Related Experiment Video
Updated: May 10, 2026

Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
Published on: October 27, 2014
Tivozanib for the treatment of metastatic renal cancer
1Cambridge University Health Partners, Addenbrooke's Hospital, Cambridge, UK.
Abstract:
Tyrosine kinase inhibitors have revolutionized the treatment of metastatic renal cell carcinoma (RCC). Drugs such as sorafenib, sunitinib and pazopanib act on the VEGF receptor pathway, but they can also inhibit other kinases, resulting in off-target toxicities. Tivozanib was developed due to its potency and selectivity against VEGF receptors 1-3. It has a favorable pharmacokinetic profile after oral administration and a long plasma half-life. In the Phase III TIVO-1 trial, it demonstrated a higher response rate and longer progression-free survival than sorafenib with a better side-effect profile. It is currently awaiting approval to be used in the first-line treatment of metastatic RCC. An early-phase trial has also shown its tolerability at full dose when given with the mTOR inhibitor temsirolimus, suggesting its potential in combination treatment. This article examines tivozanib from its laboratory to clinical development, as well as its relevance and future role in the treatment of RCC in the era of the tyrosine kinase inhibitors.
Insights
Tivozanib, a selective VEGF inhibitor, shows improved efficacy and tolerability for metastatic renal cell carcinoma (RCC) compared to sorafenib. Its potential for first-line treatment and combination therapies is promising.
Area of Science:
- Oncology
- Pharmacology
- Clinical Trials
Background:
- Metastatic renal cell carcinoma (RCC) treatment has been advanced by tyrosine kinase inhibitors (TKIs).
- Existing TKIs like sorafenib, sunitinib, and pazopanib target the VEGF pathway but cause off-target toxicities.
- Tivozanib was designed for high potency and selectivity against VEGF receptors 1-3.
Purpose of the Study:
- To review the laboratory and clinical development of tivozanib.
- To evaluate tivozanib's efficacy, safety, and pharmacokinetic profile in metastatic RCC.
- To discuss tivozanib's current and future role in RCC treatment.
Main Methods:
- Review of preclinical data and clinical trials, including the Phase III TIVO-1 trial.
- Pharmacokinetic and pharmacodynamic assessments.
- Comparison of tivozanib with existing therapies like sorafenib.
Main Results:
- Tivozanib demonstrated superior response rates and progression-free survival compared to sorafenib in the TIVO-1 trial.
- Tivozanib exhibits a favorable side-effect profile.
- Early trials suggest good tolerability when combined with mTOR inhibitors like temsirolimus.
Conclusions:
- Tivozanib is a potent and selective VEGF inhibitor with significant potential in metastatic RCC treatment.
- It offers an improved efficacy and safety profile over current standard-of-care TKIs.
- Tivozanib is poised for first-line treatment approval and shows promise in combination therapies.
Related Concept Videos
Treatment Resistent Cancers
Treatment Resistant Cancers
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme (ECE). Of...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
