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Tivozanib: A New Hope for Treating Renal Cell Carcinoma
Indu Passi1, Koushal Billowria1, Bhupinder Kumar1
1Department of Pharmaceutical Analysis, ISF College of Pharmacy, Ghal Kalan, G.T Road, Moga, Punjab, 142001, India.
Background:
Renal cell carcinoma (RCC) is a diverse collection of malignancies with varying histological characteristics, molecular changes, prognosis, and therapeutic response. Tivozanib was first approved in March 2021 by USFDA with the brand name Fotivda. Tivozanib hydrochloride monohydrate is an oral medication that is used to treat relapsed or refractory renal cell carcinoma.
Objective:
In this review, we explain renal cell carcinoma and its different types of treatment by the anti-renal carcinoma drugs.
Methods:
A comprehensive literature search was conducted in the relevant databases, like ScienceDirect, PubMed, ResearchGate, and Google Scholar, to identify the studies.
Conclusion:
Tivozanib is an oral VEGFR-1, VEGFR-2, and VEGFR-3 tyrosine kinase inhibitor that is extremely selective and powerful. It has much less affinity for other receptor tyrosine kinases than multi-targeted TKIs now in clinical use. Because of its long half-life in circulation, it may be able to block VEGFRs more consistently. Doserelated controllable hypertension is its most commonly seen drug-related side event. Fatigue, hoarseness, and diarrhea, which are all common side effects, are not dose-related. Because of its target specificity, tivozanib can work well with other medications that have low side effects. Blocking both the VEGF and mTOR signaling pathways at the same time provides the benefit of synergistic antitumor efficacy while also preventing treatment resistance. Thus, overall we can say that the drug tivozanib is suitable for treatment in patients with renal cell carcinoma and can be investigated in multi-center clinical trials.
Insights
Tivozanib is an oral medication for advanced renal cell carcinoma (RCC). This targeted therapy effectively blocks VEGFRs, showing promise in clinical trials for RCC treatment.
Area of Science:
- Oncology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) is a complex cancer with varied characteristics.
- Tivozanib (Fotivda) is an oral medication approved for relapsed or refractory RCC.
Approach:
- A comprehensive literature search was performed across major scientific databases.
- The review focuses on renal cell carcinoma and treatments using anti-renal carcinoma drugs.
Key Points:
- Tivozanib is a selective oral VEGFR-1, -2, and -3 tyrosine kinase inhibitor.
- It exhibits a long half-life, allowing for consistent VEGFR blockade.
- Common side effects include dose-related hypertension; fatigue, hoarseness, and diarrhea are not dose-related.
Conclusions:
- Tivozanib's specificity allows for combination therapy with other low-side-effect drugs.
- Simultaneous blockade of VEGF and mTOR pathways offers synergistic antitumor effects and prevents resistance.
- Tivozanib is suitable for RCC treatment and warrants further multi-center clinical investigation.
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