A Trial of Belzutifan (PT2977, MK-6482) Tablets In Patients With Advanced Solid Tumors (MK-6482-001)

Prior treatment

• Has failed to recover from the reversible effects of prior anticancer therapy (does not apply to GBM cohort)
• Has malabsorption due to prior gastrointestinal (GI) surgery or GI disease
• Has had any major cardiovascular event within 6 months prior to study drug administration
• Has had major surgery within 4 weeks before first study drug administration
• Has received prior anti-VEGF therapy including bevacizumab (i.e. patients must be bevacizumab naïve)
• Is receiving enzyme-inducing anti-epileptic drugs (EIAED). Patients may be on non-enzyme inducing anti-epileptic drugs or not be taking any anti-epileptic drugs. Patients previously treated with EIAED may be enrolled if they have been off the EIAED for 10 days or more prior to the first dose of belzutifan

Other illness

• Has a history of untreated brain metastasis or history of leptomeningeal disease or spinal cord compression
• Has uncontrolled or poorly controlled hypertension
• Has any other clinically significant cardiac, respiratory, or other medical or psychiatric condition that might interfere with participation in the trial or interfere with the interpretation of trial results
• Has known HIV
• Has an active infection requiring systemic treatment

Other

• Is participating in another therapeutic clinical trial
  • Additional Excusion Criteria for GBM cohort:

• Has a diagnosis of locally advanced or metastatic solid tumor
• Is of age ≥ 18 years
• Has a life expectancy of ≥ 6 months
• Has adequate organ function
• If a female patient, must not be pregnant or breastfeeding and not a woman of childbearing potential (WOCBP) OR a WOCBP who uses contraception or is abstinent from heterosexual intercourse during the study and for a minimum of 30 days after the last study drug administration, or if a male patient, must be abstinent from heterosexual intercourse OR agree to use contraception
• Able to swallow oral medications
  • Additional Inclusion Criteria for GBM cohort
• Must have histologically confirmed glioblastoma, IDH-wild type that is first recurrent following radiation therapy and temozolomide according to the Response Assessment in Neuro-Oncology (RANO) criteria
• Must have archival tumor tissue available from a previous surgery for glioblastoma
• Must have measurable (defined as at least 1 cm x 1 cm) contrast-enhancing lesion by MRI imaging within 21 days of starting treatment
• Must be able to undergo MRI of the brain with gadolinium. Patients must be maintained on a stable or decreasing dose of corticosteroid regimen (no increase for 5 days) prior to this baseline MRI
• Must have recovered from prior therapy to grade ≤1 severity (except for alopecia and lymphocytopenia) National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE)