39 patients enrolled in a study (phase Ib, n=6; phase II, n=33) from Dec 2021 to Aug 2023. Two dose-limiting toxicities observed in the dose-escalation phase, both recovered after treatment. Recommended phase 2 dose of surufatinib set at 200 mg, qd, po. Efficacy analysis showed ORR of 97.1% and DCR of 100%. mPFS was 6.9 months, mOS was 21.1 months. Biomarker analysis revealed no significant influence of Ki-67, NSE, or ProGRP on tumor shrinkage, PFS, or OS. Safety analysis showed all patients experienced TEAEs, with 63.2% experiencing grade ≥3 TEAEs.