WELIREG and KEYTRUDA Combination Shows Positive Phase 3 Results in Kidney Cancer
- Clinical Trial Breakthrough: The combination of WELIREG and KEYTRUDA demonstrated a significant improvement in disease-free survival in the LITESPARK-022 trial, reducing the risk of disease recurrence or death by 28% (HR=0.72, p=0.0003), providing a new treatment option for kidney cancer patients.
- FDA Priority Review: Based on the trial results, the U.S. FDA has accepted supplemental applications for the combination therapy for priority review, with a target action date set for June 19, 2026, potentially accelerating the market introduction of this therapy.
- Significant Patient Benefit: In the trial, the 24-month disease-free survival rate for the KEYTRUDA plus WELIREG arm was 80.7%, significantly higher than the 73.7% for KEYTRUDA monotherapy, bringing new hope to treatment strategies for renal cell carcinoma.
- Good Safety Profile: The safety of the combination therapy was consistent with previous studies, with no new safety signals observed, and 69.5% of patients completed the treatment, indicating good tolerability and the potential to reshape clinical practice.
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Clinical Implications: These findings suggest a promising approach to improving survival rates in patients with this type of cancer.
- New Drug Approval: Merck Animal Health's JAK inhibitor Numelvi (atinvicitinib) has received FDA approval for controlling pruritus related to allergic dermatitis in dogs, marking it as the first second-generation JAK inhibitor approved for this indication, which is expected to significantly enhance the quality of life for canine patients.
- Market Launch Timing: Numelvi is set to be available starting in the spring, and with the launch of this new drug, Merck Animal Health is poised to capture a larger share of the pet healthcare market, addressing the growing demand for pet care solutions.
- Investor Confidence: Despite facing patent risks, analysts remain bullish on Merck, believing that the introduction of this new drug will bolster the company's revenue streams and further solidify its leadership position in the animal health sector.
- Industry Impact: The approval of Numelvi not only provides pet owners with a new treatment option but may also drive innovation across the animal health industry, prompting other companies to accelerate their drug development processes.
- Clinical Trial Results: The Phase 3 LITESPARK-011 trial demonstrated that the combination of WELIREG and LENVIMA significantly improved progression-free survival (PFS), with a median PFS of 14.8 months compared to 10.7 months for cabozantinib, reducing the risk of disease progression or death by 30% (HR=0.70).
- FDA Application Progress: Based on the LITESPARK-011 trial data, the U.S. FDA has accepted two supplemental New Drug Applications (sNDA) for WELIREG and LENVIMA, with a target action date of October 4, 2026, marking a significant milestone for the company in the kidney cancer treatment space.
- Patient Response Rate: In the trial, 52.6% of patients responded to the combination treatment of WELIREG and LENVIMA, highlighting the potential of this regimen for patients with advanced renal cell carcinoma and further solidifying Merck's leadership in oncology.
- Safety Analysis: While 71.6% of patients experienced grade 3 or higher adverse events during treatment with WELIREG and LENVIMA, the safety profile remains acceptable compared to cabozantinib, indicating promising clinical applicability for this combination.

- Clinical Trial Results: At the 2026 American Society of Clinical Oncology (ASCO) meeting, Merck presented results from the LITESPARK-022 Phase 3 trial, demonstrating that the combination of KEYTRUDA and WELIREG significantly improved disease-free survival in renal cell carcinoma patients, reducing the risk of recurrence or death by 28% (HR=0.72, p=0.0003), offering new hope for kidney cancer treatment.
- Significant Patient Benefit: In the first pre-specified interim analysis with a median follow-up of 28.4 months, the 24-month disease-free survival rate was 80.7% for the KEYTRUDA plus WELIREG arm, notably higher than the 73.7% for KEYTRUDA monotherapy, providing a new treatment option for high-risk patients that could reshape clinical practice.
- FDA Priority Review: Following the positive results from LITESPARK-022, the FDA has accepted priority review applications for the combination of WELIREG with KEYTRUDA, with a target action date set for June 19, 2026, which could provide more effective treatment options for kidney cancer patients if approved.
- Good Safety Profile: The safety profile of the KEYTRUDA and WELIREG combination was consistent with previously reported studies, with no new safety signals observed, and 69.5% of patients completing the treatment, indicating good tolerability and enhancing its potential for clinical application.

- Clinical Trial Breakthrough: The combination of WELIREG and KEYTRUDA demonstrated a significant improvement in disease-free survival in the LITESPARK-022 trial, reducing the risk of disease recurrence or death by 28% (HR=0.72, p=0.0003), providing a new treatment option for kidney cancer patients.
- FDA Priority Review: Based on the trial results, the U.S. FDA has accepted supplemental applications for the combination therapy for priority review, with a target action date set for June 19, 2026, potentially accelerating the market introduction of this therapy.
- Significant Patient Benefit: In the trial, the 24-month disease-free survival rate for the KEYTRUDA plus WELIREG arm was 80.7%, significantly higher than the 73.7% for KEYTRUDA monotherapy, bringing new hope to treatment strategies for renal cell carcinoma.
- Good Safety Profile: The safety of the combination therapy was consistent with previous studies, with no new safety signals observed, and 69.5% of patients completed the treatment, indicating good tolerability and the potential to reshape clinical practice.





