Merck Reports Promising Keytruda-Welireg Combo Data

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Merck says that adding Welireg (belzutifan) to Keytruda as adjuvant therapy significantly reduced the risk of disease recurrence or death in certain patients with earlier-stage renal cell carcinoma (RCC), marking the first positive Phase 3 study of the HIF-2α inhibitor in early-stage disease. Results from the pivotal Phase 3 LITESPARK-022 trial, presented at the 2026 American Society of Clinical Oncology Genitourinary Cancers Symposium, showed that the combination reduced the risk of recurrence or death by 28% compared with Keytruda alone, it says.

Merck says the study enrolled patients with clear cell RCC at increased risk of recurrence following nephrectomy. After a median follow-up of 28.4 months, median disease-free survival had not yet been reached in either arm. The estimated 24-month DFS rate was 80.7% in the combination arm versus 73.7% with Keytruda plus placebo. It adds that the trial will continue to assess overall survival, a key secondary endpoint.

Clinical investigators say the findings could shift the adjuvant treatment paradigm. Roughly 40% of patients with renal cell cancer experience recurrence after initial therapy, underscoring the need for more effective post-surgical options.

Based on data from the LITESPARK-022 trial, Merck says FDA has accepted for priority review supplemental applications seeking approval of Welireg in combination with Keytruda Or Keytruda Qlex for the adjuvant treatment of adult patients with RCC with a clear cell component with increased risk of recurrence following nephrectomy. The agency has set a user fee review action target date of 6/19.

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