A Study of Zanzalintinib in Participants With Recurrent or Progressive Meningioma
Purpose
The objective of the study is to evaluate efficacy and safety of zanzalintinib in participants with recurrent or progressive meningioma refractory to standard therapies.
Condition
- Meningioma
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Histologically confirmed World Health Organization (WHO) grade 1, 2, or 3 meningioma. - Developed recurrent disease or progressive disease (PD) after receiving standard therapy (for example, surgery and/or radiation) or have been deemed ineligible to receive these therapies. At least 1 prior course of meningioma-directed radiotherapy is required, if not contraindicated. - Radiologically documented progression of any existing tumor (growth > 15% of the bidimensional enhancing tumor within the prior 6 months or appearance of new lesions (including intra and extracranial manifestations). - For participants treated with external beam radiation, interstitial brachytherapy, or radiosurgery, an interval ≥ 24 weeks must have elapsed from completion of therapy to initiation of treatment. - Measurable disease by RANO meningioma criteria as determined by the investigator, obtained ≤ 14 days prior to initiation of treatment. - Karnofsky performance status (KPS) ≥ 60%. - Demonstrate adequate organ and marrow function within 14 days of treatment initiation
Exclusion Criteria
- Prior history of hypertensive encephalopathy at any time. - Extracranial lesions invading major blood vessels including, but not limited to, inferior vena cava, pulmonary artery, or aorta. - Contraindication to magnetic resonance imaging (MRI). - Local therapy (surgery and/or radiation therapy) is indicated per investigator - Receipt of any type of cytotoxic, biologic or other systemic anticancer therapy (including investigational) within 4 weeks or 5 half-lives, whichever is shorter, before initiation of treatment. There is no limit on prior systemic therapies - Prior Surgery - completed wound healing must occur prior to initiation of treatment; ≥ 8 weeks for major surgery, ≥ 7 days for minor surgery, including stereotactic biopsies. - The participant has uncontrolled, significant intercurrent or recent illness including, but not limited to, the following conditions: - Cardiovascular disorders, including uncontrolled hypertension, - Gastrointestinal (GI) disorders including those associated with a high risk of perforation or fistula formation, - Clinically significant hematuria, hematemesis, or hemoptysis of > 0.5 teaspoon (2.5 milliliters [mL]) of red blood within 12 weeks before initiation of treatment or other history of significant bleeding (eg, intracranial hemorrhage/bleeding), or - Other clinically significant disorders. - Requirement for hemodialysis or peritoneal dialysis. - History of solid organ or allogeneic stem cell transplant. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Design
- Phase
- Phase 2
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Zanzalintinib |
Participants will receive zanzalintinib once daily (QD). |
|
Recruiting Locations
University of Alabama
Birmingham, Alabama 35294
Birmingham, Alabama 35294
Mayo Clinic_Arizona
Phoenix, Arizona 85054
Phoenix, Arizona 85054
Mayo Clinic_Jacksonville
Jacksonville, Florida 32224
Jacksonville, Florida 32224
Baptist Health Miami Cancer Institute
Miami, Florida 33176
Miami, Florida 33176
Washington University School of Medicine
Bay Saint Louis, Mississippi 63110
Bay Saint Louis, Mississippi 63110
Memorial Sloan-Kettering Cancer Center
New York, New York 10065
New York, New York 10065
Mayo Clinic_Rochester
Rochester, New York 55905
Rochester, New York 55905
Duke University
Durham, North Carolina 27710
Durham, North Carolina 27710
UT MD Anderson Cancer Center
Houston, Texas 77030
Houston, Texas 77030
UT Health San Antonio Mays Cancer Center
San Antonio, Texas 78229
San Antonio, Texas 78229
Inova Center for Personalized Health
Fairfax, Virginia 22031
Fairfax, Virginia 22031
UW Carbone Cancer Center
Madison, Wisconsin 53792
Madison, Wisconsin 53792
More Details
- Status
- Recruiting
- Sponsor
- Exelixis