131

Actively Recruiting

54

Exelixis Clinical Site #70

Roma, Italy, 00185

Actively Recruiting

55

Exelixis Clinical Site #69

Warsaw, Masovian Voivodeship, Poland, 02-034

Actively Recruiting

56

Exelixis Clinical Site #45

Katowice, Poland, 40-514

Actively Recruiting

57

Exelixis Clinical Site #37

Warsaw, Poland, 53-673

Actively Recruiting

58

Exelixis Clinical Site #72

Gliwice, Ślaskie, Poland, 44-102

Actively Recruiting

59

Exelixis Clinical Site #2

San Juan, Puerto Rico, 00909

Actively Recruiting

60

Exelixis Clinical Site # 4

San Juan, Puerto Rico, 00927

Withdrawn

61

Exelixis Clinical Site #30

Seoul, South Korea, 02841

Actively Recruiting

62

Exelixis Clinical Site #46

Seoul, South Korea, 03080

Actively Recruiting

63

Exelixis Clinical Site #32

Seoul, South Korea, 03722

Actively Recruiting

64

Exelixis Clinical Site #41

Seoul, South Korea, 05505

Actively Recruiting

65

Exelixis Clinical Site #26

Seoul, South Korea, 06351

Actively Recruiting

66

Exelixis Clinical Site #74

Santiago de Compostela, A Coruña, Spain, 15706

Actively Recruiting

67

Exelixis Clinical Site #80

Oviedo, Principality of Asturias, Spain, 33011

Actively Recruiting

68

Exelixis Clinical Site #76

Barcelona, Spain, 08029

Actively Recruiting

69

Exelixis Clinical Site #56

Madrid, Spain, 28034

Actively Recruiting

70

Exelixis Clinical Site #73

Madrid, Spain, 28041

Actively Recruiting

71

Exelixis Clinical Site #44

Madrid, Spain, 28046

Actively Recruiting

72

Exelixis Clinical Site #66

Murcia, Spain, 30008

Actively Recruiting

73

Exelixis Clinical Site #60

Santander, Spain, 39008

Actively Recruiting

74

Exelixis Clinical Site #62

Seville, Spain, 41013

Actively Recruiting

75

Exelixis Clinical Site #64

Valencia, Spain, 46026

Actively Recruiting

76

Exelixis Clinical Site #79

Zaragoza, Spain, 50009

Actively Recruiting

77

Exelixis Clinical Site #22

London, England, United Kingdom, SE5 9RS

Actively Recruiting

78

Exelixis Clinical Site #71

Oxford, England, United Kingdom, OX3 7LE

Actively Recruiting

79

Exelixis Clinical Site #50

Liverpool, United Kingdom, L7 8YA

Actively Recruiting

80

Exelixis Clinical Site #33

Sheffield, United Kingdom, S10 2SJ

Actively Recruiting

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Research Team

E

Exelixis Clinical Trials

CONTACT

B

Backup or International

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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