Tivozanib (Fotivda) – 3L RCC

Full Efficacy & Safety Summary Table

IndicationPatients with relapsed advanced RCC following 2 or more prior systemic therapies (including prior CPI)
Registrational TrialFull Approval. Phase 3 (n=350)  vs. Sorafenib (NCT02627963)
Regimen1.34 mg taken orally once daily for 21 days on treatment followed by 7 days off treatment for a 28 day cycle, continue treatment until disease progression or until unacceptable toxicity occurs
Efficacy OutcomesmPFS: 5.6 mo vs. 3.9 mo (HR: 0.73)
2 YR PFS: 18% vs 5% (1YR PFS: 28% vs. 11%)
ORR: 18% vs 8%
mDOR: NR vs 5.7 mo, 71% responding at 12 months

Link to PFS Curve https://www.fotivdahcp.com/efficacy/pfs/ (make this a hyper link rather than including actual link)
•Trial design included patients progressing on a prior CPI
Safety OutcomesDuration: 31% >1Y on treatment on tivozanib
Discontinuation: 21% vs. 30% for sorafenib
Dose Adjustement:  24% vs. 39% for sorafenib

Total Gr 3/4 ARs: 67% vs. 72% for sorafenib
Tivozanib Gr 3/4 ARs ≥5%: Hypertension 24%, Fatigue 13%, Decreased appetite 5%

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