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Belzutifan

Phase 3

Renal Cell Carcinoma | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: Jun 4, 2026

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment1,149
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07227402A Clinical Study of Belzutifan and Zanzalintinib in People With Recurrent Kidney Cancer Following Adjuvant Therapy (MK-6482-033)PHASE3 RECRUITING 904Nov 26, 2025Feb 27, 2032Jun 4, 2026108 Argentina, Australia +18
NCT07049926Substudy 03C: A Study of Combination Therapies in Participants With Renal Cell Carcinoma With Recurrent Disease During or After Anti-PD-(L)1 Therapy (MK-3475-03C/KEYMAKER-U03)PHASE1 RECRUITING 140Jul 20, 2025Oct 26, 2031May 26, 202629 United States, Chile +6
NCT05468697A Study of Belzutifan (MK-6482) in Combination With Palbociclib Versus Belzutifan Monotherapy in Participants With Advanced Renal Cell Carcinoma (MK-6482-024/LITESPARK-024)PHASE1 ACTIVE NOT_RECRUITING 60Aug 10, 2022Jul 21, 2026Jan 23, 202613 United States, Australia +1
NCT05030506A Study of Belzutifan (MK-6482) as Monotherapy and in Combination With Lenvatinib (E7080/MK-7902) With or Without Pembrolizumab (MK-3475) in China Participants With Advanced Renal Cell Carcinoma (MK-6482-010)PHASE1 ACTIVE NOT_RECRUITING 45Oct 13, 2021Jun 30, 2027Dec 18, 20255 China
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Study Endpoints
Primary Endpoints
Progression Free Survival (PFS)
Up to approximately 73 months

PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. PD will be assessed by Response Criteria in Solid Tumors Version 1.1 (RECIST 1.1). PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. PFS as assessed by blinded independent central review (BICR) will be presented.

Overall Survival (OS)
Up to approximately 73 months

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

Safety Lead In Phase: Number of participants who experience one or more dose-limiting toxicities (DLTs)
Up to approximately 21 days

DLTs are defined as any of a pre-specified list of toxicities if assessed by the investigator to be possibly, probably, or definitely related to study treatment administration, excluding toxicities clearly not related to the drug, such as disease progression, environmental factors, unrelated trauma, etc.

Safety Lead In Phase: Number of participants who experience one or more adverse events (AEs)
Up to approximately 74 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Safety Lead In Phase: Number of participants who discontinue study treatment due to an AE
Up to approximately 74 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Efficacy Phase: Number of participants who experience one or more DLTs
Up to approximately 21 days

DLTs are defined as any of a pre-specified list of toxicities if assessed by the investigator to be possibly, probably, or definitely related to study treatment administration, excluding toxicities clearly not related to the drug, such as disease progression, environmental factors, unrelated trauma, etc.

Efficacy Phase: Number of participants who experience one or more AEs
Up to approximately 74 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Efficacy Phase: Number of participants who discontinue study treatment due to an AE
Up to approximately 74 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Efficacy Phase: Objective Response Rate (ORR)
Up to approximately 74 months

ORR is defined as the percentage of participants with Complete Response (CR: disappearance of all target lesions) or Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1). The percentage of participants who experience CR or PR as assessed by Blinded Independent Central Review (BICR) will be presented.

Number of Participants Who Experience at Least One Dose-limiting Toxicity (DLT)
Up to approximately 28 days

A DLT consists of one or more of the following toxicities: Grade (Gr) 3 or 4 hypoxia or dyspnea; Gr 3 or 4 nausea, vomiting, or diarrhea if persistent for \>48 hours despite therapy; Gr 3 or 4 cardiovascular, vascular, or thrombotic events; Nonhematologic AE ≥Gr 3 in severity with exceptions; Gr 3 rash that does not resolve within 2 weeks; Gr 3 nonhematologic toxicity if persisting despite optimal medical treatment; Gr 3 or 4 hematologic toxicities; Gr 3 or 4 febrile neutropenia; Gr 3 or 4 nonhematologic laboratory value; Any aspartate aminotransferase or alanine aminotransferase \>8x the upper limit of normal (ULN) or 5 to 8x ULN persisting for \>2 weeks; \>2 weeks delay in dosing due to intervention-related toxicity; Intervention-related toxicity causing intervention discontinuation in the first 28 days of dosing; Missing \>20% of intervention doses due to drug-related AEs; Gr 5 toxicity. The number of participants who experience at least one DLT will be reported.

Number of Participants Who Experience at Least One Adverse Event (AE)
Up to approximately 4 years

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants who experience at least one AE will be reported.

Number of Participants Who Discontinue Study Treatment Due to an AE
Up to approximately 4 years

An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. The number of participants who discontinued from the study treatment due to an AE will be reported.

Number of participants who experienced dose-limiting toxicities (DLTs)
Up to approximately 21 days

A DLT is defined as an event with toxicity including the type, severity, time of onset, time of resolution, and the probable association with study treatment that are not due to pre-existing conditions as defined by the Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE 5.0). Number of participants who experience a DLT per CTCAE 5.0 will be reported.

Number of participants who experienced an adverse event (AE)
Up to approximately 68 months

An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. The number of participants who experience an AE in the study will be reported.

Number of participants who discontinued study treatment due to an AE
Up to approximately 68 months

An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an AE. The number of participants who discontinued from the study treatment due to an AE will be reported.

Area under the concentration-time curve from 0-24 hours (AUC0-24) of belzutifan after single dose (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

AUC is a measure of plasma drug concentration and time and is estimated as the area under the plot of plasma concentration against time after drug administration. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine AUC0-24 of belzutifan.

Maximum concentration (Cmax) of belzutifan after single dose (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

Cmax is the maximum concentration of the drug observed in plasma. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine Cmax of belzutifan.

Time at maximum concentration (Tmax) of belzutifan after single dose (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

Tmax is the amount of time that a drug is present at the maximum concentration is observed in plasma. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine the Tmax of belzutifan.

Steady state area under the concentration-time curve from 0-24 hours (AUC0-24,ss) of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

AUC0-24,ss is a measure of plasma drug concentration and time and is estimated as the area under the plot of plasma concentration against time after drug administration. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine AUC0-24,ss of belzutifan.

Steady state maximum concentration (Cmax,ss) of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

Cmax,ss is the maximum concentration of the drug observed in plasma. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine Cmax,ss of belzutifan.

Time at maximum concentration (Tmax) of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

Tmax is the amount of time that a drug is present at the maximum concentration is observed in plasma. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine the Tmax of belzutifan.

Apparent t½ of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose.

T1/2 is a measure of how long it takes to clear 50% of the drug after reaching Cmax. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine t1/2 of belzutifan.

Steady state trough concentration (Ctrough,ss) of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

Ctrough,ss is the lowest concentration reached by a drug before the next dose is administered. Blood samples taken at predose and at specified times post dose will be used to determine Ctrough,ss of belzutifan.

Accumulation ratio (RAC) of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

RAC is the ratio of accumulation of a drug under steady state conditions after repeated administration as compared to a single dose. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine RAC of belzutifan.

Apparent oral clearance (CL/F) of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

CL/F is the apparent total clearance of the drug from plasma after oral administration. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine CL/F of belzutifan.

Apparent oral volume (Vz/F) of belzutifan after multiple doses (Cohort 1)
Pre-dose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose

Vz/F is the apparent volume of distribution of the drug during terminal phase after non-intravenous administration. Blood samples collected pre dose and at multiple timepoints post dose will be used to determine Vz/F of belzutifan.

Secondary Endpoints
Objective Response Rate (ORR)
Up to approximately 73 months
Duration of Response (DOR)
Up to approximately 73 months
Number of Participants Who Experience One or More Adverse Events (AEs)
Up to approximately 73 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Belzutifan plus ZanzalintinibEXPERIMENTALParticipants will receive belzutifan orally once daily (QD) PLUS zanzalintinib orally QD until one of the reasons for discontinuation of study intervention are met.
CabozantinibACTIVE_COMPARATORParticipants will receive cabozantinib orally QD until one of the reasons for discontinuation of study intervention are met.
Zanzalintinib at Dose Level 1 or 2 + BelzutifanEXPERIMENTALParticipants will be allocated to receive zanzalintinib at dose level 1 or 2 + belzutifan daily until progressive disease or discontinuation
BelzutifanEXPERIMENTALParticipants will receive belzutifan daily until progressive disease or discontinuation
Beltuzifan 120 mg + Palbociclib 75 mgEXPERIMENTALParticipants receive beltuzifan 120 mg orally once per day (QD) and palbociclib 75 mg orally QD in a 28-day schedule (21 days on followed by 7 days off), until progressive disease or discontinuation.
Beltuzifan 120 mg + Palbociclib 100 mgEXPERIMENTALParticipants receive beltuzifan 120 mg orally QD and palbociclib 100 mg orally QD in a 28-day schedule (21 days on followed by 7 days off), until progressive disease or discontinuation.
Beltuzifan 120 mg + Palbociclib 125 mgEXPERIMENTALParticipants receive beltuzifan 120 mg orally QD and palbociclib 125 mg orally QD in a 28-day schedule (21 days on followed by 7 days off), until progressive disease or discontinuation.
Belzutifan + LenvatinibEXPERIMENTALParticipants will receive a daily oral dose of 120 mg of belzutifan monotherapy for 3 weeks, followed by a combination of a daily oral dose of 120 mg of belzutifan with a daily oral dose of 20 mg of lenvatinib until progressive disease or discontinuation.
Belzutifan + Lenvatinib + PembrolizumabEXPERIMENTALParticipants will receive an intravenous dose of 400 mg of pembrolizumab once every six weeks for up to 18 infusions (up to 2 years) in combination with a daily oral dose of 120 mg of belzutifan and a daily oral dose of 20 mg of lenvatinib until progressive disease or discontinuation.
Interventions
NameTypeDescription
BelzutifanDRUGAdministered orally QD
ZanzalintinibDRUGAdministered orally QD
CabozantinibDRUGAdministered orally QD
PalbociclibDRUG75, 100, or 125 mg tablet administered orally according to randomized dose for 21 days consecutive days followed by 7 days off.
PembrolizumabBIOLOGICAL25 mg/mL solution for Infusion in a single-dose vial administered intravenously at a dose of 400 mg
LenvatinibDRUG10 mg capsule administered orally at a dose of 20 mg
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites108

Inclusion Criteria: The main inclusion criteria include but are not limited to the following: * Has a histologically confirmed diagnosis of unresectable, advanced renal cell cancer (RCC) with clear cell component (with or without sarcomatoid features) i.e., Stage IV renal cell cancer per American ...

Countries:ArgentinaAustraliaAustriaBelgiumBrazilCroatiaCzechiaDenmarkFranceGermanyGreeceHong KongIrelandItalyMexicoPolandSingaporeSouth KoreaSpainTaiwanUnited StatesChileIsraelUnited KingdomChina
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Recent Changes (Last 90 Days)
LOWJun 4, 2026NCT07227402lastUpdatePostDate: changed
LOWJun 4, 2026NCT07227402lastUpdatePostDate: changed
LOWJun 4, 2026NCT07227402lastUpdatePostDate: changed
LOWJun 4, 2026NCT07227402lastUpdatePostDate: changed
LOWMay 27, 2026NCT07049926lastUpdatePostDate: changed
LOWMay 27, 2026NCT07049926lastUpdatePostDate: changed
LOWMay 26, 2026NCT07049926primaryCompletionDate: changed
LOWMay 26, 2026NCT07227402primaryCompletionDate: changed
LOWMay 26, 2026NCT05468697primaryCompletionDate: changed
LOWMay 26, 2026NCT05030506primaryCompletionDate: changed
LOWMay 24, 2026NCT07049926studyFirstPostDate: changed
LOWMay 24, 2026NCT07227402studyFirstPostDate: changed
LOWMay 24, 2026NCT05468697studyFirstPostDate: changed
LOWMay 24, 2026NCT05030506studyFirstPostDate: changed