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OncoMatch/Clinical Trials/NCT06795009

Zanzalintinib in Combination With Paclitaxel in Recurrent High Grade Uterine Cancer

Is NCT06795009 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Zanzalintinib and Paclitaxel for uterine cancer.

Phase 1RecruitingWashington University School of MedicineNCT06795009Data as of May 2026

Treatment: Zanzalintinib · PaclitaxelThe purpose of this study is to determine the recommended Phase 2 dose of zanzalintinib when given in combination with paclitaxel in patients with recurrent high-grade uterine cancer. Other objectives include overall safety and tolerability as well as rates of response.

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Extracted eligibility criteria

Cancer type

Endometrial Cancer

Biomarker criteria

Allowed: MMR deficient mismatch repair

Patients with dMMR or MSI-H tumors or targetable HER2 alterations are required to have received prior therapy with appropriate targeted agents

Allowed: MSH2 microsatellite instability-high

Patients with dMMR or MSI-H tumors or targetable HER2 alterations are required to have received prior therapy with appropriate targeted agents

Allowed: HER2 (ERBB2) targetable alteration

Patients with dMMR or MSI-H tumors or targetable HER2 alterations are required to have received prior therapy with appropriate targeted agents

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Max 2 prior lines
Min 1 prior line

Must have received: platinum-based chemotherapy

Patients must have experienced either prior progression on a platinum-based therapy or intolerance to platinum

Must have received: targeted therapy

Patients with dMMR or MSI-H tumors or targetable HER2 alterations are required to have received prior therapy with appropriate targeted agents

Cannot have received: zanzalintinib (zanzalintinib)

Any prior treatment with zanzalintinib

Cannot have received: tyrosine kinase inhibitor

any prior treatment with any tyrosine kinase inhibitor (TKI)

Cannot have received: bevacizumab (bevacizumab)

any prior treatment with bevacizumab

Cannot have received: small molecule kinase inhibitor

Receipt of any type of small molecule kinase inhibitor (including investigational kinase inhibitor) within 2 weeks before first dose of study treatment

Cannot have received: cytotoxic chemotherapy

Receipt of any other (non-study) cytotoxic chemotherapy, radiation, targeted treatment, or immunotherapy (including investigational) within 4 weeks prior of start of study treatment

Cannot have received: radiation therapy

Receipt of any other (non-study) cytotoxic chemotherapy, radiation, targeted treatment, or immunotherapy (including investigational) within 4 weeks prior of start of study treatment

Cannot have received: targeted therapy

Receipt of any other (non-study) cytotoxic chemotherapy, radiation, targeted treatment, or immunotherapy (including investigational) within 4 weeks prior of start of study treatment

Cannot have received: immunotherapy

Receipt of any other (non-study) cytotoxic chemotherapy, radiation, targeted treatment, or immunotherapy (including investigational) within 4 weeks prior of start of study treatment

Cannot have received: investigational agent

Receipt of any other investigational agents or has received an investigational agent within 4 weeks of start of study treatment

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1.5 K/cumm without G-CSF support within 2 weeks of screening. Platelets ≥ 100 K/cumm without transfusion within 2 weeks. Hemoglobin ≥ 9.0 g/dL without transfusion within 2 weeks.

Kidney function

Serum creatinine < 1.5 x ULN OR calculated or measured creatinine clearance ≥ 40 mL/min (using Cockcroft-Gault equation)

Liver function

Total bilirubin ≤ 1.5 x IULN (for subjects with Gilbert's disease ≤ 3 x ULN). ALT, AST, and ALP ≤ 3 x ULN. For subjects with documented bone metastasis ALP ≤ 5 x ULN.

Cardiac function

INR ≤ 1.5 x IULN, aPTT ≤ 1.2 x IULN, QTcF ≤ 480 ms within 14 days per ECG (average of 3 consecutive results)

Adequate bone marrow and organ function within 14 days prior to first dose of study treatment, as defined below: Absolute neutrophil count ≥ 1.5 K/cumm...QTcF ≤ 480 ms within 14 days per ECG

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • University of California, San Francisco · San Francisco, California
  • Washington University School of Medicine · St Louis, Missouri
  • University of New Mexico · Albuquerque, New Mexico
  • University of Oklahoma · Oklahoma City, Oklahoma

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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