A Trial of Belzutifan (PT2977, MK-6482) in Combination With Cabozantinib in Patients With Clear Cell Renal Cell Carcinoma (ccRCC) (MK-6482-003)

NCT ID: NCT03634540

Last Updated: 2024-12-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

118 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-27

Study Completion Date

2027-02-26

Brief Summary

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This is an open-label Phase 2 study which will evaluate the efficacy and safety of belzutifan in combination with cabozantinib in participants with advanced ccRCC. Belzutifan and cabozantinib will be administered orally once daily.

Detailed Description

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Conditions

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Renal Cell Carcinoma (RCC) Clear Cell Renal Cell Carcinoma (ccRCC) Kidney Cancer Renal Cancer Renal Cell Carcinoma Renal Cell Cancer Metastatic Renal Cell Carcinoma Recurrent Renal Cell Cancer, Recurrent Kidney

Keywords

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hypoxia-inducible factor (HIF) hypoxia-inducible factor 2 alpha (HIF-2α, HIF-2 alpha)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Belzutifan in combination with cabozantinib administered orally once daily
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Belzutifan + Cabozantinib: Treatment Naïve (Cohort 1)

Naïve participants will receive 120 mg belzutifan and 60 mg cabozantinib orally once daily (QD) at the same time.

Group Type EXPERIMENTAL

Belzutifan

Intervention Type DRUG

Belzutifan tablets administered orally.

Cabozantinib

Intervention Type DRUG

Cabozantinib tablets administered orally.

Belzutifan + Cabozantinib: Prior Immunotherapy (Cohort 2)

Participants who have received prior immunotherapy will receive 120 mg belzutifan and 60 mg cabozantinib orally QD at the same time.

Group Type EXPERIMENTAL

Belzutifan

Intervention Type DRUG

Belzutifan tablets administered orally.

Cabozantinib

Intervention Type DRUG

Cabozantinib tablets administered orally.

Interventions

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Belzutifan

Belzutifan tablets administered orally.

Intervention Type DRUG

Cabozantinib

Cabozantinib tablets administered orally.

Intervention Type DRUG

Other Intervention Names

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PT2977, MK-6482 WELIREG™ CABOMETYX®

Eligibility Criteria

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Inclusion Criteria

* Has locally advanced or metastatic RCC with predominantly clear cell subtype
* Has at least one measurable lesion as defined by RECIST version 1.1
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
* Has adequate organ function defined as follows:

* Absolute neutrophil count ≥ 1,000/µL, hemoglobin level ≥ 10 g/dL and platelet count ≥ 100,000/µL without transfusion or growth factor support within 2 weeks prior to obtaining the hematology values at screening;
* Serum creatinine level ≤ 2.0 × upper limit of normal (ULN)
* Transaminase levels (AST/ALT) ≤ 3.0 × upper limit of normal (ULN); total bilirubin (TBILI) ≤ 1.5 mg/dL in the absence of Gilbert's disease \*Cohort 1: Participants must not have received prior systemic therapy for advanced or metastatic ccRCC
* Cohort 2: Participants must have received prior immunotherapy and no more than two prior treatments for advanced or metastatic ccRCC

Exclusion Criteria

* Has received prior treatment with belzutifan or other HIF2α inhibitors
* Has received prior treatment with cabozantinib
* Has had radiation therapy for bone metastases within two weeks of starting study drug
* Has a history of untreated brain metastases or history of leptomeningeal disease or spinal cord compression
* Has failed to recover from the reversible effects of prior anticancer therapy
* Has uncontrolled or poorly controlled hypertension
* Is receiving anticoagulant therapy
* Has had any major cardiovascular event within 6 months prior to study drug administration
* Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with participation in the trial or interfere with the interpretation of trial results
* Has had major surgery within 3 months before first study drug administration
* Has an active infection requiring systemic treatment
* Is participating in another therapeutic clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peloton Therapeutics, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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USC Norris Comprehensive Cancer Center ( Site 0060)

Los Angeles, California, United States

Site Status

Cedars Sinai Medical Center Samuel Oschin Comp. Cancer Institute ( Site 0003)

Los Angeles, California, United States

Site Status

Sylvester Comprehensive Cancer Center ( Site 0023)

Miami, Florida, United States

Site Status

Dana Farber Cancer Center ( Site 0006)

Boston, Massachusetts, United States

Site Status

Karmanos Cancer Institute ( Site 0033)

Detroit, Michigan, United States

Site Status

Tennessee Oncology, PLLC ( Site 0024)

Chattanooga, Tennessee, United States

Site Status

Tennessee Oncology, PLLC ( Site 0001)

Nashville, Tennessee, United States

Site Status

Texas Oncology-Baylor Charles A. Sammons Cancer Center ( Site 0010)

Dallas, Texas, United States

Site Status

Swedish Cancer Institute ( Site 0018)

Seattle, Washington, United States

Site Status

Seattle Cancer Care Alliance/Univ of Washington Medical Center ( Site 0035)

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Choueiri TK, McDermott DF, Merchan J, Bauer TM, Figlin R, Heath EI, Michaelson MD, Arrowsmith E, D'Souza A, Zhao S, Roy A, Perini R, Vickery D, Tykodi SS. Belzutifan plus cabozantinib for patients with advanced clear cell renal cell carcinoma previously treated with immunotherapy: an open-label, single-arm, phase 2 study. Lancet Oncol. 2023 May;24(5):553-562. doi: 10.1016/S1470-2045(23)00097-9. Epub 2023 Mar 31.

Reference Type RESULT
PMID: 37011650 (View on PubMed)

Choueiri TK, Merchan JR, Figlin R, McDermott DF, Arrowsmith E, Michaelson MD, Tykodi SS, Heath EI, Spigel DR, D'Souza A, Kassalow L, Perini RF, Vickery D, Bauer TM. Belzutifan plus cabozantinib as first-line treatment for patients with advanced clear-cell renal cell carcinoma (LITESPARK-003): an open-label, single-arm, phase 2 study. Lancet Oncol. 2025 Jan;26(1):64-73. doi: 10.1016/S1470-2045(24)00649-1.

Reference Type DERIVED
PMID: 39756444 (View on PubMed)

Related Links

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https://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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PT2977-201

Identifier Type: OTHER

Identifier Source: secondary_id

MK-6482-003

Identifier Type: OTHER

Identifier Source: secondary_id

6482-003

Identifier Type: -

Identifier Source: org_study_id