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Advanced Renal Cell CarcinomaPhase 3TIVO-1NCT01030783

A Study to Compare Tivozanib (AV-951) to Sorafenib in Subjects With Advanced Renal Cell Carcinoma

A Phase 3 study testing tivozanib (AV-951) and Sorafenib in people with Advanced Renal Cell Carcinoma, run by AVEO Pharmaceuticals, Inc. at 86 sites in 16 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is an open-label, randomized, controlled, multi-national, multi-center, parallel-arm trial comparing tivozanib to sorafenib in subjects with advanced RCC. The study is designed to compare the PFS, OS, ORR, DR, safety and tolerability, and kidney specific symptoms/health outcome measurements of tivozanib and… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Renal Cell Carcinoma
What is being tested?
tivozanib (AV-951) and Sorafenib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
517 participants
Where
86 sitesin 16 countries
Study dates
Dec 2009to Jun 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • ≥ 18-years of age.
  • Subjects with recurrent or metastatic RCC.
  • Subjects must have undergone prior nephrectomy (complete or partial) for excision of the primary tumor.
  • Histologically or cytologically confirmed RCC with a clear cell component (subjects with pure papillary cell tumor or other non-clear cell histologies, including collecting duct, medullary, chromophobe, mixed tumor containing predominantly sarcomatoid cells, and unclassified RCC are excluded).
  • Measurable disease per the RECIST criteria Version 1.0.
  • Treatment naïve subjects or subjects who have received no more than one prior systemic treatment (immunotherapy, including interferon-alfa or interleukin-2 based therapy, chemotherapy, hormonal therapy or an investigational agent) for metastatic RCC. Postoperative or adjuvant systemic therapy will not be counted as a prior therapy unless recurrence is detected within 6 months of completion of treatment, in which case it will be counted as a prior therapy for metastatic disease.
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  • ECOG performance status of 0 or 1, and life expectancy ≥ 3 months.
  • If female and of childbearing potential, documentation of negative pregnancy test prior to enrollment.
  • Ability to give written informed consent and comply with protocol requirements.

Who cannot join

  • Any prior VEGF-directed therapy including VEGF antibody (eg, bevacizumab), VEGF receptor tyrosine kinase inhibitor (eg, sunitinib, sorafenib, axitinib, pazopanib, etc.), VEGF trap (eg, aflibercept), or any other agent or investigational agent targeting the VEGF pathway.
  • Any prior therapy with an agent targeting the mTOR pathway (eg, temsirolimus, everolimus, etc)
  • Primary CNS malignancies or CNS metastases; subjects with previously treated brain metastasis will be allowed if the brain metastasis have been stable without steroid treatment for at least 3 months following prior treatment (radiotherapy or surgery).
  • Any hematologic abnormalities (as noted in the protocol).
  • Any serum chemistry abnormalities (as noted in the protocol).
  • Significant cardiovascular disease.
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  • Non-healing wound, bone fracture, or skin ulcer.
  • Active peptic ulcer disease, inflammatory bowel disease, ulcerative colitis, or other gastrointestinal condition with increased risk of perforation; history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 4 weeks prior to administration of first dose of study drug.
  • Serious/active infection or infection requiring parenteral antibiotics.
  • Inadequate recovery from any prior surgical procedure or major surgical procedure within 4 weeks prior to administration of first dose of study drug.
  • Significant thromboembolic or vascular disorders within 6 months prior to administration of first dose of study drug.
  • Significant bleeding disorders within 6 months prior to administration of first dose of study drug.
  • Currently active second primary malignancy, including hematologic malignancies (leukemia, lymphoma, multiple myeloma, etc.), other than non-melanoma skin cancers, non-metastatic prostate cancer, in situ cervical cancer and ductal or lobular carcinoma in situ of the breast. Subjects are not considered to have a currently active malignancy if they have completed anti-cancer therapy and have been disease free for >2 years.
  • Pregnant or lactating females.
  • History of genetic or acquired immune suppression disease such as HIV; subjects on immune suppressive therapy for organ transplant.
  • Life-threatening illness or organ system dysfunction compromising safety evaluation.
  • Requirement for hemodialysis or peritoneal dialysis.
  • Inability to swallow pills, malabsorption syndrome or gastrointestinal disease that severely affects the absorption of tivozanib or sorafenib, major resection of the stomach or small bowel, or gastric bypass procedure.
  • Psychiatric disorder or altered mental status precluding informed consent or necessary testing.
  • Sexually active pre-menopausal female subjects (and female partners of male subjects) must use adequate contraceptive measures, while on study and for 50 days after the last dose of study drug. Sexually active male subjects must use adequate contraceptive measures, while on study for at least 90 days after the last dose of drug. All fertile male and female subjects and their partners must agree to use a highly effective method of contraception (including their partner). Effective birth control includes (a) IUD plus one barrier method; or (b) 2 barrier methods. Effective barrier methods are male or female condoms, diaphragms, and spermicides (creams or gels that contain a chemical to kill sperm). (Note: Oral, implantable, or injectable contraceptives may be affected by cytochrome P450 interactions, and are not considered effective for this study.)

Trial locations and contacts

86 sites in 16 countries.

86 sites in 16 countries

Russia19 sites
  • Site 451

    Chelyabinsk, 454087

  • Site 452

    Kazan', 420029

  • Site 454

    Moscow, 105077

  • Site 453

    Moscow, 115478

  • Site 458

    Moscow, 115478

  • Site 460

    Moscow, 115478

  • Site 461

    Moscow, 115478

  • Site 462

    Moscow, 125284

  • Site 450

    Nizhny Novgorod, 603109

  • Site 456

    Obninsk, 249036

  • Site 467

    Omsk, 644013

  • Site 463

    Pyatigorsk, 357500

  • Site 457

    Rostov-on-Don, 344022

  • Site 466

    Saint Petersburg, 193312

  • Site 465

    Saint Petersburg, 198255

  • Site 459

    Ufa, Bashkortostan Republic, 450054

  • Site 464

    Yaroslavi, 150054

  • Site 455

    Yekaterinburg, 620102

  • Site 468

    Yoshkar-Ola, 424037

Other trials in Russia

India12 sites
  • Site 156

    Ahmedabad, Gujarat, 380015

  • Site 154

    Delhi, 110085

  • Site 157

    Hyderabad, Andhra Pradesh, 500004

  • Site 191

    Jaipur, Rajasthan, 302004

  • Site 155

    Jaipur, Rajasthan, 302013

  • Site 150

    Kolkata, West Bengal, 700054

  • Site 158

    Lucknow, Uttar Pradesh, 226003

  • Site 151

    Nashik, Maharashtra, 422005

  • Site 190

    Patna, Bihar, 801505

  • Site 153

    Pune, Maharashtra, 411004

  • Site 159

    Pune, Maharashtra, 411005

  • Site 152

    Vellore, Tamil Nadu, 632004

Other trials in India

Ukraine9 sites
  • Site 491

    Chernihiv, 14029

  • Site 492

    Dniproperovsk, 49102

  • Site 498

    Dnipropetrovsk, 49005

  • Site 493

    Donetsk, 83092

  • Site 496

    Donetsk, 83092

  • Site 490

    Ivano-Frankivsk, 76000

  • Site 494

    Kharkiv, 61037

  • Site 497

    Uzhhorod, 88014

  • Site 495

    Zaporizhia, 69600

Other trials in Ukraine

Poland7 sites
  • Site 432

    Bialystok, 15-027

  • Site 434

    Bydgoszcz, 85-168

  • Site 431

    Gdansk, 80-952

  • Site 435

    Olsztyn, 10-228

  • Site 433

    Poznan, 61-878

  • Site 430

    Warsaw, 02-781

  • Site 436

    Warsaw, 04-141

Other trials in Poland

United States6 sites
  • Site 187

    Dallas, Texas, 75246

  • Site 180

    Gainesville, Florida, 32625

  • Site 185

    Los Angeles, California, 90095

  • Site 182

    Minneapolis, Minnesota, 55455

  • Site 186

    New York, New York, 10065

  • Site 184

    Orlando, Florida, 32806

Other trials in United States

Bulgaria5 sites
  • Site 403

    Plovdiv, 4004

  • Site 404

    Sofia, 1431

  • Site 400

    Sofia, 1756

  • Site 401

    Varna, 9002

  • Site 402

    Veliko Tarnovo, 5000

Other trials in Bulgaria

Romania5 sites
  • Site 444

    Brasov, 500085

  • Site 441

    Bucharest, 022328

  • Site 440

    Bucharest, 041345

  • Site 443

    Bucharest, 050659

  • Site 442

    Timișoara, 300239

Other trials in Romania

Serbia5 sites
  • Site 480

    Belgrade, 11000

  • Site 481

    Belgrade, 11000

  • Site 482

    Belgrade, 11000

  • Site 484

    Kamenitz, 21204

  • Site 483

    Niš, 18000

Other trials in Serbia

Hungary4 sites
  • Site 423

    Budapest, H-1108

  • Site 421

    Kaposvár, H-7400

  • Site 422

    Pécs, H-7624

  • Site 424

    Szombathely, H-9700

Other trials in Hungary

Chile3 sites
  • Site 121

    La Reina, Santiago de Chile, 7510009

  • Site 122

    Santiago, 8320000

  • Site 123

    Temuco, 4810469

Other trials in Chile

Italy3 sites
  • Site 160

    Arezzo, 52100

  • Site 161

    Pavia, 27100

  • Site 162

    Roma, 00152

Other trials in Italy

United Kingdom3 sites
  • Site 170

    Cambridge, CB2 0QQ

  • Site 173

    Ipswich, IP4 5WW

  • Site 172

    Leicester, LE1 5WW

Other trials in United Kingdom

France2 sites
  • Site 130

    Marseille, 13009

  • Site 133

    Saint-Herblain, 44805

Other trials in France

Argentina1 site
  • Site 102

    Sante Fe, 3077

Other trials in Argentina

Canada1 site
  • Site 110

    Montreal, Quebec, H2X 1N8

Other trials in Canada

Czechia1 site
  • Site 411

    Prague, 180 81

Other trials in Czechia

About this study

Official title: A Phase 3, Randomized, Controlled, Multi-Center, Open-Label Study to Compare Tivozanib (AV-951) to Sorafenib in Subjects With Advanced Renal Cell Carcinoma (TIVO-1)

This is an open-label, randomized, controlled, multi-national, multi-center, parallel-arm trial comparing tivozanib to sorafenib in subjects with advanced RCC. The study is designed to compare the PFS, OS, ORR, DR, safety and tolerability, and kidney specific symptoms/health outcome measurements of tivozanib and sorafenib.

Read the detailed description

This is an open-label, randomized, controlled, multi-national, multi-center, parallel-arm trial comparing tivozanib to sorafenib in subjects with advanced RCC. The study is designed to compare the PFS, OS, ORR, DR, safety and tolerability, and kidney specific symptoms/health outcome measurements of tivozanib and sorafenib.

Subjects will be randomized (1:1) to treatment with tivozanib or sorafenib and stratified by geographic region (North America/Western Europe, Central/Eastern Europe, or rest of the world); number of prior treatments (0 or 1); and number of metastatic sites/organs involved (1 or ≥ 2).

Being tested
tivozanib (AV-951), Sorafenib

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • tivozanib (AV-951)Drug

    Tivozanib: 1.5 mg orally once daily. Subjects will receive 1.5 mg tivozanib once daily beginning on Day 1 for 3 weeks followed by 1 week off treatment. One cycle will be defined as 4 weeks of treatment. Cycles will be repeated every 4 weeks.

  • SorafenibDrug

    Sorafenib: 400 mg orally twice daily. Subjects will receive 400 mg (2 x 200 mg tablets) sorafenib twice daily continuously, beginning on Day 1. One cycle will be defined as 4 weeks of treatment. Cycles will be repeated every 4 weeks.

Study groups in NCT01030783
Study groupRoleWhat they receive
tivozanib (AV-951)ExperimentalNot described
Receives: Drug: tivozanib (AV-951)
sorafenibActive comparatorNot described
Receives: Drug: Sorafenib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free Survival (PFS) of Subjects With Advanced Renal Cell Cancer (RCC) Randomized to Treatment With Tivozanib or Sorafenib

    Progression-Free Survival (PFS) is defined as the time from randomization to first documentation of objective tumor progression (progressive disease) or death due to any reasons whichever comes first. Disease progression per RECIST 1.0 criteria is defined 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.

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first. Disease progression was assessed every 8 weeks.

Secondary outcomes (6)
  1. Overall Survival (OS) of Subjects Randomized to Treatment With Tivozanib or Sorafenib

    Overall survival (OS) is defined as the time from the date of randomization to date of death due to any cause. In the absence of confirmation of death, survival time will be censored at the last date the subject is known to be alive. Subjects lacking data beyond randomization will have their survival times censored on the date of randomization.

    Measured: Date of randomization to date of death

  2. Objective Response Rate (ORR) of Subjects Randomized to Treatment With Tivozanib or Sorafenib

    Objective response rate (ORR) is defined as the percentage of subjects who have at least a 30% reduction in the sum of diameters per RECIST (Version 1.0).

    Measured: Every 8 weeks from date of randomization until disease progression

  3. Duration of Response (DR) of Subjects Randomized to Treatment With Tivozanib or Sorafenib

    Duration of response (DR) is defined as the time from the first documentation of objective tumor response to the first documentation of tumor progression per RECIST 1.0 or to death due to any cause.

    Measured: Assessed every 8 weeks from date of randomization until date of progression

  4. Safety and Tolerability of Tivozanib and Sorafenib

    Dose reductions and interruptions were allowed for subjects taking tivozanib or sorafenib. Any modification of study drug administration, and the reason for such action, was clearly noted on the subject's eCRF.

    Measured: From start of treatment therapy to completion of treatment therapy, an average of 11 months

  5. To Compare Kidney-specific Symptoms and Health Outcome Measurements in Subjects Randomized to Treatment With Tivozanib or Sorafenib

    The Disease Related Symptom Scale of the Functional Assessment of Cancer Therapy - Advanced Kidney Cancer Symptom Index (FKSI-DRS) measured kidney specific symptoms on a 0-36 scale, with lower scores corresponding to worse overall QOL and higher scores corresponding to better overall QOL. The Functional Assessment of Cancer Therapy-General (FACT-G) measured general wellbeing scored on a 0-108 scale, with lower scores corresponding to worse overall QOL and higher scores corresponding to better overall QOL. The European Quality of Life-5 Dimensions (EQ-5D) measured patient health related quality of life scored on a 0-1 scale, with 0 being worse health state and 1 being perfect health state. The European Quality of Life-5 Dimensions Visual Analog Scales (EQ-5D VAS) measured patient health related quality of life on a visual analog scale from 0 to 100, with 0 being the worst and 100 being the best. These scales were self-administered by patients at the start of the visit.

    Measured: At Day 1 of each 28 day cycle throughout the course of the study, for an average of 11 months per subject

  6. Pharmacokinetics (Serum Concentrations) of Tivozanib

    Samples for tivozanib serum concentrations will be collected at the following time points: Cycle 1, Day 1 (prior to dosing), Cycle 1, Day 15 (prior to dosing), Cycle 2, Day 1 (prior to dosing), and Cycle 2, Day 22-28. The serum concentrations of tivozanib were tabulated for individual subjects and summarized by nominal time using standard descriptive statistics (concentrations presented in ng/mL).

    Measured: Cycle 1, Day 1 (prior to dosing), Cycle 1, Day 15 (prior to dosing), Cycle 2, Day 1 (prior to dosing), and Cycle 2, Day 22-28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Dec 2009 (estimated)
  2. Study startDec 2009
  3. Primary completionJul 2012
  4. Study completionJun 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
517 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01030783
Sponsor's protocol ID
AV-951-09-301
Acronym
TIVO-1
Status last verified
Oct 2019
First submitted
9 Dec 2009
Last updated
28 Oct 2019
Data monitoring committee
Yes

Publications

  • Aldin A, Besiroglu B, Adams A, Monsef I, Piechotta V, Tomlinson E, Hornbach C, Dressen N, Goldkuhle M, Maisch P, Dahm P, Heidenreich A, Skoetz N. First-line therapy for adults with advanced renal cell carcinoma: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023 May 4;5(5):CD013798. doi: 10.1002/14651858.CD013798.pub2.

    PubMed 37146227

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing tivozanib (AV-951) and Sorafenib in people with Advanced Renal Cell Carcinoma, run by AVEO Pharmaceuticals, Inc. at 86 sites in 16 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 86 sites in Russia, India, Ukraine, Poland, United States and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free Survival (PFS) of Subjects With Advanced Renal Cell Cancer (RCC) Randomized to Treatment With Tivozanib or Sorafenib (time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first. Disease progression was assessed every 8 weeks.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01030783, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Oct 2019.

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