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XL092

Phase 3

Non-Clear Cell Renal Cell Carcinoma | Small molecule | Oncology |Exelixis, Inc.|Last Updated: Jul 14, 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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment317
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05678673Study of XL092 + Nivolumab vs Sunitinib in Subjects With Advanced or Metastatic Non-Clear Cell Renal Cell CarcinomaPHASE3 ACTIVE NOT_RECRUITING 317Jan 1, 2023Jun 1, 2028Jul 14, 2025163 United States, Argentina +23
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Study Endpoints
Primary Endpoints
Duration of Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1), by Blinded Independent Radiology Committee (BIRC)
Approximately 27 months after the first subject is randomized

Defined as the time from randomization to the earlier of either radiographic PD per RECIST 1.1 as determined by the BIRC or death from any cause

Objective response rate (ORR) as assessed by BIRC per RECIST 1.1
Up to 24 months after the first subject is randomized

Defined as the proportion of subjects with the best overall response of complete response (CR) or partial response (PR) per RECIST 1.1 as determined by the BIRC that is confirmed at a follow-up assessment ≥ 28 days later

Secondary Endpoints
Duration of Overall Survival (OS)
Approximately 46 months after the first subject is randomized
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
XL092 + NivolumabEXPERIMENTALSubjects with advanced or metastatic nccRCC will receive XL092 + nivolumab
Sunitinib MalateACTIVE_COMPARATORSubjects with advanced or metastatic nccRCC will receive an active comparator of sunitinib
Interventions
NameTypeDescription
XL092DRUGSpecified doses on specified days
NivolumabDRUGSpecified doses on specified days
Sunitinib MalateDRUGSpecified doses on specified days
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites163

Inclusion Criteria: * Histologically confirmed nccRCC that is unresectable, advanced or metastatic. Histologic subtypes including papillary, unclassified, and translocation-associated are allowed. Among the eligible histologic subtypes, sarcomatoid features are allowed. * Measurable disease accordi...

Countries:United StatesArgentinaAustraliaBrazilBulgariaChileCroatiaCzechiaFinlandFranceGermanyGreeceHong KongHungaryItalyMalaysiaNetherlandsPolandSingaporeSlovakiaSouth KoreaSpainThailandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05678673primaryCompletionDate: changed
LOWMay 24, 2026NCT05678673studyFirstPostDate: changed