A Study of Pembrolizumab (MK-3475) in Combination With Belzutifan (MK-6482) and Lenvatinib (MK-7902), or Pembrolizumab/Quavonlimab (MK-1308A) in Combination With Lenvatinib, Versus Pembrolizumab and Lenvatinib, for Treatment of Advanced Clear Cell Renal Cell Carcinoma (MK-6482-012)
Carcinoma, Renal Cell
About this trial
This is an interventional treatment trial for Carcinoma, Renal Cell focused on measuring Programmed Cell Death-1 (PD1, PD-1), Programmed Death-Ligand 1 (PDL1, PD-L1), Hypoxia inducible factor (HIF), Hypoxia inducible factor 1B (HIF-1B), Hypoxia inducible factor 2 alpha (HIF-2 alpha)
Eligibility Criteria
Inclusion Criteria:
- Has histologically confirmed diagnosis of RCC with clear cell component.
- Has received no prior systemic therapy for advanced ccRCC
- Male participants are abstinent from heterosexual intercourse or agree to use contraception during and for at least 7 days after last dose of study intervention with belzutifan and lenvatinib.
- Female participants are not pregnant or breastfeeding and are either not a woman of child-bearing potential (WOCBP) or use a contraceptive method that is highly effective or are abstinent from heterosexual intercourse during the intervention period and for at least 120 days after pembrolizumab or pembrolizumab/quavonlimab or for at least 30 days after last dose of lenvatinib or belzutifan, whichever occurs last
- Has adequately controlled blood pressure with or without antihypertensive medications
- Has adequate organ function.
- Participants receiving bone resorptive therapy must have therapy initiated at least 2 weeks prior to randomization/allocation
Exclusion Criteria:
- Has a known additional malignancy that is progressing or has required active treatment within the past 3 years
- Has had major surgery, other than nephrectomy within 4 weeks prior to randomization
- Has known central nervous system (CNS) metastases and/or carcinomatous meningitis
- Has received prior radiotherapy within 2 weeks prior to first dose of study intervention
- Has hypoxia or requires intermittent supplemental oxygen or requires chronic supplemental oxygen
- Has clinically significant cardiac disease within 12 months from first dose of study intervention
- Has a history of interstitial lung disease
- Has symptomatic pleural effusion; a participant who is clinically stable following treatment of this condition is eligible
- Has preexisting gastrointestinal or non-gastrointestinal fistula
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment
- Has a known psychiatric or substance abuse disorder that would interfere with requirements of the study
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study drug; killed vaccines are allowed
- Has an active autoimmune disease that has required systemic treatment in the past 2 years
- Has a history of noninfectious pneumonitis that required steroids or has current pneumonitis
- Has an active infection requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has a known history of Hepatitis B
- Has radiographic evidence of intratumoral cavitation, encasement or invasion of a major blood vessel
- Has clinically significant history of bleeding within 3 months prior to randomization
- Has had an allogenic tissue/solid organ transplant
Sites / Locations
- The University of Alabama at Birmingham ( Site 0010)Recruiting
- UC San Diego ( Site 0050)Recruiting
- Cedars Sinai Medical Center ( Site 0027)Recruiting
- University of California Irvine ( Site 0029)Recruiting
- UCLA Hematology Oncology Santa Monica ( Site 0048)Recruiting
- Hartford Hospital ( Site 0024)Recruiting
- Advent Health Hematology & Oncology ( Site 0003)
- University Cancer & Blood Center, LLC ( Site 0057)
- Emory University Winship Cancer Institute ( Site 0012)Recruiting
- Rush University Medical Center ( Site 0040)Recruiting
- Parkview Cancer Institute ( Site 0088)Recruiting
- Norton Cancer Institute - St. Matthews ( Site 0065)
- Ochsner Medical Center ( Site 0049)Recruiting
- New England Cancer Specialists ( Site 0082)Recruiting
- Massachusetts General Hospital ( Site 0094)Recruiting
- Beth Israel Deaconess Medical Center ( Site 0089)Recruiting
- Dana Farber Cancer Institute ( Site 0093)Recruiting
- Lahey Hospital & Medical Center ( Site 0090)Recruiting
- Henry Ford Hospital ( Site 0038)
- Cancer & Hematology Centers of Western Michigan ( Site 0018)Recruiting
- HealthPartners Cancer Research Center-HealthPartners Frauenshuh Cancer Center ( Site 0005)Recruiting
- Regions Hospital ( Site 0095)
- University of Mississippi Medical Center ( Site 0037)
- Dartmouth Hitchcock Medical Center ( Site 0075)
- Roswell Park Cancer Institute ( Site 0032)Recruiting
- R.J. Zuckerberg Cancer Center-Medical Oncology ( Site 0013)Recruiting
- Sidney Kimmel Center for Prostate and Urologic Cancers ( Site 0055)
- Oregon Health & Science University ( Site 0071)Recruiting
- Ralph H. Johnson VA Center ( Site 0073)
- University of Tennessee Medical Center Knoxville ( Site 0019)Recruiting
- Vanderbilt University Medical Center ( Site 0069)Recruiting
- UTSW Medical Center ( Site 0015)Recruiting
- Central Washington Health Services Association d/b/a Confluence Health ( Site 0061)Recruiting
- Liverpool Hospital ( Site 4006)
- Macquarie University ( Site 4007)
- Lyell McEwin Hospital ( Site 4004)
- Monash Health ( Site 4008)
- Fiona Stanley Hospital ( Site 4009)
- Oncocentro Ceara ( Site 0309)
- Centro de Pesquisas Clinicas em Oncologia ( Site 0306)
- Centro Avançado de Tratamento Oncológico- CENATRON-Clinical Research ( Site 0303)
- Liga Norte Riograndense Contra o Cancer ( Site 0308)
- Hospital de Clinicas de Porto Alegre ( Site 0310)
- Instituto do Cancer do Estado de Sao Paulo - ICESP ( Site 0302)
- BP - A Beneficencia Portuguesa de São Paulo-Medical Oncology ( Site 0300)
- A.C. Camargo Cancer Center ( Site 0301)
- Tom Baker Cancer Centre ( Site 0119)
- BC Cancer - Vancouver Center ( Site 0120)
- Hamilton Health Sciences-Juravinski Cancer Centre ( Site 0117)
- Sunnybrook Research Institute ( Site 0116)
- Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0
- Centro Investigacion Cancer James Lind ( Site 0402)
- IC La Serena Research ( Site 0403)
- Servicios Medicos Urumed ( Site 0405)
- Fundacion Arturo Lopez Perez ( Site 0400)
- Bradfordhill-Clinical Area ( Site 0401)
- Cancer Hospital Chinese Academy of Medical Science-Oncology ( Site 6026)Recruiting
- Peking University First Hospital ( Site 6011)Recruiting
- Beijing Cancer hospital-Renal carcinoma and melanoma ( Site 6000)Recruiting
- Chongqing University Cancer Hospital ( Site 6009)Recruiting
- The First Affiliated Hospital Of Fujian Medical University-Urology ( Site 6038)Recruiting
- The First Affiliated hospital of Xiamen University-Urology ( Site 6001)Recruiting
- SUN YAT-SEN UNIVERSITY CANCER CENTRE ( Site 6003)Recruiting
- Sun Yat-sen Memorial Hospital, Sun Yat-sen University-Urology Surgery ( Site 6005)Recruiting
- The First Affiliated Hospital of Guangzhou Medical University-Urology ( Site 6036)Recruiting
- Guangzhou First People's Hospital ( Site 6007)Recruiting
- Harbin Medical University Cancer Hospital-urology ( Site 6015)Recruiting
- Henan Cancer Hospital-Urology ( Site 6006)Recruiting
- Wuhan Union Hospital ( Site 6002)Recruiting
- Hunan Cancer Hospital ( Site 6020)Recruiting
- Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School-Urology ( SRecruiting
- The Second Affiliated Hospital of Soochow University-Urology ( Site 6025)Recruiting
- The First Affiliated Hospital of Nanchang University ( Site 6019)Recruiting
- Jiangxi Provincial Cancer Hospital ( Site 6042)Recruiting
- The First Affiliated Hospital of Xi'an Jiaotong University ( Site 6014)Recruiting
- Renji Hospital Shanghai Jiao Tong University School of Medicine ( Site 6017)Recruiting
- Shanghai Tenth People's Hospital ( Site 6023)Recruiting
- West China Hospital Sichuan University-Urology Surgery ( Site 6016)Recruiting
- Tianjin Medical University Cancer Institute and Hospital ( Site 6029)Recruiting
- The Second Hospital of Tianjin Medical University ( Site 6032)Recruiting
- The First Affiliated Hospital, Zhejiang University ( Site 6024)Recruiting
- The First Hospital of Jiaxing ( Site 6033)Recruiting
- Ningbo First Hospital-Urology ( Site 6028)Recruiting
- The First Affiliated Hospital of Wenzhou Medical University-Urology Surgery ( Site 6021)Recruiting
- Instituto de Cancerología S.A Clínica de las Americas (ICCLA) ( Site 0500)
- Clinica de la Costa S.A.S. ( Site 0502)
- Sociedad de Oncología Y Hematología del Cesar S.A.S. ( Site 0505)
- Administradora Country SA - Clinica del Country ( Site 0504)
- Instituto Nacional de Cancerología E.S.E. ( Site 0503)
- Oncólogos del Occidente S.A ( Site 0501)
- Fundacion Cardiovascular de Colombia ( Site 0506)
- Klinicki Bolnicki Centar Zagreb ( Site 3200)
- Klinički Bolnički Centar Split ( Site 3202)
- Klinicki bolnicki centar "Sestre milosrdnice" ( Site 3201)
- Masarykuv onkologicky ustav ( Site 2203)
- Fakultni nemocnice u sv. Anny v Brne ( Site 2205)
- Nemocnice AGEL Novy Jicin a.s. ( Site 2202)
- Fakultni nemocnice Ostrava ( Site 2208)
- Fakultni nemocnice Olomouc ( Site 2200)
- Fakultni Thomayerova nemocnice ( Site 2201)
- 2 LF UK a FN Motol ( Site 2207)
- Herlev Hospital ( Site 1700)
- Odense University Hospital ( Site 1701)
- TAYS ( Site 1801)
- Kuopion Yliopistollinen Sairaala ( Site 1803)
- HYKS ( Site 1800)
- TYKS ( Site 1802)
- Institut Paoli Calmettes ( Site 1206)
- CHU Jean Minjoz ( Site 1205)Recruiting
- Institut Claudius Regaud ( Site 1214)
- Clinique Francois Chenieux ( Site 1209)Recruiting
- CHU Angers ( Site 1200)
- Clinique Ambroise Pare Beuvry ( Site 1213)
- CH Lyon Sud Hospices Civils de Lyon ( Site 1203)Recruiting
- Gustave Roussy ( Site 1207)
- Hopital Tenon ( Site 1212)
- Universitaetsklinik fuer Urologie ( Site 1300)
- Helios Kliniken Schwerin GmbH ( Site 1302)
- Charite Universitaetsmedizin Berlin ( Site 1301)
- Centro Medico Integral de Cancerologia CEMIC ( Site 0701)
- Oncomedica ( Site 0700)
- Grupo Angeles SA ( Site 0705)
- Sanatorio Nuestra Senora del Pilar ( Site 0702)
- Medi-K Cayala ( Site 0703)
- Centro Regional de Sub Especialidades Medicas SA ( Site 0704)
- Bacs-Kiskun Megyei Korhaz-Onkoradiologiai Kozpont ( Site 2308)
- Bekes Megyei Kozponti Korhaz - Pandy Kalman Tagkorhaza ( Site 2309)
- Jász-Nagykun-Szolnok Vármegyei Hetényi Géza Kórház ( Site 2300)
- Markusovszky Egyetemi Oktatokorhaz ( Site 2303)
- Orszagos Onkologiai Intezet ( Site 2304)
- Debreceni Egyetem Klinikai Kozpont ( Site 2301)
- Beaumont Hospital ( Site 6101)
- Tallaght University Hospital ( Site 6100)
- Azienda Ospedaliero - Universitaria Policlinico di Modena ( Site 1404)
- Ospedale San Raffaele-Oncologia Medica ( Site 1417)
- Fondazione Policlinico Universitario A. Gemelli ( Site 1414)
- Azienda Ospedaliera Policlinico di Bari ( Site 1411)
- Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 1409)
- Istituto Nazionale Tumori Fondazione Pascale ( Site 1412)
- Azienda Ospedaliera S. Maria di Terni ( Site 1410)
- Fujita Health University ( Site 5003)
- Chiba cancer center ( Site 5021)
- National Cancer Center Hospital East ( Site 5000)
- Ehime University Hospital ( Site 5020)
- Sapporo Medical University Hospital ( Site 5008)
- Hokkaido University Hospital ( Site 5013)
- Kanagawa cancer center ( Site 5016)
- Nara Medical University Hospital ( Site 5002)
- Kindai University Hospital- Osakasayama Campus-Urology ( Site 5010)
- Osaka University Hospital ( Site 5012)
- Saitama Medical University International Medical Center ( Site 5015)
- Hamamatsu University School of Medicine University Hospital ( Site 5004)
- Tokyo Medical And Dental University Medical Hospital-Urology ( Site 5009)
- Toranomon Hospital ( Site 5001)
- Toyama University Hospital ( Site 5014)
- Kyushu University Hospital ( Site 5005)
- Kumamoto University ( Site 5022)
- Niigata University Medical & Dental Hospital ( Site 5024)
- Okayama University Hospital ( Site 5017)
- Tokushima University Hospital-Department of Urology ( Site 5019)
- Nippon Medical School Hospital ( Site 5006)
- Tokyo Women's Medical University Adachi Medical Center ( Site 5023)
- Keio university hospital ( Site 5011)
- National Cancer Center ( Site 4202)
- Chungnam National University Hospital ( Site 4205)
- Korea University Anam Hospital ( Site 4206)
- Seoul National University Hospital ( Site 4201)
- Severance Hospital Yonsei University Health System ( Site 4204)
- Asan Medical Center ( Site 4203)
- Samsung Medical Center ( Site 4200)
- Hospital Sultan Ismail ( Site 4303)
- Institut Kanser Negara - National Cancer Institute ( Site 4302)
- Hospital Kuala Lumpur ( Site 4301)
- Universiti Malaya Medical Centre ( Site 4300)
- Hospital Civil de Guadalajara Fray Antonio Alcalde ( Site 0610)
- I CAN Oncology SA de SV ( Site 0601)
- Hospital H+ Queretaro-Cuidados Oncológicos ( Site 0608)
- Instituto Nacional de Cancerologia ( Site 0602)
- Centro de Investigacion Clinica de Oaxaca ( Site 0605)
- Akershus universitetssykehus ( Site 2000)Recruiting
- Soerlandet sykehus HF Kristiansand ( Site 2007)
- Helse Bergen HF - Haukeland Universitetssykehus ( Site 2002)
- Sykehuset Østfold HF Kalnes ( Site 2003)
- St. Olavs Hospital HF ( Site 2005)
- Oslo Universitetssykehus Radiumhospitalet ( Site 2001)
- Manila Doctors Hospital ( Site 4601)
- The Medical City ( Site 4602)
- Cardinal Santos Medical Center ( Site 4603)
- Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 2420)
- Radomskie Centrum Onkologii ( Site 2418)
- Luxmed Onkologia sp. z o. o. ( Site 2412)
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie ( Site 2405)
- Przychodnia Lekarska KOMED ( Site 2419)
- Uniwersytecki Szpital Kliniczny w Poznaniu ( Site 2406)
- Szpital Wojewodzki im. Mikolaja Kopernika ( Site 2407)
- Spitalul Judetean de Urgenta Alba Iulia ( Site 2502)
- S.C. Centrul de Oncologie Sf. Nectarie SRL ( Site 2501)
- Policlinica Oncomed SRL ( Site 2506)Recruiting
- S.C.Focus Lab Plus S.R.L ( Site 2503)
- Altay Regional Oncology Dispensary ( Site 2610)
- Ivanovo Regional Oncology Dispensary ( Site 2615)
- Krasnoyarsk Regional Clinical Oncological Dispensary ( Site 2609)
- The Loginov Moscow Clinical Scientific Center ( Site 2604)
- Moscow Oncological Clinical Dispensary #1 ( Site 2619)
- Nizhniy Novgorod Region Oncology Dispensary ( Site 2621)
- FBHI Privolzhsky District Medical Center of the FMBA ( Site 2611)
- Scientific Research Oncology Institute n.a. N.N.Petrov ( Site 2617)
- City clinical oncological dispensary ( Site 2605)
- Klinicki centar Srbije. ( Site 3333)
- Klinicki centar Nis ( Site 3322)Recruiting
- Institut za onkologiju Vojvodine ( Site 3311)
- Cancer Care Langenhoven Drive Oncology Centre ( Site 3009)
- Wits Clinical Research ( Site 3012)
- Sandton Oncology Medical Group PTY LTD ( Site 3000)
- Univ. Pretoria and Steve Biko Academic Hospitals ( Site 3002)
- Life Wilgers Hospital ( Site 3004)
- Mary Potter Oncology Centre, Little Company of Mary Hospital ( Site 3001)
- Vaal Triangle Oncology Centre ( Site 3010)
- Groote Schuur Hospital ( Site 3011)
- Cape Town Oncology Trials Pty Ltd ( Site 3006)
- Cancercare Rondebosch Oncology ( Site 3005)
- Instituto Catalan de Oncologia - ICO ( Site 1502)
- Hospital Universitario Marques de Valdecilla ( Site 1501)
- Institut Català d'Oncologia (ICO) - Girona ( Site 1500)
- Hospital Clinico San Carlos ( Site 1503)
- Hospital Universitario 12 de Octubre ( Site 1505)
- Hospital Universitario Virgen de la Victoria ( Site 1504)
- Lanssjukhuset Ryhov ( Site 2103)
- Karolinska Universitetssjukhuset Solna ( Site 2100)
- Akademiska Sjukhuset ( Site 2105)
- Norrlands Universitetssjukhus ( Site 2106)
- Sahlgrenska Universitetssjukhuset ( Site 2102)
- Chang Gung Medical Foundation. Kaohsiung Branch ( Site 4405)
- Taichung Veterans General Hospital ( Site 4403)
- National Cheng Kung University Hospital ( Site 4404)
- National Taiwan University Hospital ( Site 4401)
- Taipei Veterans General Hospital ( Site 4402)
- Chang Gung Medical Foundation-Linkou Branch-Urology ( Site 4406)
- Ramathibodi Hospital. ( Site 4500)
- Siriraj Hospital ( Site 4501)
- Ankara Universitesi Tip Fakultesi ( Site 2902)
- Hacettepe Universitesi Tıp Fakultesi ( Site 2903)
- Trakya University Medical Faculty Balkan Oncology Hospital ( Site 2906)
- Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 2900)
- TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 2901)
- Ege Universitesi Tip Fakultesi Hastanesi ( Site 2904)
- Dokuz Eylul Universitesi Tip Fakultesi Hastanesi ( Site 2905)
- Cherkasy Regional Oncology Dispensary ( Site 2704)
- Chernihiv Medical Center of Modern Oncology ( Site 2709)
- MI Dnipr Regional Clinical Hospital named after I.I. Mechnikov ( Site 2710)
- Clinical oncology dispensary of Dnipro ( Site 2700)
- Ivano-Frankivsk Regional Hospital-Urology department ( Site 2707)
- Ivano-Frankivsk Regional Oncology Clinical Dispensary ( Site 2711)
- Regional Oncology Center of Kharkiv ( Site 2708)
- Reg. Clinical Center of Urology and Nephrology n.a. V. I. Shapoval ( Site 2715)
- Kyiv City Clinical Oncology Center ( Site 2706)
- Lviv State Regional Oncological Center ( Site 2712)
- Addenbrookes Hospital ( Site 3110)
- Barts Health NHS Trust - St Bartholomew s Hospital ( Site 3116)
- Mount Vernon Cancer Centre ( Site 3101)
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Pembrolizumab + Belzutifan + Lenvatinib
Pembrolizumab/Quavonlimab + Lenvatinib
Pembrolizumab + Lenvatinib
Participants will receive pembrolizumab 400 mg PLUS belzutifan 120 mg PLUS lenvatinib 20 mg. Pembrolizumab will be administered intravenously (IV) once every 6 weeks (Q6W) for up to 18 administrations (up to ~2 years). Belzutifan and lenvatinib will be administered orally once daily (QD) until progressive disease or discontinuation.
Participants will receive pembrolizumab/quavonlimab (co-formulation of pembrolizumab 400 mg and quavonlimab 25 mg) PLUS lenvatinib 20 mg. Pembrolizumab/quavonlimab will be administered IV Q6W for up to 18 administrations (up to ~2 years). Lenvatinib will be administered orally QD until progressive disease or discontinuation.
Participants will receive pembrolizumab 400 mg PLUS lenvatinib 20 mg. Pembrolizumab will be administered IV Q6W for up to 18 administrations (up to ~2 years). Lenvatinib will be administered orally QD until progressive disease or discontinuation.