• TRADE NAME: Welireg (Merck Sharpe & Dohme)
  • INDICATIONS: Treatment of adult patients with von Hippel-Lindau disease who require therapy for associated renal cell carcinoma, central nervous system hemangioblastomas, or pancreatic neuroendocrine tumors, not requiring immediate surgery.
  • CLASS: Hypoxia-inducible factor inhibitor
  • HALF-LIFE: 14 hours
  • FDA APPROVAL DATE: 08/13/2021
  • CLINICALLY IMPORTANT, POTENTIALLY HAZARDOUS INTERACTIONS WITH:
    CYP3A4 substrates, hormonal contraceptives, UGT2B17 or CYP2C19 inhibitors
  • PREGNANCY: Can cause fetal harm when administered to a pregnant woman. Advise females of reproductive potential to use effective non-hormonal contraception during treatment. Advise males with female partners of reproductive potential to use effective contraception during treatment with belzutifan.

Belzutifan can cause severe anemia that can require blood transfusion.

Belzutifan can cause severe hypoxia that may require discontinuation, supplemental oxygen, or hospitalization.

WARNING: EMBRYO-FETAL TOXICITY

EXPOSURE TO BELZUTIFAN DURING PREGNANCY CAN CAUSE EMBRYO-FETAL HARM.

VERIFY PREGNANCY STATUS PRIOR TO THE INITIATION OF BELZUTIFAN.

ADVISE PATIENTS OF THESE RISKS AND THE NEED FOR EFFECTIVE NON-HORMONAL CONTRACEPTION.

BELZUTIFAN CAN RENDER SOME HORMONAL CONTRACEPTIVES INEFFECTIVE.

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Page last updated 08/21/2024

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Incidence

<1% 1‑5% 5‑10% 10‑15% 15‑20% 20‑30% >30%

Seriousness

Hospitalization possible
Life threatening
Fatal

Warnings in other populations

BreastfeedingBreast feeding

GeriatricGeriatric

PediatricPediatric