Tivozanib: current status and future directions in the treatment of solid tumors

Sumanta K Pal1, Paulo G Bergerot, Robert A Figlin

  • 1City of Hope Comprehensive Cancer Center, Department of Medical Oncology & Experimental Therapeutics, 1500 East Duarte Road, Duarte, CA 91010, USA. spal@coh.org

Abstract

Insights

Tivozanib, a vascular endothelial growth factor (VEGF) receptor tyrosine kinase inhibitor (TKI), shows potential in metastatic renal cell carcinoma (mRCC). Emerging combination studies and biomarker assessments may define its role among VEGF-TKIs.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Tivozanib is a novel tyrosine kinase inhibitor (TKI).
  • It potently inhibits vascular endothelial growth factor (VEGF) receptors -1, -2, and -3 at nanomolar concentrations.

Purpose of the Study:

  • To review the development pathway of tivozanib.
  • To discuss its clinical and translational data.
  • To identify future opportunities for this agent.

Main Methods:

  • Comprehensive literature search of MEDLINE and American Society of Clinical Oncology abstracts.
  • Review of pre-clinical studies, Phase I assessment in advanced solid tumors.
  • Analysis of combination studies, including cytotoxic therapy pairings.
  • Detailed description of Phase II and Phase III studies in metastatic renal cell carcinoma (mRCC).

Main Results:

  • Tivozanib demonstrates activity in advanced solid tumors.
  • Combination studies explore its efficacy with cytotoxic agents in colorectal and breast cancers.
  • Phase II and III studies assess its role in mRCC.

Conclusions:

  • Tivozanib faces competition in the mRCC therapeutic landscape.
  • Emerging combination studies and biomarker assessments are crucial for its differentiation.
  • The review provides insights into tivozanib's development and future potential.

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