Evidence map›Paper›PMID 39233312›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2024

Randomized phase II dose comparison LITESPARK-013 study of belzutifan in patients with advanced clear cell renal cell carcinoma.

N Agarwal, J Brugarolas, P Ghatalia, S George, J B Haanen, H Gurney, R Ravilla, A Van der Veldt, B Beuselinck, I Pokataev and 9 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04489771 (Phase 2 Study of MK-6482 in Participants With Advanced Renal Cell Carcinoma), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

NCT04489771 phase2active not recruitingnot on this map

Phase 2 Study of MK-6482 in Participants With Advanced Renal Cell Carcinoma

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2020 to 2026Enrolled154ConditionsCarcinoma, Renal CellArmsBelzutifan
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. The clinical landscape of HIF2α inhibitors in oncology.Nature reviews. Clinical oncology · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Belzutifan for the treatment of renal cell carcinoma.Therapeutic advances in medical oncology · 2025
    Review
  12. Review
  13. 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

19 authors.

N AgarwalDirector, Genitourinary Oncology Program, Huntsman Cancer Institute, University of Utah (NCI-CCC), Salt Lake City. Electronic address: Neeraj.Agarwal@hci.utah.edu.
J BrugarolasDirector, Kidney Cancer Program, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas; Department of Internal Medicine, Division of Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas.
P GhataliaDepartment of Hematology/Oncology, Fox Chase Cancer Center, Philadelphia.
S GeorgeDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, USA.
J B HaanenDivision of Medical Oncology, Netherlands Cancer Institute, Amsterdam, Netherlands.
H GurneyDirector of Medical Oncology and Clinical Trials, MQ Health, Macquarie University, Sydney, Australia.
R RavillaDepartment of Medical Oncology, New York Oncology Hematology, Albany, USA.
A Van der VeldtDepartment of Radiology & Nuclear Medicine, Medical Oncology, Erasmus MC, Rotterdam, Netherlands.
B BeuselinckDepartment of General Medical Oncology, University Hospital Leuven, KU Leuven, Leuven, Belgium.
I PokataevS. S. Yudin City Clinical Hospital, Department of Health of Moscow, Moscow, Russia.
B B M SuelmannDepartment of Medical Oncology, Universitair Medisch Centrum Utrecht, Utrecht, Netherlands.
M H TuthillDepartment of Oncology and Haematology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
D VaenaDepartment of Medical Oncology/Hematology, West Cancer Center and Research Institute, Germantown, USA.
F ZagouriClinical Therapeutics, Alexandra Regional General Hospital Athens, Athens, Greece.
J WuMerck & Co., Inc., Rahway.
R F PeriniMerck & Co., Inc., Rahway.
Y LiuMerck & Co., Inc., Rahway.
J MerchanDepartment of Medicine, Medical Oncology Division, University of Miami - Sylvester Comprehensive Center Cancer, Miami.
M B AtkinsDepartment of Oncology, Georgetown-Lombardi Comprehensive Cancer Center, Washington, USA.

Funding

University of Texas Southwestern Medical Center SPORE in Kidney CancerP50CA196516 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Payal Kapur, Payal Kapur · 2016 to 2026
$24.7M
NCI NIH HHS P50 CA196516
6 · The paper itself

Abstract

backgroundBelzutifan is a first-in-class hypoxia-inducible factor subunit 2α (HIF-2α) inhibitor approved at a dose of 120 mg once daily for certain adults with VHL disease and adults with advanced renal cell carcinoma (RCC) following therapy with a programmed cell death protein 1 (PD-1) [or programmed death ligand 1 (PD-L1)] inhibitor and a vascular endothelial growth factor tyrosine kinase inhibitor. However, whether the belzutifan dose could be optimized is unclear. PATIENTS AND

methodsThe phase II LITESPARK-013 study (NCT04489771) enrolled patients with advanced clear cell RCC whose disease progressed after one to three prior systemic therapies, including an anti-PD-(L)1 regimen. Patients were randomly assigned 1 : 1 to receive belzutifan 120 or 200 mg once daily. The primary endpoint was the objective response rate (ORR) per RECIST version 1.1. The secondary endpoints were duration of response (DOR), progression-free survival (PFS), overall survival (OS), and safety.

resultsOverall, 154 patients were enrolled (120 mg: n = 76; 200 mg: n = 78). The median follow-up was 20.1 months (range 14.8-28.4). The ORR was 23.7% versus 23.1% for the 120 mg and 200 mg groups, respectively [P = 0.5312; -0.5%, 95% confidence interval (CI) -14.0% to 12.9%]. The median DOR was not reached for the 120 mg arm and was 16.1 months (2.1+ to 23.5+) for the 200 mg arm. No between-group differences were observed for PFS [hazard ratio (HR) 0.94, 95% CI 0.63-1.40] or OS (medians not reached; HR 1.11, 95% CI 0.65-1.90). Grade 3 or 4 treatment-related adverse events were observed in 35 patients (46.1%) in the 120 mg group and 36 patients (46.2%) in the 200 mg group.

conclusionsThe efficacy of belzutifan was similar between the 120 mg dose and the 200 mg dose for previously treated clear cell RCC. Safety at both doses was consistent with the known safety profile of belzutifan. These results further support 120 mg once daily as the preferred dose for belzutifan.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsAdultAgedAged, 80 and overDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedProgression-Free Survivalbelzutifanhypoxia-inducible factorrenal cell carcinoma

Identifiers

PMID39233312
PMCPMC13183416

What Socratic holds

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Registered trials

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 Socratic graph.