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Cabozantinib

Phase 3

Hepatocellular Carcinoma | Small molecule | Oncology |Exelixis, Inc.|Last Updated: Dec 11, 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
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,544
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03755791Study of Cabozantinib in Combination With Atezolizumab Versus Sorafenib in Participants With Advanced Hepatocellular Carcinoma (HCC) Who Have Not Received Previous Systemic Anticancer TherapyPHASE3 ACTIVE NOT_RECRUITING 837Jun 10, 2018Jul 31, 2026Dec 11, 2025245 United States, Argentina +32
NCT01908426Study of Cabozantinib (XL184) vs Placebo in Subjects With Hepatocellular Carcinoma Who Have Received Prior SorafenibPHASE3 COMPLETED 707Sep 26, 2013Jan 12, 2021May 6, 2021104 United States, Australia +17
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Study Endpoints
Primary Endpoints
Progression Free Survival (PFS) for the Experimental Arm Versus the Control Arm in the PFS Intent to Treat (PITT) Population
From the date of first participant randomization up to 28 months

PFS was defined as the time from randomization to the earlier of either the date of radiographic progression defined as a 20% increase in the sum of the longest diameters of target lesions, or the unequivocal appearance of new lesions, or progression of non-target disease per Blinded Independent Radiology Committee (BIRC) or the date of death due to any cause per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

Overall Survival (OS) for the Experimental Arm Versus the Control Arm in the ITT Population
From the date of first participant randomization up to 36 months

OS was defined as the time from randomization to death due to any cause.

Overall Survival (OS)
Up to 45 months

The primary analysis of OS is defined as the time from randomization to death from any cause. The analysis was based on a second planned interim analysis prespecified to be performed at approximately the 75% information fraction (ie, at approximately 466 deaths). The data cutoff date for this event-driven analysis in the Intent to Treat (ITT) population was 01 June 2017. Median OS was calculated using the Kaplan-Meier estimates.

Secondary Endpoints
PFS for the Single-Agent Cabozantinib Arm Versus the Control Arm in the ITT Population
From the date of first participant randomization up to 28 months
Progression-Free Survival (PFS)
Up to 45 months
Objective Response Rate (ORR)
ORR is measured by radiologic assessment every 8 weeks after randomization until disease progression or discontinuation of study treatment (up to 45 months)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Experimental armEXPERIMENTALParticipants with advanced HCC will receive cabozantinib 40 milligrams (mg) oral, once daily (qd) + atezolizumab 1200 mg infusion, once every 3 weeks (q3w)
Control armACTIVE_COMPARATORParticipants with advanced HCC will receive sorafenib 400 mg twice a day (bid)
Single-Agent Cabozantinib armOTHERParticipants with advanced HCC will receive cabozantinib 60 mg qd
Cabozantinib (XL184)EXPERIMENTALCabozantinib (XL184) 60 mg tablet once daily
PlaceboPLACEBO_COMPARATOROral cabozantinib-matched placebo tablet once daily
Interventions
NameTypeDescription
CabozantinibDRUGSupplied as 20-mg tablets; administered orally daily at 40 mg
SorafenibDRUGSupplied as 200-mg tablets; administered orally twice daily at 400 mg
AtezolizumabDRUGSupplied as 1200 mg/20 mL (60 mg/mL) in sing-dose vials; administered as an intravenous (IV) infusion q3w
Cabozantinib tabletsDRUG -
Placebo tabletsDRUG -
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites245

Key Inclusion Criteria: * Histological or cytological diagnosis of HCC or clinical diagnosis of HCC in cirrhotic patients by Computed Tomography (CT) or Computed Tomography (MRI) per the American Association for the Study of Liver Diseases (AASLD) 2018 or European Association for the Study of the L...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChinaColombiaCzechiaFranceGeorgiaGermanyHong KongHungaryIrelandIsraelItalyMexicoNetherlandsNew ZealandPhilippinesPolandRomaniaRussiaSingaporeSouth KoreaSpainSwitzerlandTaiwanThailandTurkey (Türkiye)UkraineUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT03755791primaryCompletionDate: changed
LOWMay 24, 2026NCT03755791studyFirstPostDate: changed