Tivantinib (ARQ197) in hepatocellular carcinoma

Camillo Porta1, Palma Giglione, Alessandra Ferrari

  • 1Medical Oncology, I.R.C.C.S. San Matteo University Hospital Foundation, Pavia, Italy.

Insights

Tivantinib, a c-MET inhibitor, shows promise in treating advanced liver cancer. It improved survival and slowed progression in patients with MET-high hepatocellular carcinoma after sorafenib treatment.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Hepatocellular carcinoma (HCC) remains a significant health challenge.
  • Sorafenib is a standard treatment, but resistance and progression are common.
  • Targeting the c-MET pathway is a potential therapeutic strategy for HCC.

Purpose of the Study:

  • To review the development of tivantinib, a selective oral c-MET inhibitor.
  • To evaluate the efficacy and safety of tivantinib in patients with advanced HCC who progressed on sorafenib.

Main Methods:

  • Review of tivantinib's development and clinical trial data.
  • Analysis of a randomized Phase II study in HCC patients post-sorafenib.
  • Assessment of overall and MET-high patient populations.

Main Results:

  • Tivantinib (360 mg BID) reduced progression risk by 36% in the overall HCC population.
  • In MET-high HCC patients, tivantinib significantly improved overall survival, time to progression, and disease control rate.
  • Dose reduction to 240 mg BID mitigated neutropenia without compromising efficacy.

Conclusions:

  • Tivantinib demonstrates clinical activity in advanced HCC, particularly in MET-high patients.
  • The drug's safety profile, including neutropenia, can be managed with dose adjustments.
  • Ongoing Phase III trials will further validate tivantinib's role in HCC treatment.

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