XL092 for Radioiodine Refractory Differentiated Thyroid Cancer

This study is testing a medication called XL092 for people with differentiated thyroid cancer that has not responded to previous radioiodine treatment and has spread locally or to other parts of the body (metastatic). XL092 is a type of drug called a tyrosine kinase inhibitor, which works by blocking signals that help cancer cells grow. The study aims to see how well XL092 prevents the cancer from getting worse (progression-free survival) and how safe it is. To join, you must have this specific type of thyroid cancer that has progressed within the last 12 months. The study is currently recruiting a planned 33 participants, but its overall status is unclear.

Study design
This is an interventional study with a planned enrollment of 33 participants. It is a Phase II trial, meaning it's testing how well the treatment works and its safety.
What's involved
You would take XL092 by mouth daily for 21 days in each 21-day cycle. You would also have CT scans, MRI scans, X-rays, and provide blood and urine samples throughout the study.
Compensation
Not stated in the trial record.
Follow-up
Your progression-free survival will be assessed for up to 12 months from the first dose of XL092.

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

NCT06959641

XL092 for the Treatment of Locally Advanced or Metastatic Radioiodine Refractory Differentiated Thyroid Cancer

Recruiting
PHASE2Ages 18+InterventionalTreatment
Jochen Lorch
~33 participants
Updated 2026-06-26 on ClinicalTrials.gov
What's tested:Biospecimen CollectionComputed TomographyMagnetic Resonance ImagingSurvey AdministrationX-Ray ImagingZanzalintinib

At a glance

Recruiting sites
2 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Progression free survival (PFS)
Measured over From the time of the first dose of XL092 to the first documentation of disease progression, initiation of subsequent anti-cancer therapy, completion of 12 months of participation, or death from any cause, whichever occurs first, assessed at 12 months
Locally Advanced Differentiated Thyroid Gland Carcinoma
Locally Advanced Poorly Differentiated Thyroid Gland Carcinoma
Locally Advanced Thyroid Gland Follicular Carcinoma
Locally Advanced Thyroid Gland Oncocytic Carcinoma
Locally Advanced Thyroid Gland Papillary Carcinoma
Metastatic Differentiated Thyroid Gland Carcinoma
Metastatic Poorly Differentiated Thyroid Gland Carcinoma
Metastatic Thyroid Gland Follicular Carcinoma
Metastatic Thyroid Gland Oncocytic Carcinoma
Metastatic Thyroid Gland Papillary Carcinoma
Refractory Differentiated Thyroid Gland Carcinoma
Refractory Poorly Differentiated Thyroid Gland Carcinoma
Refractory Thyroid Gland Follicular Carcinoma
Refractory Thyroid Gland Oncocytic Carcinoma
Refractory Thyroid Gland Papillary Carcinoma
Stage III Differentiated Thyroid Gland Carcinoma AJCC v8
Stage III Thyroid Gland Follicular Carcinoma AJCC v8
Stage III Thyroid Gland Papillary Carcinoma AJCC v8
Stage IV Differentiated Thyroid Gland Carcinoma AJCC v8
Stage IV Thyroid Gland Follicular Carcinoma AJCC v8
Stage IV Thyroid Gland Papillary Carcinoma AJCC v8
2 sites across 2 states
California1
Illinois1
  • Jochen H Lorch · PRINCIPAL_INVESTIGATOR · Northwestern University

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  • Progression free survival (PFS)From the time of the first dose of XL092 to the first documentation of disease progression, initiation of subsequent anti-cancer therapy, completion of 12 months of participation, or death from any cause, whichever occurs first, assessed at 12 months

    Progression is defined according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1 criteria. Median PFS at 12-months will be analyzed using the Kaplan-Meier method. The 12-month PFS estimate will be reported along with the confidence interval. Cox proportional hazards models will be applied to assess the impact of covariates such as age, sex, baseline disease severity, and genetic markers on PFS, when appropriate.