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XZP-3621

Phase 1

ROS1 Rearrangement Non-small Cell Lung Cancer | Small molecule | Oncology |Co-Diagnostics, Inc.|Last Updated: Jul 24, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment114
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05055232A Phase I Study of XZP-3621 in Chinese Patients With ALK or ROS1 Rearrangement Non-small Cell Lung CancerPHASE1 COMPLETED 114Mar 12, 2019Aug 15, 2023Jul 24, 20251 China
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Study Endpoints
Primary Endpoints
Frequency of adverse events/serious adverse events
From screening stage to 30 days after study completion.

Characterization of the safety and tolerability of XZP-3621 as determined by changes in laboratory values and electrocardiograms

Incidence rate of dose limiting toxicities (DLTs) during the first cycle of treatment
4 weeks

Maximum Tolerated Dose(s) (MTD(s)) and/or recommended phase 2 dose (RP2D(s)) of XZP-3621 in ALK-positive non-small cell lung cancer (NSCLC) patients. Cycle = 4 weeks.

Maximum tolerated dose(MTD)
4 weeks

The MTD is determined by the number of the participants in cohort who suffer a dose-limiting toxicity (DLT). The MTD is defined as the former dose at which more than one third of the participants develop a DLT. If no DLTs are observed, the MTD is not reached.

Secondary Endpoints
Objective response rate(ORR)
8 weeks
Duration of response(DoR)
8 weeks
Progress free survival(PFS)
8 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
XZP-3621EXPERIMENTALThe first part is a dose-escalation design in patients with ALK/ROS1-positive solid tumor. The second part is an expansion in non-small cell lung Cancer (NSCLC) characterized by abnormalities in ALK expression.
Interventions
NameTypeDescription
XZP-3621DRUGtablets, dosage ranged from 50 mg to 600 mg, quaque die(QD)with the meal.
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Male or female subjects aged 18-75 years (including 18 and 75 years); 2. Stage IV NSCLC or Stage IIIB and IIIC NSCLC that cannot be treated with radical radiotherapy(IASLC); Dose escalation: ALK rearrangement or ROS1 rearrangement positive, the test specimen and method is not...

Countries:China
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