Evidence map›Paper›PMID 41632099›Full record

ReviewCancer2026

Targeting HIF-2α in renal cell carcinoma: Expanding upon belzutifan.

Melanie Rodriguez, Qian Qin, Uttam K Tambar, James Brugarolas

Abstract readReview
In one paragraph

Review in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Melanie RodriguezDepartment of Biochemistry, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-5250-7810
Qian QinDepartment of Internal Medicine, Division of Hematology-Oncology, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.
Uttam K TambarDepartment of Biochemistry, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.ORCID https://orcid.org/0000-0001-5659-5355
James BrugarolasDepartment of Internal Medicine, Division of Hematology-Oncology, The University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, USA.

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Kathryn Ann O'Donnell · 2010 to 2026
$53.7M
University of Texas Southwestern Medical Center SPORE in Kidney CancerP50CA196516 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Payal Kapur, Payal Kapur · 2016 to 2026
$24.7M
Stereoselective Rearrangements for the Synthesis of Bioactive Small MoleculesR01GM102604 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI TAMBAR, UTTAM KRISHAN · 2012 to 2024
$5.0M
Translational Cancer Biology (TCB) T32 Training ProgramT32CA291654 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Rolf A Brekken, Jerry William Shay · 2024 to 2026
$1.2M
NCI NIH HHS P30 CA142543NCI NIH HHS P30CA142543NCI NIH HHS P50 CA196516NCI NIH HHS P50CA196516NCI NIH HHS T32 CA291654NIGMS NIH HHS R01GM102604Welch Foundation I-1748
6 · The paper itself

Abstract

backgroundClear cell renal cell carcinoma (ccRCC) is a common subtype of kidney cancer driven by the inactivation of the von Hippel-Lindau (VHL) gene, leading to the accumulation of hypoxia-inducible factor (HIF)-2α and tumorigenesis.

methodsTargeting HIF-2α has emerged as a promising therapeutic strategy culminating in the development of a first-in-class inhibitor, belzutifan, invented by Peloton Therapeutics and marketed by Merck. This article presents the journey to belzutifan and subsequent developments.

resultsWe discuss the structure-based design leading to the first-in-human drug, PT2385, as well as subsequent modifications to improve pharmacokinetic properties leading to PT2977/belzutifan. Detailed analyses are presented of key HIF-2α structural features, the mechanism of drug action, and how this family of drugs performed in preclinical models. Belzutifan's impact on patients with VHL syndrome, sporadic advanced ccRCC and pheochromocytoma/paraganglioma is discussed, three areas where belzutifan has obtained Food and Drug Administration approval. Drug combination strategies, mechanisms of resistance, and emerging strategies to overcome them, including siRNA-based therapeutics, are presented. Alternative HIF-2α inhibitors are examined, including NKT2152 and AB521.

conclusionsBy expanding upon the foundation established by belzutifan, the field is poised for further therapeutic advances.

Indexed as

Antineoplastic AgentsBasic Helix-Loop-Helix ProteinsCarcinoma, Renal CellKidney NeoplasmsAnimalsEndothelial PAS Domain-Containing Protein 1HumansIndansIndenesSulfonesVon Hippel-Lindau Tumor Suppressor ProteinAntineoplastic AgentsBasic Helix-Loop-Helix ProteinsbelzutifanEndothelial PAS Domain-Containing Protein 1IndansIndenesPT2385SulfonesVon Hippel-Lindau Tumor Suppressor Proteinbelzutifancarcinogenesisclear cell renal cell carcinomaHIF‐2hypoxiakidney cancerrenal cell carcinomastructure‐based drug designVHL syndrome

Identifiers

PMID41632099
PMCPMC13222738

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.