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A Multicenter, Open-label, Randomized, Phase 1/2 Study of Belzutifan in Combination With Palbociclib Versus Belzutifan Monotherapy in Participants With Advanced Renal Cell Carcinoma


Description

The purpose of this study is to evaluate the efficacy and safety of belzutifan monotherapy and belzutifan plus palbociclib combination therapy in participants with advanced clear-cell renal cell carcinoma (ccRCC) who experienced disease progression on or after receiving prior therapy. Part 1 will establish the safety of belzutifan plus palbociclib and determine a recommended dosage of palbociclib for the combination therapy by ascending dose escalation. Part 2 will evaluate the efficacy and safety of belzutifan plus palbociclib at the dosage level determined in Part 1.

Trial Eligibility

Inclusion Criteria: * Has a histologically confirmed diagnosis of unresectable Stage IV (per American Joint Committee on Cancer \[AJCC\], 8th Edition) RCC with clear-cell component * Has had disease progression on or after having received at least 2 systemic treatments for unresectable Stage IV RCC with prior anti-programmed cell death 1 ligand 1 (PD-1/L1) and a vascular endothelial growth factor-tyrosine kinase inhibitor (VEGF-TKI) in sequence or in combination * Has measurable disease per RECIST 1.1 as assessed by the investigator and verified by blinded independent central review (BICR) * Has recovered from all AEs due to previous therapies Exclusion Criteria: * Has hypoxia, requires intermittent supplemental oxygen, or requires chronic supplemental oxygen * Has a known additional malignancy that is progressing or has required active treatment within the past 3 years * Has known central nervous system (CNS) metastases and/or carcinomatous meningitis * Has clinically significant cardiac disease * Has moderate to severe hepatic impairment * Has a known history of human immunodeficiency virus (HIV) infection * Has a history of hepatitis B (HBV) or known active hepatitis C (HCV) infection * Has received prior treatment of belzutifan or palbociclib * Has received prior radiotherapy ≤2 weeks prior to first dose of study intervention. Participants must have recovered from all radiation-related toxicities and not require corticosteroids * Has had major surgery ≤3 weeks prior to first dose of study intervention * Has received colony-stimulating factors (eg, granulocyte colony-stimulating factor \[G-CSF\], granulocyte-macrophage colony-stimulating factor \[GM-CSF\], or recombinant erythropoietin \[EPO\]) ≤28 days prior to the first dose of study intervention

Study Info

Organization

Merck Sharp & Dohme LLC


Primary Outcome

Part 1 - Number of Participants Who Experience at Least One Dose-limiting Toxicity (DLT)


Outcome Timeframe Up to approximately 28 days

NCTID NCT05468697

Phases PHASE1,PHASE2

Primary Purpose TREATMENT

Start Date 2022-08-10

Completion Date 2028-09-16

Enrollment Target 180

Interventions

DRUG Belzutifan

DRUG Palbociclib

Locations Recruiting

Georgetown University Medical Center ( Site 1002)

United States, District of Columbia, Washington


Beth Israel Deaconess Medical Center-Cancer Clinical Trials Office ( Site 1001)

United States, Massachusetts, Boston


Huntsman Cancer Institute-HCI Clinical Trials Office ( Site 1004)

United States, Utah, Salt Lake City


Macquarie University-MQ Health Clinical Trials Unit ( Site 2001)

Australia, New South Wales, Macquarie University


Rambam Health Care Campus-Oncology ( Site 3000)

Israel, Haifa


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