OncoMatch/Clinical Trials/NCT06698250
Zanzalintinib (XL-092) Plus Durvalumab and Tremelimumab in Unresectable Hepatocellular Carcinoma (ZENOBIA)
Is NCT06698250 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Zanzalintinib and Durvalumab for hepatocellular carcinoma.
Treatment: Zanzalintinib · Durvalumab · Tremelimumab — This study will investigate if modulating the tumor microenvironment with biologic agents like XL-092 will have synergistic effect when combined with checkpoint based immunotherapeutic treatment of patients with hepatocellular carcinoma (HCC).
Check if I qualifyExtracted eligibility criteria
Cancer type
Hepatocellular Carcinoma
Performance status
ECOG 0–1(Restricted strenuous activity)
Prior therapy
Cannot have received: XL092 (XL092)
Prior treatment with XL092
Cannot have received: PD-1 inhibitor
Prior treatment with PD-1/PD-L1 or CTLA-4 inhibitors
Cannot have received: PD-L1 inhibitor
Prior treatment with PD-1/PD-L1 or CTLA-4 inhibitors
Cannot have received: CTLA-4 inhibitor
Prior treatment with PD-1/PD-L1 or CTLA-4 inhibitors
Cannot have received: MET inhibitor (cabozantinib)
Receipt of any type of small molecule kinase inhibitor such as cabozantinib or other MET or Dual MET/HGF monoclonal antibodies or MET/HGF tyrosine kinase inhibitors (TKIs), or any other VEGFR TKIs (including investigational kinase inhibitor) within 2 weeks before first dose of study treatment.
Cannot have received: VEGFR inhibitor
any other VEGFR TKIs (including investigational kinase inhibitor) within 2 weeks before first dose of study treatment
Cannot have received: cytotoxic chemotherapy
Receipt of any type of cytotoxic, biologic or other systemic anticancer therapy (including investigational) within 4 weeks before first dose of study treatment.
Cannot have received: biologic therapy
Receipt of any type of cytotoxic, biologic or other systemic anticancer therapy (including investigational) within 4 weeks before first dose of study treatment.
Cannot have received: systemic anticancer therapy
Receipt of any type of cytotoxic, biologic or other systemic anticancer therapy (including investigational) within 4 weeks before first dose of study treatment.
Cannot have received: radiation therapy
Radiation therapy for bone metastasis within 2 weeks, any other radiation therapy within 4 weeks before first dose of study treatment. Systemic treatment with radionuclides within 6 weeks before first dose of study treatment.
Cannot have received: radionuclide therapy
Systemic treatment with radionuclides within 6 weeks before first dose of study treatment.
Cannot have received: local anticancer therapy (surgery, thermal ablation, radiofrequency ablation, microwave ablation, transarterial chemoembolization, transarterial radioembolization)
Subjects who have received any local anticancer therapy including surgery, regional ablative therapies including thermal ablation, radiofrequency ablation (RFA), Microwave Ablation (MWA) transarterial chemoembolization (TACE), or transarterial radioembolization (TARE) within 28 days prior to first dose of study treatment.
Lab requirements
Blood counts
Adequate organ and marrow function, based upon meeting all of the following laboratory criteria within 14 days before first dose of study treatment
Liver function
Moderate to severe hepatic impairment (Child-Pugh B or C) excluded; Child Pugh score > 7 excluded
Cardiac function
Congestive heart failure NYHA Class 3 or 4, unstable angina, serious cardiac arrhythmias, uncontrolled hypertension, recent stroke, MI, or other ischemic event within 12 months, prior myocarditis excluded
Adequate organ and marrow function, based upon meeting all of the following laboratory criteria within 14 days before first dose of study treatment. Moderate to severe hepatic impairment (Child-Pugh B or C) excluded; Child Pugh score > 7 excluded; see exclusion criteria for cardiac details.
Structured fields extracted by AI. May contain errors — verify against the official protocol.
US trial sites
- UPMC Hillman Cancer Center · Pittsburgh, Pennsylvania
- Houston Methodist Neal Cancer Center · Houston, Texas
- Mays Cancer Center, UT Health San Antonio · San Antonio, Texas
Showing up to 5 US sites. See all sites on ClinicalTrials.gov →
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