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OncoMatch/Clinical Trials/NCT07187778

Phase II Trial of Single Agent Belzutifan or Pembrolizumab Versus Combination as Neoadjuvant Therapy in Clear Cell Renal Cell Carcinoma (BLAZE)

Is NCT07187778 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Pembrolizumab and Belzutifan for clear cell renal cell carcinoma.

Phase 2RecruitingM.D. Anderson Cancer CenterNCT07187778Data as of May 2026

Treatment: Pembrolizumab · BelzutifanTo learn if belzutifan alone, pembrolizumab alone, or belzutifan and pembrolizumab in combination given before a total or partial nephrectomy (surgery to remove all or part of a kidney) can help to control locally advanced ccRCC.

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Extracted eligibility criteria

Cancer type

Renal Cell Carcinoma

Disease stage

Required: Stage PT2, PT3, PT4 (pathological TNM)

Grade: Grade 4any grade (Fuhrman and/or WHO/ISUP)

Has intermediate-high risk, high risk, or M1 ccRCC as defined by the following pathological tumor-node metastasis and tumor grading

Performance status

ZUBROD/ECOG 0–1

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: chemotherapy

Patients who have had chemotherapy or radiotherapy for RCC prior to study.

Cannot have received: radiation therapy

Patients who have had chemotherapy or radiotherapy for RCC prior to study.

Cannot have received: anti-PD-1 therapy

Prior systemic therapy with anti-PD1, PD-L1, PD-L2, or CTLA-4

Cannot have received: anti-PD-L1 therapy

Prior systemic therapy with anti-PD1, PD-L1, PD-L2, or CTLA-4

Cannot have received: anti-PD-L2 therapy

Prior systemic therapy with anti-PD1, PD-L1, PD-L2, or CTLA-4

Cannot have received: anti-CTLA-4 therapy

Prior systemic therapy with anti-PD1, PD-L1, PD-L2, or CTLA-4

Cannot have received: colony-stimulating factors (G-CSF, GM-CSF, recombinant EPO)

Exception: ≤28 days prior to the first dose of study intervention

received colony-stimulating factors (eg, G-CSF, GM-CSF or recombinant EPO) ≤28 days prior to the first dose of study intervention

Cannot have received: HIF-2A inhibitor (belzutifan)

Has received prior treatment with belzutifan or another HIF-2α inhibitor.

Lab requirements

Blood counts

ANC ≥1000, PLT ≥ 75, Hgb ≥9 (transfusion allowed if Hgb < 1.5 or = to upper limit of normal)

Liver function

Has moderate to severe hepatic impairment (Child-Pugh B or C) [excluded]

Cardiac function

Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better. Clinically significant cardiac disease, including unstable angina, acute myocardial infarction ≤6 months from Day 1 of study drug administration, or New York Heart Association Class III or IV congestive heart failure [excluded]. Medically controlled arrhythmia stable on medication is permitted.

Screening laboratory criteria include the following: a. ANC ≥1000, PLT ≥ 75, Hgb ≥9 (transfusion allowed if Hgb < 1.5 or = to upper limit of normal). Has moderate to severe hepatic impairment (Child-Pugh B or C) [excluded].

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • The University of Texas M. D. Anderson Cancer Center · Houston, Texas

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