Evidence map›Paper›PMID 40008409›Full record

ArticleFuture oncology (London, England)2025

STELLAR-304: a phase III study of zanzalintinib (XL092) plus nivolumab in advanced non-clear cell renal cell carcinoma.

Sumanta K Pal, Thomas Powles, Ravindran Kanesvaran, Javier Molina-Cerrillo, Darren R Feldman, Pedro Barata, Mohan Liu, Aarohi Bhatt, Zhong Wang, Prachi Nandoskar and 1 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Cancers · 2026
    Review
  5. Renal Cell Carcinoma of Variant Histology: New Biologic Understanding Leads to Therapeutic Advances.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sumanta K PalDepartment of Medical Oncology and Experimental Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA, USA.ORCID 0000-0002-1712-0848
Thomas PowlesDepartment of Genitourinary Oncology, Barts Health NHS Trust Saint Bartholomew's Hospital, London, UK.
Ravindran KanesvaranDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.ORCID 0000-0002-2351-881X
Javier Molina-CerrilloMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.ORCID 0000-0003-4616-0598
Darren R FeldmanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-2424-4635
Pedro BarataDepartment of Medicine, University Hospitals Seidman Cancer Center, Cleveland, OH, USA.ORCID 0000-0002-8890-2951
Mohan LiuClinical Collaborations, Bristol Myers Squibb, New York, NY, USA.ORCID 0000-0003-0653-7397
Aarohi BhattClinical Development, Exelixis, Inc., Alameda, CA, USA.
Zhong WangBiometrics, Exelixis, Inc., Alameda, CA, USA.
Prachi NandoskarClinical Development, Exelixis, Inc., Alameda, CA, USA.
Cristina SuarezVall d´Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebrón, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-0502-5528

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Management of advanced non-clear cell renal cell carcinoma (nccRCC) is challenging due to disease rarity and heterogeneity. The combination of multi-targeted tyrosine kinase inhibitor (TKI) with immune checkpoint inhibitor (ICI) has emerged as an effective treatment strategy, but well-designed, phase III randomized clinical trials are needed to demonstrate superiority over current treatment options. Zanzalintinib is a novel, multi-targeted TKI that has demonstrated promising preclinical anti-tumor activity in combination with ICIs. STELLAR-304 is a phase III trial evaluating first-line zanzalintinib plus nivolumab versus sunitinib in advanced nccRCC. Primary endpoints are progression-free survival and objective response rate. Secondary endpoint is overall survival. To our knowledge, STELLAR-304 is the first phase III study assessing a TKI-ICI combination in nccRCC patients across multiple subtypes.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Renal CellKidney NeoplasmsAgedClinical Trials, Phase III as TopicEquivalence Trials as TopicFemaleHumansMaleMiddle AgedNivolumabProgression-Free SurvivalProtein Kinase InhibitorsNivolumabProtein Kinase Inhibitorsimmune checkpoint inhibitornivolumabnon-clear cell renal cell carcinomaphase IIIsunitinibtyrosine kinase inhibitorXL092Zanzalintinib

Identifiers

PMID40008409
PMCPMC11916370

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.