Clinical Trials

XL092 is currently being evaluated in multiple clinical trials spanning Phase 1 through Phase 3 to investigate its safety, pharmacokinetics, and therapeutic efficacy across diverse malignancies, including renal cell carcinoma, radioiodine-refractory thyroid carcinoma, metastatic castration-resistant prostate cancer, colorectal cancer, and advanced solid tumors. Sponsored by Exelixis, academic institutions, and clinical investigators, these single-agent and combination studies range in recruitment status from recruiting and active not recruiting to terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06959641 RECRUITING
Locally Advanced Differentiated Thyroid Gland Carcinoma; Locally Advanced Poorly Differentiated Thyroid Gland Carcinoma; Locally Advanced Thyroid Gland Follicular Carcinoma; Locally Advanced Thyroid Gland Oncocytic Carcinoma; Locally Advanced Thyroid Gland Papillary Carcinoma; Metastatic Differentiated Thyroid Gland Carcinoma; Metastatic Poorly Differentiated Thyroid Gland Carcinoma; Metastatic Thyroid Gland Follicular Carcinoma; Metastatic Thyroid Gland Oncocytic Carcinoma; Metastatic Thyroid Gland Papillary Carcinoma; Refractory Differentiated Thyroid Gland Carcinoma; Refractory Poorly Differentiated Thyroid Gland Carcinoma; Refractory Thyroid Gland Follicular Carcinoma; Refractory Thyroid Gland Oncocytic Carcinoma; Refractory Thyroid Gland Papillary Carcinoma; Stage III Differentiated Thyroid Gland Carcinoma AJCC v8; Stage III Thyroid Gland Follicular Carcinoma AJCC v8; Stage III Thyroid Gland Papillary Carcinoma AJCC v8; Stage IV Differentiated Thyroid Gland Carcinoma AJCC v8; Stage IV Thyroid Gland Follicular Carcinoma AJCC v8; Stage IV Thyroid Gland Papillary Carcinoma AJCC v8
Jochen Lorch
2025-06-06 PHASE2
NCT06082167 ACTIVE_NOT_RECRUITING
Head and Neck Squamous Cell Carcinoma
Exelixis
2024-06-07 PHASE2; PHASE3
NCT07773454 NOT_YET_RECRUITING
Cancer; Pediatric Cancer
Exelixis
2026-09-30 PHASE1
NCT06571734 RECRUITING
Metastatic Leiomyosarcoma; Unresectable Leiomyosarcoma; Bone Sarcoma; Translocation-associated Soft Tissue Sarcoma; Synovial Sarcomas; Osteosarcoma Metastatic; Ewing Sarcoma; Ewing Sarcoma Metastatic; Sarcoma Metastatic; Sarcoma of Bone
Northwestern University
2024-09-19 PHASE2
NCT07578025 NOT_YET_RECRUITING
Metastatic Clear Cell Renal Cell Carcinoma; Stage IV Renal Cell Cancer AJCC v8
City of Hope Medical Center
2026-11-28 PHASE2
NCT06794229 RECRUITING
Locally Advanced Renal Cell Carcinoma
Qian Qin
2025-10-30 PHASE2
NCT07484139 NOT_YET_RECRUITING
Oral Cavity Squamous Cell Carcinoma; Head and Neck Cancer
UNC Lineberger Comprehensive Cancer Center
2026-09 PHASE2
NCT06902376 RECRUITING
Anaplastic Thyroid Cancer; Thyroid Cancer; BRAF Mutation-Related Tumors
UNC Lineberger Comprehensive Cancer Center
2025-06-03 PHASE1
NCT06863311 RECRUITING
Advanced Renal Cell Carcinoma; Metastatic Renal Cell Carcinoma; Clear Cell Renal Cell Carcinoma
Karie Runcie
2026-03-13 PHASE2
NCT05176483 RECRUITING
Renal Cell Carcinoma (RCC); Metastatic Castration-Resistant Prostate Cancer (mCRPC); Urothelial Carcinoma (UC); Solid Tumor; Hepatocellular Carcinoma (HCC); Non-small Cell Lung Cancer (NSCLC); Colorectal Cancer (CRC); Head and Neck Squamous Cell Carcinoma (HNSCC); Clear Cell Renal Cell Carcinoma (ccRCC); Non-Clear Cell Renal Cell Carcinoma (nccRCC); Drug-Drug Interaction (DDI)
Exelixis
2021-12-14 PHASE1
NCT06698250 RECRUITING
Hepatocellular Carcinoma
Anwaar Saeed
2024-12-18 PHASE2
NCT05678673 ACTIVE_NOT_RECRUITING
Non-Clear Cell Renal Cell Carcinoma
Exelixis
2023-01-01 PHASE3
NCT06568562 RECRUITING
Metastatic Castration-resistant Prostate Cancer
University of Utah
2024-12-09 PHASE2
NCT03845166 ACTIVE_NOT_RECRUITING
Neoplasm Malignant; Renal Cell Carcinoma; Hormone Receptor Positive Breast Carcinoma; Metastatic Castration-resistant Prostate Cancer; Colorectal Cancer
Exelixis
2019-03-20 PHASE1
NCT05425940 ACTIVE_NOT_RECRUITING
Colorectal Cancer
Exelixis
2022-09-07 PHASE3
NCT03337698 TERMINATED
Carcinoma, Non-Small-Cell Lung
Hoffmann-La Roche
2017-12-27 PHASE1; PHASE2
NCT06191796 TERMINATED
Advanced Clear Cell Renal Cell Carcinoma or Other Advanced Solid Tumors
Exelixis
2024-01-25 PHASE1
NCT03845166 Active not recruiting
Neoplasm Malignant|Renal Cell Carcinoma|Hormone Receptor Positive Breast Carcinoma|Metastatic Castration-resistant Prostate Cancer|Colorectal Cancer
Exelixis
2019-03-20 Phase 1

(data from https://clinicaltrials.gov, updated on 2026-06-26)

Check the XL092 product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

XL092 acts as a potent, ATP-competitive inhibitor targeting multiple receptor tyrosine kinases—specifically MET, VEGFR2, AXL, and MER—thereby disrupting downstream intracellular signaling cascades required for vascularization and cellular survival. This inhibition suppresses tumor angiogenesis and cell proliferation, providing a therapeutic rationale for its clinical evaluation in advanced solid tumors, including renal cell carcinoma and thyroid carcinoma.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.