A Study of Tivozanib (AV-951), an Oral VEGF Receptor Tyrosine Kinase Inhibitor, in the Treatment of Renal Cell Carcinoma
A Phase 2, Placebo-Controlled, Randomized, Discontinuation Trial of Tivozanib (AV-951) in Patients With Renal Cell Carcinoma
1 other identifier
interventional
272
3 countries
26
Brief Summary
This phase 2 trial is evaluating the antineoplastic activity of tivozanib (AV-951) in treating patients with recurrent or metastatic renal cell cancer. Tivozanib (AV-951) is a VEGF-receptor tyrosine kinase inhibitor, and may stop the growth of tumor cells by blocking blood flow to the tumor.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Oct 2007
Typical duration for phase_2
26 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 16, 2007
CompletedFirst Posted
Study publicly available on registry
July 17, 2007
CompletedStudy Start
First participant enrolled
October 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2010
CompletedResults Posted
Study results publicly available
September 1, 2020
CompletedSeptember 1, 2020
August 1, 2020
2.8 years
July 16, 2007
July 6, 2020
August 17, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Number of Subjects With Adverse Events (AEs)/Serious AEs (SAEs)
To determine the safety and tolerability of tivozanib (AV-951) with the protocol-specified dose schedule
28 weeks after study entry
Objective Response [Complete Response (CR) + Partial Response (PR)] Rate at 16 Week Open-Label Period (All Treated Population)
The ORR is defined as the rate of (CR+PR). Objective response rates following the 16-week, open-label period (investigator assessment and IRR assessment) were estimated per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and was assessed by magnetic resonance imaging (MRI): Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; and Overall Response (OR) = CR + PR.
16 weeks after study entry
Percentage of Randomly Assigned Subjects Remaining Progression Free at 12 Weeks Following Random Assignment to Tivozanib (AV-951) or Placebo
Percentages of subjects remaining progression-free at 12 weeks post-randomization were compared across the 2 treatment arms in the ITT population. A Cochran-Mantel- Haenszel (CMH) test of general association was used, stratifying by country to evaluate the null hypothesis that treatment arm is not associated with subjects remaining progression-free. Non-completers were treated as failures. Progression is defined using RECIST v1.0, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
28 weeks after study entry
Secondary Outcomes (5)
Number of Subjects With Progression Free-survival (PFS) After Random Assignment (Randomized Sub-set Only) (at 12 Weeks Post Randomization )
28 weeks from study entry
Overall Progression-free Survival (From Start of Treatment)
12 months from study entry
Time to Peak Plasma Concentration (Tmax) of Tivozanib in a Subset of Subjects
Cycle 1, Day 1: Pre-dose and 2, 4 and 24 hours post dose; Cycle 1, Day 8: Pre-dose; Cycle 1, Day 21: Pre-dose and 2, 4, 24, 48, and 96 hours post dose; Cycle 2 (Day 1): Pre-dose
Maximum Observed Serum Concentration During a Dosing Interval at Steady State (Cmax)
Cycle 1, Day 1: Pre-dose and 2, 4 and 24 hours post dose; Cycle 1, Day 8: Pre-dose; Cycle 1, Day 21: Pre-dose and 2, 4, 24, 48, and 96 hours post dose; Cycle 2 (Day 1): Pre-dose
Area Under the Serum Concentration Versus Time Curve From Zero to the Last Quantifiable Sampling Point [AUC(0→24)]
28 weeks from study entry
Study Arms (2)
1
EXPERIMENTALTivozanib (AV-951) administered as a solid dosage form daily for three weeks per month
2
PLACEBO COMPARATORsolid oral capsule containing excipients dosed daily for three weeks per month
Interventions
solid oral capsule containing excipients dosed daily for three weeks per month
Eligibility Criteria
You may qualify if:
- ≥ 18 year old males or females
- Patients with recurrent or metastatic renal cell carcinoma (RCC) or primary RCC that is not amendable to surgical intervention
- Histologically or cytologically confirmed renal cell carcinoma
- Measurable disease
- No more than one prior systemic treatment (chemotherapy or immunotherapy) for RCC.
- No active brain metastases
- Karnofsky performance status ≥ 70%, life expectancy ≥ 3 months
- No childbearing potential, or use of effective contraception during the study and for 4 weeks after the last dose of study drug
- Archival paraffin embedded tumor tissue, if available.
- Ability to give written informed consent
You may not qualify if:
- Pregnant or lactating women
- Primary CNS malignancies; active CNS metastases
- Hematologic malignancies (includes: leukemia, any form; lymphoma; and multiple myeloma)
- Any of the following hematologic abnormalities:
- Hemoglobin ≤ 9.0 g/dL
- ANC \< 1500 per mm3
- Platelet count \< 100,000 per mm3
- Any of the following serum chemistry abnormalities:
- Total bilirubin \> 1.5 × the ULN
- AST or ALT ≥ 2.5 × the ULN
- Serum albumin \< 3.0 g/dL
- Creatinine \> 1.7 × ULN (or calculated CLCR \<50 mL/min/1.73 m2)
- Proteinuria \> 2.5 g/24 hours or 4+ with urine dipstick
- Significant cardiovascular disease, including:
- Active clinically symptomatic left ventricular failure
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (26)
Unknown Facility
Vellore, Tamil Nadu, 632004, India
Unknown Facility
Kolkata, India
Unknown Facility
Mumbai, India
Unknown Facility
New Delhi, India
Unknown Facility
Pune, India
Unknown Facility
Astrakhan, Russia
Unknown Facility
Kazan', Russia
Unknown Facility
Moscow, 125284, Russia
Unknown Facility
Moscow, 129128, Russia
Unknown Facility
Moscow, Russia
Unknown Facility
Obninsk, Russia
Unknown Facility
Pyatigorsk, Russia
Unknown Facility
Rostove-on-Don, Russia
Unknown Facility
Saint Petersburg, Russia
Unknown Facility
Sochi, Russia
Unknown Facility
Tomsk, Russia
Unknown Facility
Ufa, Russia
Unknown Facility
Veliky Novgorod, Russia
Unknown Facility
Yoshkar-Ola, Russia
Unknown Facility
Cherkassy, Ukraine
Unknown Facility
Dnipro, Ukraine
Unknown Facility
Donetsk, Ukraine
Unknown Facility
Kharkiv, Ukraine
Unknown Facility
Lviv, Ukraine
Unknown Facility
Uzhhorod, Ukraine
Unknown Facility
Zaporizzhya, Ukraine
Related Publications (1)
Barata PC, Chehrazi-Raffle A, Allman KD, Asnis-Alibozek A, Kasturi V, Pal SK. Activity of Tivozanib in Non-clear Cell Renal Cell Carcinoma: Subgroup Analysis From a Phase II Randomized Discontinuation Trial. Oncologist. 2023 Oct 3;28(10):894-900. doi: 10.1093/oncolo/oyad132.
PMID: 37315114DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- AVEO Pharmaceuticals, Inc.
Study Officials
- PRINCIPAL INVESTIGATOR
Dmitriy G Nosov, M.D.
Russian Oncological Research Center n.a. N.N. Blokhin of the Russian Academy of Medical Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 16, 2007
First Posted
July 17, 2007
Study Start
October 1, 2007
Primary Completion
August 1, 2010
Study Completion
August 1, 2010
Last Updated
September 1, 2020
Results First Posted
September 1, 2020
Record last verified: 2020-08