Zanzalintinib, Durvalumab, and Tremelimumab for Unresectable Liver Cancer

This study is testing a new combination of medicines for people with liver cancer (hepatocellular carcinoma) that cannot be removed by surgery. The study will investigate if Zanzalintinib, a drug that targets certain proteins (tyrosine kinase inhibitor), works well when combined with Durvalumab and Tremelimumab, which are immunotherapies that help your body's immune system fight cancer. To join, you must have unresectable liver cancer and not have received prior systemic treatment for it. Researchers will measure how many people respond to the treatment (Objective Response Rate) and determine the best dose for future studies. The study aims to enroll 40 participants.

Study design
This is an interventional study with a planned enrollment of 40 participants. It includes a safety lead-in phase to determine the recommended dose.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Researchers will measure objective response for up to 24 months.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06698250

Zanzalintinib (XL-092) Plus Durvalumab and Tremelimumab in Unresectable Hepatocellular Carcinoma (ZENOBIA)

Recruiting
PHASE2Ages 18+InterventionalTreatment
Anwaar Saeed
~40 participants
Updated 2025-11-06 on ClinicalTrials.gov
What's tested:ZanzalintinibDurvalumabTremelimumab

At a glance

Recruiting sites
1 of 3 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Recommended phase 2 dose (RP2D) of XL-092 with Durvalumab plus Tremelimumab
Measured over Up to 12 months
+1 more outcome measured
Hepatocellular Carcinoma

NCT06698250

Where you'd take part

This study runs at 3 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Houston Methodist Neal Cancer Center

    Houston, Texasstudy coordinator listed

    Not yet recruiting

  • Mays Cancer Center, UT Health San Antonio

    San Antonio, Texasstudy coordinator listed

    Not yet recruiting

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvaniastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Anwaar M Saeed, MD · PRINCIPAL_INVESTIGATOR · UPMC Hillman Cancer Center

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  • Recommended phase 2 dose (RP2D) of XL-092 with Durvalumab plus TremelimumabUp to 12 months

    Recommended phase 2 dose (RP2D) of XL-092 with Durvalumab plus Tremelimumab will be determined per a Dose Limiting Toxicity period of 28 days during the Safety Lead-in period using CTCAE v5.0 criteria.

  • Objective Response Rate (ORR) (im RECIST)Up to 24 months

    Proportion of patients with Complete Response (CR) or Partial Response (PR), per immune modified RECIST v1.1. Per imRECIST: CR: -100% Change in Sum of Diameters from Baseline (non-target lesion). PR: ≤ -30% change in sum of diameters from baseline.