Clinical Trials

Belzutifan is being evaluated across numerous clinical trials spanning Phase 1, Phase 2, and Phase 3 protocols to assess its safety, pharmacokinetics, and therapeutic efficacy. Encompassing active, recruiting, and completed statuses, these studies focus on clear cell renal cell carcinoma, von Hippel-Lindau syndrome-associated malignancies, advanced solid tumors, and renal impairment. Investigations are sponsored by pharmaceutical developers like Merck Sharp & Dohme and Peloton Therapeutics, alongside academic institutions such as the Dana-Farber Cancer Institute and M.D. Anderson Cancer Center.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07405164 RECRUITING
Von Hippel-Lindau Disease; Malignant Neoplasms
Merck Sharp & Dohme LLC
2026-03-23 PHASE3
NCT07700758 NOT_YET_RECRUITING
Malignant Neoplasm
Merck Sharp & Dohme LLC
2026-11-23 PHASE2
NCT07227402 RECRUITING
Renal Cell Carcinoma
Merck Sharp & Dohme LLC
2025-11-26 PHASE3
NCT07049926 RECRUITING
Renal Cell Carcinoma
Merck Sharp & Dohme LLC
2025-07-20 PHASE1; PHASE2
NCT07489495 RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2026-04-09 PHASE3
NCT04924075 RECRUITING
Pheochromocytoma/Paraganglioma; Pancreatic Neuroendocrine Tumor; Von Hippel-Lindau Disease; Advanced Gastrointestinal Stromal Tumor; HIF-2α Mutated Cancers
Merck Sharp & Dohme LLC
2021-08-12 PHASE2
NCT07793942 NOT_YET_RECRUITING
Malignant Neoplam; Advanced Solid Tumors
Merck Sharp & Dohme LLC
2026-09-29 PHASE2
NCT07179770 RECRUITING
Metastatic Clear Cell Renal Cell Carcinoma
NYU Langone Health
2025-09-15 PHASE1
NCT07023432 RECRUITING
Active Surveillance; Clear Cell Renal Cell Carcinoma
M.D. Anderson Cancer Center
2025-11-17 PHASE2
NCT07377526 SUSPENDED
Pancreatic Cancer
M.D. Anderson Cancer Center
2026-05-26 PHASE1; PHASE2
NCT07593040 NOT_YET_RECRUITING
Renal Cell Carcinoma
Vall d'Hebron Institute of Oncology
2026-06 PHASE2
NCT02861573 ACTIVE_NOT_RECRUITING
Metastatic Castration-Resistant Prostate Cancer
Merck Sharp & Dohme LLC
2016-11-17 PHASE1; PHASE2
NCT07187778 RECRUITING
Clear Cell Renal Cell Carcinoma
M.D. Anderson Cancer Center
2025-12-19 PHASE2
NCT05030506 ACTIVE_NOT_RECRUITING
Renal Cell Carcinoma
Merck Sharp & Dohme LLC
2021-10-13 PHASE1
NCT06428396 ACTIVE_NOT_RECRUITING
Metastatic Breast Cancer
Merck Sharp & Dohme LLC
2024-11-27 PHASE2
NCT03401788 ACTIVE_NOT_RECRUITING
VHL - Von Hippel-Lindau Syndrome; VHL Gene Mutation; VHL Syndrome; VHL Gene Inactivation; VHL-Associated Renal Cell Carcinoma; VHL-Associated Clear Cell Renal Cell Carcinoma
Peloton Therapeutics, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
2018-05-02 PHASE2
NCT07680205 RECRUITING
Pheochromocytoma and Paraganglioma (PPGL); Pheochromocytoma Malignant; Pheochromocytoma, Metastatic; Pheochromocytoma/Paraganglioma; Pheochromocytoma
Cambridge University Hospitals NHS Foundation Trust
2026-04-27 PHASE2
NCT04976634 ACTIVE_NOT_RECRUITING
Neoplasm Malignant
Merck Sharp & Dohme LLC
2021-08-18 PHASE2
NCT03634540 ACTIVE_NOT_RECRUITING
Renal Cell Carcinoma (RCC); Clear Cell Renal Cell Carcinoma (ccRCC); Kidney Cancer; Renal Cancer; Renal Cell Carcinoma; Renal Cell Cancer Metastatic; Renal Cell Carcinoma Recurrent; Renal Cell Cancer, Recurrent; Kidney
Peloton Therapeutics, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
2018-09-27 PHASE2
NCT06677190 RECRUITING
Ovarian Cancer; Ovarian Carcinoma; Endometrial Cancer; Uterine Cancer; Cervical Cancer; Vulvar Cancer; Gynecologic Cancer; Vaginal Cancer
Dana-Farber Cancer Institute
2024-12-20 PHASE2
NCT06234605 RECRUITING
Renal Cell Carcinoma
HiberCell, Inc.
2024-04-29 PHASE1
NCT05239728 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2022-03-15 PHASE3
NCT05468697 ACTIVE_NOT_RECRUITING
Renal Cell Carcinoma
Merck Sharp & Dohme LLC
2022-08-10 PHASE1; PHASE2
NCT04626518 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2020-12-17 PHASE1; PHASE2
NCT04626479 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2020-12-16 PHASE1; PHASE2
NCT04846920 COMPLETED
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2021-06-14 PHASE1
NCT05899049 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2022-07-27 PHASE3
NCT04736706 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2021-04-14 PHASE3
NCT04586231 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2021-02-25 PHASE3
NCT07167329 RECRUITING
Von Hippel Lindau; Von Hippel Lindau Disease; Von Hippel Lindau-Deficient Clear Cell Renal Cell Carcinoma; Hemangioblastoma (HB) of the Central Nervous System (CNS); PNET; Retinal Angiomatous Proliferation; Pheochromocytoma/Paraganglioma; Endolymphatic Sac Tumor
José Claudio Casali da Rocha
2024-01-01 PHASE2
NCT07121959 COMPLETED
Healthy
Merck Sharp & Dohme LLC
2025-08-18 PHASE1
NCT06903715 COMPLETED
Healthy
Merck Sharp & Dohme LLC
2025-03-28 PHASE1
NCT05574712 WITHDRAWN
Prostate Cancer
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2024-01-01 PHASE2
NCT04195750 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2020-02-27 PHASE3
NCT04994522 COMPLETED
End Stage Renal Disease; Renal Impairment
Merck Sharp & Dohme LLC
2022-07-12 PHASE1
NCT04995484 COMPLETED
Moderate Hepatic Impairment
Merck Sharp & Dohme LLC
2022-06-24 PHASE1
NCT04489771 ACTIVE_NOT_RECRUITING
Carcinoma, Renal Cell
Merck Sharp & Dohme LLC
2020-09-13 PHASE2
NCT04994522 Completed
End Stage Renal Disease|Renal Impairment
Merck Sharp & Dohme LLC
2022-07-12 Phase 1
NCT04846920 Active not recruiting
Carcinoma Renal Cell
Merck Sharp & Dohme LLC
2021-06-14 Phase 1
NCT04627064 Active not recruiting
Clear Cell Renal Cell Carcinoma
Dana-Farber Cancer Institute|Eli Lilly and Company
2020-12-31 Phase 1
NCT04489771 Active not recruiting
Carcinoma Renal Cell
Merck Sharp & Dohme LLC
2020-09-13 Phase 2
NCT03634540 Active not recruiting
Renal Cell Carcinoma (RCC)|Clear Cell Renal Cell Carcinoma (ccRCC)|Kidney Cancer|Renal Cancer|Renal Cell Carcinoma|Renal Cell Cancer Metastatic|Renal Cell Carcinoma Recurrent|Renal Cell Cancer Recurrent|Kidney
Peloton Therapeutics Inc. a subsidiary of Merck & Co. Inc. (Rahway New Jersey USA)
2018-09-27 Phase 2
NCT03445169 COMPLETED
Healthy
Peloton Therapeutics, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
2018-02-23 PHASE1
NCT03401788 Active not recruiting
VHL - Von Hippel-Lindau Syndrome|VHL Gene Mutation|VHL Syndrome|VHL Gene Inactivation|VHL-Associated Renal Cell Carcinoma|VHL-Associated Clear Cell Renal Cell Carcinoma
Peloton Therapeutics Inc. a subsidiary of Merck & Co. Inc. (Rahway New Jersey USA)
2018-05-02 Phase 2
NCT02974738 ACTIVE_NOT_RECRUITING
Advanced Solid Tumors; Solid Tumor; Solid Carcinoma; Solid Tumor, Adult; ccRCC; RCC, Clear Cell Adenocarcinoma; RCC; Kidney Cancer; Clear Cell Renal Cell Carcinoma; Renal Cell Carcinoma, Metastatic; Renal Cell Carcinoma Recurrent; Renal Cell Carcinoma, Clear Cell Adenocarcinoma; Glioblastoma; Glioblastoma, Adult; GBM; Glioblastoma Multiforme
Peloton Therapeutics, Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
2016-12-07 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-09-03)

Check the PT2977 (Belzutifan) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Belzutifan (PT2977) selectively binds to hypoxia-inducible factor-2 alpha (HIF-2α), preventing HIF-2α heterodimerization with HIF-1β and subsequently blocking the transcriptional activation of downstream hypoxia-driven target genes involved in cell proliferation and angiogenesis. This selective transcriptional repression suppresses cellular survival and tumor vascularization, directly driving its therapeutic efficacy in clear cell renal cell carcinoma and von Hippel-Lindau disease-associated renal neoplasms.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.