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New trial
Kidney cancer

Phase 1b/2 zanzalintinib (c-MET/VEGFR TKI) + belzutifan (HIF-2α) in recurrent ccRCC during/after adjuvant anti-PD-(L)1

Trial ID
NCT07049926 on ClinicalTrials.gov
Cancer type
Kidney (Renal Cell) Carcinoma
Stage of research
Exploratory
Location
New York, NY, and San Francisco, CA, plus 4 locations in Israel
Published in
New in Oncology - Sept 12, 2025

Within KEYMAKER-U03 (Merck), this doublet targets angiogenesis (VEGFR/MET) plus hypoxia signaling (HIF-2α) in patients recurring on/after adjuvant IO. Frontline RCC has moved to IO+TKI, and belzutifan has traction post-IO; combining these mechanisms could outperform sequential monotherapy. Safety lead-in, then efficacy (ORR/PFS), will indicate whether to test further in IO-experienced disease.

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