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{"id":299,"date":"2012-12-03T07:18:30","date_gmt":"2012-12-03T07:18:30","guid":{"rendered":"http:\/\/amcrasto.theeurekamoments.com\/?p=299"},"modified":"2012-12-03T07:22:46","modified_gmt":"2012-12-03T07:22:46","slug":"fda-accepts-aveo-astellas-tivozanib-nda-filing-for-renal-cell-carcinoma-29-nov-2012","status":"publish","type":"post","link":"https:\/\/amcrasto.theeurekamoments.com\/2012\/12\/03\/fda-accepts-aveo-astellas-tivozanib-nda-filing-for-renal-cell-carcinoma-29-nov-2012\/","title":{"rendered":"FDA accepts AVEO-Astellas tivozanib NDA filing for renal cell carcinoma, 29 nov 2012"},"content":{"rendered":"

\"Physical<\/strong><\/p>\n

1-{2-Chloro-4-[(6,7-dimethoxyquinolin-4-yl)oxy]phenyl}-3-(5-methylisoxazol-3-yl)urea<\/strong><\/p>\n

\"\"AV-951<\/strong><\/p>\n

<\/strong>\u00a0Tivozanib<\/strong>\u00a0(AV-951) is an oral\u00a0VEGF receptor<\/a>\u00a0tyrosine kinase<\/a>\u00a0inhibitor. It is undergoing clinical trial investigation for the treatment of\u00a0renal cell carcinomas<\/a>.[1]<\/a><\/sup><\/p>\n

An oral\u00a0quinoline<\/a>\u00a0urea<\/a>\u00a0derivative, tivozanib suppresses\u00a0angiogenesis<\/a>\u00a0by being selectively inhibitory against\u00a0vascular endothelial growth factor<\/a>.[2]<\/a><\/sup>\u00a0It was developed by\u00a0AVEO Pharmaceuticals<\/a>.[3]<\/a><\/sup><\/p>\n

It is designed to inhibit all three VEGF receptors.[4]<\/a><\/sup><\/p>\n

Phase III results on advanced renal cell carcinoma suggest a 30% or 3 months improvement in median\u00a0PFS<\/a>\u00a0compared to\u00a0sorafenib<\/a>.[4]<\/a><\/sup><\/p>\n

AVEO Oncology and Astellas Pharma have announced FDA acceptance of tivozanib new drug application (NDA) filing for the treatment of advanced renal cell carcinoma (RCC).<\/p>\n

According to the development and commercialization deal signed between the firms, NDA acceptance by the FDA has triggered a milestone payment worth $15m to AVEO from Astellas.<\/p>\n

The efficacy and safety data from the Phase 3 TIvozanib Versus SOrafenib in 1st line Advanced RCC (TIVO-1) trial along with the data from 16 additional studies sponsored by AVEO conducted in more than 1,000 subjects administered with tivozanib are included in the NDA.<\/p>\n

Safety and efficacy of the investigational compound Tivozanib with an anticipated brand name of Tivopath, is not completely established so far.<\/p>\n

The review of kidney cancer pill that is not approved in any country is likely to be completed by 28 July 2013.<\/p>\n

    \n
  1. A Study of Tivozanib (AV-951), an Oral VEGF Receptor Tyrosine Kinase Inhibitor, in the Treatment of Renal Cell Carcinoma<\/a>, clinicaltrials.gov<\/li>\n
  2. Campas, C., Bolos, J., Castaner, R (2009).\u00a0“Tivozanib”<\/a>.\u00a0Drugs Fut<\/em>\u00a034<\/strong>\u00a0(10): 793.<\/li>\n
  3. Aveo Kidney Cancer Drug Shows Success; Shares Up<\/a>, By John Kell, Dow Jones Newswires<\/li>\n
  4. “Phase III Results Lead Aveo and Astellas to Plan Regulatory Submissions for Tivozanib”<\/a>. 3 Jan 2012.<\/li>\n<\/ol>\n

    \"\"<\/p>\n

    \"\"<\/p>\n

    AV-951 (Tivozanib, KRN-951) is a potent and selective VEGFR inhibitor for\u00a0VEGFR1<\/strong>,\u00a0VEGFR2<\/strong>\u00a0andVEGFR3<\/strong>\u00a0with\u00a0IC50<\/strong>\u00a0of 0.21 nM, 0.16 nM and 0.24 nM, respectively.<\/p>\n\n\n\n\n
    Molecular formula<\/a><\/td>\nC22<\/sub>H19<\/sub>ClN4<\/sub>O5<\/sub><\/td>\n<\/tr>\n
    Molar mass<\/a><\/td>\n454.86 g mol\u22121<\/sup><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
    475108-18-0, 682745-41-1 (ClH.H2O), 682745-43-3 (HCL)<\/div>\n
    \n\n\n\n\n\n
    Solubility (25\u00b0C)<\/strong><\/td>\nDMSO 45 mg\/mL<\/strong>\u00a0<\/td>\n<\/tr>\n
    Water <1 mg\/mL<\/strong>\u00a0<\/td>\n<\/tr>\n
    Ethanol <1 mg\/mL<\/strong>\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
    Meeting:2012 ASCO Annual Meeting<\/a><\/div>\n
    Session Type and Session Title:<\/div>\n

    Oral Abstract Session, Genitourinary Cancer (Nonprostate)Abstract No:4501\u00a0<\/p>\n

    Citation:<\/div>\n

    J Clin Oncol 30, 2012 (suppl; abstr 4501)<\/p>\n

    Tivozanib, a potent, selective, long half-life tyrosine kinase inhibitor targeting all three VEGF receptors, showed activity and tolerability in a Phase II trial (JCO\u00a0<\/em>2011;29[18S]:4550).\u00a0Methods:<\/strong>\u00a0Patients (pts) with clear cell advanced renal cell carcinoma (RCC), prior nephrectomy, RECIST-defined measurable disease, and Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 were randomized 1:1 to tivozanib (T) 1.5 mg once daily for 3 weeks (wks) followed by 1 wk rest, or sorafenib (S) 400 mg twice daily continuously in a 4-wk cycle. Pts were treatment na\u00efve or received no more than 1 prior systemic therapy for metastatic disease; pts receiving prior VEGF- or mTOR-targeted therapy were excluded. The primary endpoint was progression-free survival (PFS) per blinded, independent radiological review. 500 pts were to be enrolled to observe 310 events, yielding 90% power to detect medians of 9.7 and 6.7 months (m) with 5% type I error (2-sided).\u00a0Results:<\/strong>\u00a0A total of 517 pts were randomized to T (n=260) or S (n=257). Demographics were well balanced between the 2 groups, except ECOG 0 (T: 45% vs S: 54%, p=0.035). Median PFS was 11.9 m for T vs 9.1 m for S (HR=0.797, 95% CI 0.639\u20130.993; p=0.042). In the treatment-na\u00efve stratum (70% of pts enrolled in each arm), the median PFS was 12.7 m for T vs 9.1 m for S (HR 0.756, 95% CI 0.580\u20130.985; p=0.037). In all pts, objective response rate (ORR) for T was 33% vs 23% for S (p=0.014). The most common adverse event (AE; all grades\/\u2265grade 3) for T was hypertension (T: 46%\/26% vs S: 36%\/18%) and for S was hand-foot syndrome (T: 13%\/2% vs S: 54%\/17%). Other important AEs included diarrhea (T: 22%\/2% vs S: 32%\/6%), fatigue (T: 18%\/5% vs S: 16%\/4%), and neutropenia (T: 10%\/2% vs S: 9%\/2%). Patient-reported outcome data are being analyzed. Overall survival data are not mature.\u00a0<\/p>\n

    Conclusions:<\/strong>\u00a0Tivozanib demonstrated significant improvement in PFS and ORR compared with sorafenib as initial targeted treatment for advanced RCC. The safety profile of tivozanib is favorable, and includes a low incidence of fatigue, diarrhea, myelosuppression, and hand-foot syndrome.<\/p>\n

    \"\"<\/p>\n

    \n

    References<\/h3>\n\n\n\n
    Sep 28, 2012 submission<\/td>\nAVEO and Astellas Announce Submission of New Drug Application for Tivozanib for the Treatment of Advanced Renal Cell Carcinoma<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n
    \n

    Nakamura K, et al. Cancer Res, 2006, 66(18), 9134-9142.<\/a><\/p>\n

    Taguchi E, et al. Cancer Sci, 2008, 99(3), 623-630.<\/a><\/p>\n<\/div>\n

    http:\/\/www.aveooncology.com\/our-product-candidates\/tivozanib\/<\/a><\/p>\n

    http:\/\/www.selleckchem.com\/msds\/AV-951-MSDS.html<\/a><\/p>\n

    http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21376230<\/a><\/p>\n

    Bayer\/Onyx drug Nexavar (sorafenib<\/a>)\u00a0 compare<\/p>\n

    others<\/p>\n

    1<\/sup>U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999\u20132007 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010. Available at:www.cdc.gov\/uscs<\/a>.<\/p>\n

    2<\/sup>Cancer Research UK. Available at:\u00a0http:\/\/info.cancerresearchuk.org\/cancerstats\/world\/the-global-picture\/#Common<\/a>;http:\/\/publications.cancerresearchuk.org\/downloads\/Product\/cs_pdf_worldwide_2011.pdf<\/a><\/p>\n

    3<\/sup>American Cancer Society. Available at:http:\/\/www.cancer.org\/Cancer\/KidneyCancer\/OverviewGuide\/kidney-cancer–adult–renal-cell-carcinoma-overview-what-is-kidney-cancer<\/a>.<\/p>\n

    4<\/sup>Bhargava, P., Robinson, M. Curr Oncol Rep (2011) 13:103\u2013111<\/p>\n

    5<\/sup>Ravaud, A. Annals of Oncology 20 (Supplement 1): i7\u2013i12, 2009<\/p>\n

    SEE ALSO<\/h1>\n
    \n
    \"Abstract<\/div>\n
    \n
    \"Figure\"<\/div>\n
    \n

    Figure VEGFR\/multitargeted inhibitors approved for clinical use.\\<\/p>\n

    \"Figure\"<\/p>\n

    Quinazoline and quinoline derivatives IN TRIALS<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
    Abbreviations Used<\/td>\n<\/tr>\n
    VEGF<\/td>\nvascular endothelial growth factor<\/td>\n<\/tr>\n
    mTOR<\/td>\nmammalian target of rapamycin<\/td>\n<\/tr>\n
    TIMP-1<\/td>\ntissue inhibitor of metalloproteinase 1<\/td>\n<\/tr>\n
    PlGF<\/td>\nplacenta growth factor<\/td>\n<\/tr>\n
    VEGFR<\/td>\nvascular endothelial growth factor receptor<\/td>\n<\/tr>\n
    TK<\/td>\ntyrosine kinase<\/td>\n<\/tr>\n
    Flt<\/td>\nfms-like tyrosine kinase<\/td>\n<\/tr>\n
    KDR<\/td>\nkinase insert domain<\/td>\n<\/tr>\n
    Flk<\/td>\nfetal liver kinase<\/td>\n<\/tr>\n
    JM<\/td>\njuxtamembrane<\/td>\n<\/tr>\n
    MAPK<\/td>\nmitogen activated protein kinase<\/td>\n<\/tr>\n
    Raf<\/td>\nrapidly accelerated fibrosarcoma<\/td>\n<\/tr>\n
    MEK<\/td>\nmitogen activated protein kinase\/extracellular signal-regulated kinase kinase<\/td>\n<\/tr>\n
    ERK<\/td>\nextracellular signal-regulated kinase<\/td>\n<\/tr>\n
    FAK<\/td>\nfocal adhesion kinase<\/td>\n<\/tr>\n
    PDGFR<\/td>\nplatelet-derived growth factor receptor<\/td>\n<\/tr>\n
    CSFR<\/td>\ncolony stimulating factor receptor<\/td>\n<\/tr>\n
    FLT3<\/td>\nfms-like tyrosine kinase receptor 3<\/td>\n<\/tr>\n
    FGF<\/td>\nfibroblast growth factor<\/td>\n<\/tr>\n
    HGF<\/td>\nhepatocyte growth factor<\/td>\n<\/tr>\n
    IL-8<\/td>\ninterleukin 8<\/td>\n<\/tr>\n
    Tie-2<\/td>\ntyrosine kinase with immunoglobulin and epidermal growth factor homology domains 2<\/td>\n<\/tr>\n
    Eph<\/td>\nerythropoietin-producing human hepatocellular carcinoma receptor<\/td>\n<\/tr>\n
    PET<\/td>\npositron emission tomography<\/td>\n<\/tr>\n
    NSCLC<\/td>\nnon-small-cell lung cancer<\/td>\n<\/tr>\n
    Bcr-Abl<\/td>\nbreakpoint cluster region Abelson tyrosine kinase<\/td>\n<\/tr>\n
    RCC<\/td>\nrenal cell carcinoma<\/td>\n<\/tr>\n
    HCC<\/td>\nhepatocellular carcinoma<\/td>\n<\/tr>\n
    GIST<\/td>\ngastrointestinal stromal tumor<\/td>\n<\/tr>\n
    EGFR<\/td>\nepidermal growth factor receptor<\/td>\n<\/tr>\n
    RET<\/td>\nrearranged during transfection<\/td>\n<\/tr>\n
    CD<\/td>\ncatalytic domain<\/td>\n<\/tr>\n
    AML<\/td>\nacute myeloid leukemia<\/td>\n<\/tr>\n
    FGFR<\/td>\nfibroblast growth factor receptor<\/td>\n<\/tr>\n
    HUVEC<\/td>\nhuman umbilical vein endothelial cell<\/td>\n<\/tr>\n
    HER<\/td>\nhuman epidermal growth factor receptor<\/td>\n<\/tr>\n
    Lck<\/td>\nlymphoid cell kinase<\/td>\n<\/tr>\n
    ADME<\/td>\nadsorption, distribution, metabolism, and excretion<\/td>\n<\/tr>\n
    CML<\/td>\nchronic myeloid leukemia<\/td>\n<\/tr>\n
    PLK1<\/td>\npolo-like kinase 1<\/td>\n<\/tr>\n
    CDK<\/td>\ncyclin dependent kinase<\/td>\n<\/tr>\n
    eNOS<\/td>\nendothelial nitric oxide synthase\"Physical<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    1-{2-Chloro-4-[(6,7-dimethoxyquinolin-4-yl)oxy]phenyl}-3-(5-methylisoxazol-3-yl)urea AV-951 \u00a0Tivozanib\u00a0(AV-951) is an oral\u00a0VEGF receptor\u00a0tyrosine kinase\u00a0inhibitor. It is undergoing clinical trial investigation for the treatment of\u00a0renal cell carcinomas.[1] An oral\u00a0quinoline\u00a0urea\u00a0derivative, tivozanib suppresses\u00a0angiogenesis\u00a0by being selectively inhibitory against\u00a0vascular endothelial growth factor.[2]\u00a0It was developed by\u00a0AVEO Pharmaceuticals.[3] It is designed to inhibit all three VEGF receptors.[4] Phase III results on advanced renal cell carcinoma suggest a 30%… Continue reading FDA accepts AVEO-Astellas tivozanib NDA filing for renal cell carcinoma, 29 nov 2012<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[146],"_links":{"self":[{"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/posts\/299"}],"collection":[{"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/comments?post=299"}],"version-history":[{"count":12,"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/posts\/299\/revisions"}],"predecessor-version":[{"id":311,"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/posts\/299\/revisions\/311"}],"wp:attachment":[{"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/media?parent=299"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/categories?post=299"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/amcrasto.theeurekamoments.com\/wp-json\/wp\/v2\/tags?post=299"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}