What this study is
Researchers are looking for new ways to treat advanced renal cell carcinoma (RCC).
A standard (usual) treatment for certain people with RCC is belzutifan (a study medicine), which is a targeted therapy. Targeted therapy is a treatment that works to control how specific types of cancer cells grow and spread. Researchers want to learn if adding another targeted therapy called zanzalintinib (another study medicine) can treat more people with advanced RCC than belzutifan alone.
The goal of this study is to learn if people who receive belzutifan and zanzalintinib live longer overall and without the cancer getting worse compared to people who receive belzutifan and placebo.
What's being tested
- Belzutifan
Intervention · DRUG
- Zanzalintinib
Intervention · DRUG
- Placebo
Intervention · DRUG
Zanzalintinib-matching placebo tablet for oral administration.
Both Belzutifan and Zanzalintinib
Tablet for oral administration.
Study details
- Official title
- A Phase 3, Randomized, Double-blind, Study of Belzutifan + Zanzalintinib Versus Belzutifan + Placebo in Participants With Advanced RCC Who Have Progressed on or After Both PD-1/L1 and VEGF-TKI Therapies in Sequence or in Combination (LITESPARK-034)
- Sponsor
- Merck Sharp & Dohme LLC
- Conditions
- Carcinoma, Renal Cell
- Enrolling
- 758 people
- Starts
- 2026-04-09
- Est. completion
- 2030-11-27
- Design
- Triple-blind, randomized, parallel groups, Phase 3
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Has a histologically confirmed diagnosis of unresectable, advanced renal cell carcinoma (RCC) with clear cell component (with or without sarcomatoid features) ie, Stage IV RCC per American Joint Committee on Cancer (8th Edition)
- Has measurable disease per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)
- Has received no more than 3 prior systemic regimens for RCC, including only 1 prior anti-Programmed Cell Death-1/Programmed Cell Death 1 Ligand 1 therapy
You can't join if
- Has any of the following: a pulse oximeter reading <92% at rest, requires intermittent supplemental oxygen, or required chronic supplemental oxygen
- Has clinically significant cardiovascular disease within 12 months from first dose of study intervention
- Has deep vein thrombosis within 3 months before randomization unless stable, asymptomatic, and treated with therapeutic anticoagulation for at least 4 weeks before randomization
- Has a left ventricular ejection fraction ≤50% or below the institutional (or local laboratory) normal range as determined by multigated acquisition or echocardiogram
- Has had major surgery within 8 weeks before randomization
- Has current pneumonitis/interstitial lung disease
- Has a history of human immunodeficiency virus infection
- Has Hepatitis B or Hepatitis C virus infection
- Has a known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has a history of solid organ transplant
- Has not adequately recovered from major surgery or has ongoing surgical complications
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (106)
102 openNorthwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital ( Site 0102)
Marietta, Georgia, United States
- Study Coordinator · Contact770-281-5124
RecruitingUniversity of Louisville, James Graham Brown Cancer Center ( Site 0133)
Louisville, Kentucky, United States
- Study Coordinator · Contact502-562-4673
RecruitingNorton Women's and Children's Hospital-Norton Cancer Institute - St. Matthews ( Site 0104)
Louisville, Kentucky, United States
- Study Coordinator · Contact502-899-3366
RecruitingBeth Israel Deaconess Medical Center ( Site 0139)
Boston, Massachusetts, United States
- Study Coordinator · Contact617-667-7000
RecruitingDana Farber Cancer Institute ( Site 0135)
Boston, Massachusetts, United States
- Study Coordinator · Contact617-632-3000
RecruitingThe Cancer and Hematology Centers ( Site 0123)
Grand Rapids, Michigan, United States
- Study Coordinator · Contact616-954-9800
RecruitingWashington University School of Medicine ( Site 0114)
St Louis, Missouri, United States
- Study Coordinator · Contact314-362-7355
RecruitingAtlantic Health System Morristown Medical Center ( Site 0109)
Morristown, New Jersey, United States
- Study Coordinator · Contact973-971-7960
RecruitingMemorial Sloan Kettering Cancer Center ( Site 0126)
New York, New York, United States
- Study Coordinator · Contact347-798-9213
RecruitingThe West Clinic, P.C. ( Site 0115)
Germantown, Tennessee, United States
- Study Coordinator · Contact901-683-0055
RecruitingUT Southwestern Medical Center ( Site 0119)
Dallas, Texas, United States
- Study Coordinator · Contact214-648-3111
Recruiting
95 sites outside the US
Centro Oncologico Korben ( Site 0254)
CABA, Buenos Aires, Argentina
- Study Coordinator · Contact+541159507952
RecruitingHospital Italiano de Buenos Aires ( Site 0253)
Ciudad de Buenos Aires, Buenos Aires, Argentina
- Study Coordinator · Contact+541149590200
RecruitingInstituto de Investigaciones Clinicas Mar del Plata ( Site 0250)
Mar del Plata, Buenos Aires, Argentina
- Study Coordinator · Contact+542234963224
RecruitingCentro Privado de RMI Río Cuarto S.A. II ( Site 0255)
Río Cuarto, Córdoba Province, Argentina
- Study Coordinator · Contact+543584620273
RecruitingSanatorio Parque ( Site 0251)
Rosario, Santa Fe Province, Argentina
- Study Coordinator · Contact+5493416955611
RecruitingInstituto de Oncología de Rosario ( Site 0257)
Rosario, Santa Fe Province, Argentina
- Study Coordinator · Contact+543414484830
Recruiting- Recruiting
Centro Oncológico Riojano Integral ( Site 0256)
La Rioja, Argentina
- Study Coordinator · Contact+543804436443X108
RecruitingCOE (Centro Oncológico de Excelencia) ( Site 0259)
San Juan, Argentina
- Study Coordinator · Contact+54 2644229585
Recruiting- Recruiting
Instituto do Câncer e Transplante de Curitiba ( Site 0300)
Curitiba, Paraná, Brazil
- Study Coordinator · Contact+55 41 99205-7755
RecruitingLiga Norte Riograndense Contra o Câncer ( Site 0307)
Natal, Rio Grande do Norte, Brazil
- Study Coordinator · Contact+55 84 4009-5595
RecruitingHope - Humanizacao Em Oncologia, Pesquisa E Ensino ( Site 0306)
Ribeirão Preto, São Paulo, Brazil
- Study Coordinator · Contact+55 16 3913-8181
RecruitingFundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 0302)
São José do Rio Preto, São Paulo, Brazil
- Study Coordinator · Contact+55 17 3201-5054
RecruitingThe Ottawa Hospital Cancer Centre ( Site 0003)
Ottawa, Ontario, Canada
- Study Coordinator · Contact613-737-7700
RecruitingIC La Serena Research ( Site 0405)
La Serena, Coquimbo Region, Chile
- Study Coordinator · Contact56958646664
RecruitingClínica Puerto Montt ( Site 0404)
Port Montt, Los Lagos Region, Chile
- Study Coordinator · Contact+56985383586
RecruitingFundacion Arturo Lopez Perez ( Site 0401)
Santiago, Region M. de Santiago, Chile
- Study Coordinator · Contact56224205098
RecruitingBradfordhill ( Site 0400)
Santiago, Region M. de Santiago, Chile
- Study Coordinator · Contact56229490970
Recruiting- Recruiting
Masarykuv onkologicky ustav ( Site 0903)
Brno, Brno-mesto, Czechia
- Study Coordinator · Contact+420543132216
RecruitingFakultni nemocnice Ostrava ( Site 0904)
Ostrava, Ostrava Mesto, Czechia
- Study Coordinator · Contact+420597374322
RecruitingFakultni nemocnice Hradec Kralove ( Site 0902)
Hradec Králové, Czechia
- Study Coordinator · Contact+420727854666
Recruiting- Recruiting
- Recruiting
- Recruiting
Herlev Hospital ( Site 1002)
Herlev, Capital Region, Denmark
- Study Coordinator · Contact00 45 38689191
RecruitingAarhus Universitetshospital, Skejby ( Site 1001)
Aarhus, Central Jutland, Denmark
- Study Coordinator · Contact+4591167472
RecruitingOdense Universitets Hospital ( Site 1000)
Odense, Region Syddanmark, Denmark
- Study Coordinator · Contact+4566113333
RecruitingCentre Antoine Lacassagne ( Site 1209)
Nice, Alpes-Maritimes, France
- Study Coordinator · Contact+33492031538
RecruitingHopital Europeen Marseille ( Site 1216)
Marseille, Bouches-du-Rhone, France
- Study Coordinator · Contact+33413427427
RecruitingLBM ONCOPOLE CLAUDIUS REGAUD ( Site 1215)
Toulouse, Haute-Garonne, France
- Study Coordinator · Contact+33531155050
Recruiting- Recruiting
Clinique Victor Hugo Le Mans-Oncology-Radiotherapy ( Site 1203)
Le Mans, Pays de la Loire Region, France
- Study Coordinator · Contact+33 243297908
RecruitingCHU de Saint-Etienne ( Site 1202)
Saint Priest En Jarez, Pays de la Loire Region, France
- Study Coordinator · Contact+33477917082
Recruiting- Recruiting
Universitaetsklinikum Augsburg ( Site 1316)
Augsburg, Bavaria, Germany
- Study Coordinator · Contact+498214002348
Recruitingklinikum rechts der isar der technischen universität münchen ( Site 1315)
Munich, Bavaria, Germany
- Study Coordinator · Contact00498941402522
RecruitingUniversitätsklinikum Jena ( Site 1313)
Jena, Thuringia, Germany
- Study Coordinator · Contact+4936419329970
RecruitingCharité Universitaetsmedizin Berlin - Campus Mitte ( Site 1312)
Berlin, Germany
- Study Coordinator · Contact+4930450515288
RecruitingAlexandra General Hospital of Athens ( Site 1400)
Athens, Attica, Greece
- Study Coordinator · Contact+302132162543
RecruitingATTIKON GENERAL UNIVERSITY HOSPITAL ( Site 1401)
Athens, Attica, Greece
- Study Coordinator · Contact+302105832549
Recruiting- Recruiting
- Recruiting
- Recruiting
- Recruiting
- Recruiting
IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori" ( Site 1809)
Meldola, Emilia-Romagna, Italy
- Study Coordinator · Contact+390543739100
Recruiting- Recruiting
Istituto Oncologico Veneto IRCCS ( Site 1806)
Catselfranco Veneto, Padova, Italy
- Study Coordinator · Contact+39 0423732336
RecruitingAzienda Ospedaliera Universitaria Careggi ( Site 1807)
Florence, Tuscany, Italy
- Study Coordinator · Contact+390557949648
RecruitingAzienda Ospedaliera Policlinico di Bari ( Site 1802)
Bari, Italy
- Study Coordinator · Contact00390805593767
RecruitingIRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola ( Site 1803)
Bologna, Italy
- Study Coordinator · Contact+390512142204
RecruitingFondazione IRCCS Istituto Nazionale dei Tumori ( Site 1800)
Milan, Italy
- Study Coordinator · Contact02 2390 3028
RecruitingAO Santa Maria della Misericordia ( Site 1805)
Perugia, Italy
- Study Coordinator · Contact+39 0755784188
RecruitingIstituto Nazionale Tumori Regina Elena ( Site 1804)
Roma, Italy
- Study Coordinator · Contact+39 0652666919
RecruitingFondazione Policlinico Universitario Agostino Gemelli IRCCS - Università Cattolica del Sacro Cuore ( Site 1801)
Roma, Italy
- Study Coordinator · Contact00390630155202
Recruiting- Recruiting
Nederlands Kanker Instituut Antoni van Leeuwenhoek (NKI AVL) ( Site 1900)
Amsterdam, North Holland, Netherlands
- Study Coordinator · Contact+3120 512 9111
RecruitingFranciscus Gasthuis & Vlietland, Locatie Vlietland ( Site 1903)
Schiedam, South Holland, Netherlands
- Study Coordinator · Contact+31108931441
RecruitingHaga Ziekenhuis locatie Leyweg ( Site 1906)
The Hague, South Holland, Netherlands
- Study Coordinator · Contact+3170 210 2143
RecruitingAIDPORT Sp. z o.o. ( Site 2118)
Skórzewo, Greater Poland Voivodeship, Poland
- Study Coordinator · Contact+48570783100
RecruitingPratia MCM Krakow ( Site 2115)
Krakow, Lesser Poland Voivodeship, Poland
- Study Coordinator · Contact+48122958160
RecruitingMazowiecki Szpital Wojewódzki im. Sw. Jana Pawla II w Siedlcach Sp. z o.o. ( Site 2102)
Siedlce, Masovian Voivodeship, Poland
- Study Coordinator · Contact+48256403300
RecruitingMTZ Clinical Research Powered by Pratia ( Site 2107)
Warsaw, Masovian Voivodeship, Poland
- Study Coordinator · Contact+48225725959
RecruitingNarodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Moczowego ( Site 2100)
Warsaw, Masovian Voivodeship, Poland
- Study Coordinator · Contact+48225462331
RecruitingNarodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 2106)
Gliwice, Silesian Voivodeship, Poland
- Study Coordinator · Contact+48322788237
RecruitingSeverance Hospital, Yonsei University Health System ( Site 2903)
Seoul, South Korea
- Study Coordinator · Contact+82-2-2228-8138
Recruiting- Recruiting
- Recruiting
Hospital Universitario Virgen del Rocio ( Site 2306)
Seville, Andalusia, Spain
- Study Coordinator · Contact+34955013068
RecruitingInstitut Català d'Oncologia - L'Hospitalet ( Site 2305)
L'Hospitalet de Llobregat, Barcelona, Spain
- Study Coordinator · Contact+34932607744
RecruitingHOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑON ( Site 2301)
Madrid, Madrid, Comunidad de, Spain
- Study Coordinator · Contact+34914269393
RecruitingHospital Universitari Vall d Hebron ( Site 2303)
Barcelona, Spain
- Study Coordinator · Contact+34934894350
RecruitingHospital Insular de Gran Canaria ( Site 2308)
Las Palmas, Spain
- Study Coordinator · Contact+34928441738
RecruitingHospital Universitario 12 de Octubre ( Site 2300)
Madrid, Spain
- Study Coordinator · Contact+34913908339
RecruitingFundación Instituto Valenciano de Oncología ( Site 2307)
Valencia, Spain
- Study Coordinator · Contact+34961114229
RecruitingHacettepe Universite Hastaneleri ( Site 2500)
Sıhhiye, Ankara, Turkey (Türkiye)
- Study Coordinator · Contact+905439340493
RecruitingAdana Medical Park Seyhan Hastanesi ( Site 2505)
Adana, Turkey (Türkiye)
- Study Coordinator · Contact+905372688986
RecruitingAnkara University Health Practice and Research Hospitals ( Site 2506)
Ankara, Turkey (Türkiye)
- Study Coordinator · Contact+90 312 595 71 12
RecruitingTrakya University Medical Faculty Hospital ( Site 2502)
Edirne, Turkey (Türkiye)
- Study Coordinator · Contact+9005378528123
RecruitingKoc Universitesi Hastanesi ( Site 2501)
Istanbul, Turkey (Türkiye)
- Study Coordinator · Contact0090 850 250 8 250
RecruitingEge Universitesi Hastanesi ( Site 2503)
Izmir, Turkey (Türkiye)
- Study Coordinator · Contact0 232 343 43 43
RecruitingAddenbrookes Hospital ( Site 2605)
Cambridge, Cambridgeshire, United Kingdom
- Study Coordinator · Contact+441223805000
RecruitingWestern General Hospital ( Site 2608)
Edinburgh, Edinburgh, City of, United Kingdom
- Study Coordinator · Contact+441315371398
RecruitingThe Beatson West of Scotland Cancer Centre ( Site 2602)
Glasgow, Glasgow City, United Kingdom
- Study Coordinator · Contact+441413019916
RecruitingLeicester Royal Infirmary ( Site 2604)
Leicester, Leicestershire, United Kingdom
- Study Coordinator · Contact0300 303 1573
RecruitingThe Christie Hospital NHS Foundation Trust ( Site 2601)
Withington, Manchester, United Kingdom
- Study Coordinator · Contact0161 918 2546
RecruitingUniversity Hospitals Birmingham NHS Foundation Trust ( Site 2610)
Birmingham, United Kingdom
- Study Coordinator · Contact+4407789651543
Recruiting- Recruiting
University Hospital of Southampton ( Site 2606)
Southampton, United Kingdom
- Study Coordinator · Contact023 8077 7222
RecruitingMacquarie University ( Site 2700)
Macquarie University, New South Wales, Australia
SuspendedPrincess Alexandra Hospital ( Site 2703)
Woolloongabba, Queensland, Australia
SuspendedPeter MacCallum Cancer Centre ( Site 2702)
Melbourne, Victoria, Australia
SuspendedFiona Stanley Hospital ( Site 2704)
Murdoch, Western Australia, Australia
Suspended
Study team
Sponsor
Merck Sharp & Dohme LLC
Study ID 6482-034
Study director
Medical Director
Merck Sharp & Dohme LLC
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.