
Feature|Articles|September 30, 2026
Behind the FDA approval of belzutifan plus lenvatinib in advanced ccRCC, with Robert Motzer, MD
Author(s)Robert J. Motzer, MD, Hannah Clarke
Fact checked by: Benjamin P. Saylor, Strategic Content Lead
Robert J. Motzer, MD, discusses the significance of the belzutifan plus lenvatinib approval, adverse event management with the combination, and the evolving role of HIF-2α inhibition in ccRCC.
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The FDA approved belzutifan (Welireg) plus lenvatinib (Lenvima) for adults with advanced renal cell carcinoma (RCC) with a clear cell component following disease progression on a PD-1 or PD-L1 inhibitor in September 2026.1 The decision adds a second-line option with phase 3 superiority data over cabozantinib (Cabometyx) after immunotherapy.
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The approval is supported by data from the phase 3 LITESPARK-011 trial.

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