Carcinoma, Renal CellPhase 3NCT02627963
A Study to Compare Tivozanib Hydrochloride to Sorafenib in Participants With Refractory Advanced Renal Cell Carcinoma (RCC)
A Phase 3 study testing Tivozanib hydrochloride and Sorafenib in people with Carcinoma, Renal Cell, run by AVEO Pharmaceuticals, Inc. at 191 sites in 12 countries.
Trial summary
This is a Phase 3, open-label, randomized, controlled, multi-national, multi-center, parallel-arm study comparing tivozanib to sorafenib in participants with refractory advanced renal cell carcinoma (RCC). Participants will be randomized (1:1) to treatment with tivozanib or sorafenib. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Carcinoma, Renal Cell
- What is being tested?
- Tivozanib hydrochloride and Sorafenib
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 350 participants
- Where
- 191 sitesin 12 countries
- Study dates
- 24 May 2016to 21 Jun 2021
- 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 or older
- Participants with metastatic RCC who have failed 2 or 3 prior systemic regimens, one of which includes a VEGFR TKI other than sorafenib or tivozanib.
- Histologically or cytologically confirmed RCC with a clear cell component (participants with pure papillary cell tumor or other non-clear cell histologies, including collecting duct, medullary, chromophobe, and unclassified RCC are excluded).
- Measurable disease per the Response Evaluation Criteria in Solid Tumors (RECIST) criteria Version 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Life expectancy ≥ 3 months.
Who cannot join
- Prior treatment with sorafenib or tivozanib.
- More than 3 prior regimens for metastatic RCC.
- Known central nervous system (CNS) metastases other than stable, treated brain metastases. Participants with previously treated brain metastasis will be allowed if the brain metastasis has been stable by neuroimaging without steroid treatment for at least 3 months following prior treatment (radiotherapy or surgery).
- Significant hematologic, gastrointestinal, thromboembolic, vascular, bleeding, or coagulation disorders.
- Significant serum chemistry abnormalities
- Significant cardiovascular disease, including: Active clinically symptomatic left ventricular failure, uncontrolled hypertension, myocardial infarction, severe angina, or unstable angina within 6 months prior to administration of first dose of study drug, history of serious ventricular arrhythmia, cardiac arrhythmias requiring anti-arrhythmic medications.
- Inadequate recovery from any prior surgical procedure or major surgical procedure within 4 weeks prior to administration of first dose of study drug.
- Currently active second primary malignancy.
Trial locations and contacts
191 sites in 12 countries.
191 sites in 12 countries
United States56 sites
New York Oncology Hematology, P.C.
Albany, New York, 12206
New York Oncology Hematology, PC
Albany, New York, 12208
Texas Oncology - Austin Midtown
Austin, Texas, 78705
Texas Oncology-Central Austin Cancer Center
Austin, Texas, 78731
Texas Oncology - South Austin Cancer Center
Austin, Texas, 78745
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Cleveland Clinic
Cleveland, Ohio, 44195
New York Oncology Hematology, P.C.
Clifton Park, New York, 12065
Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Karmanos Cancer Institute
Detroit, Michigan, 48201
Henry Ford Health System
Detroit, Michigan, 48202
City of Hope Comprehensive Breast Cancer Center
Duarte, California, 91010
St. Luke University Health Network
Easton, Pennsylvania, 18045
Texas Oncology - Fort Worth 12th Ave
Fort Worth, Texas, 76104
Texas Oncology SW Fort Worth Cancer Center
Fort Worth, Texas, 76132
Arizona Oncology Associates, PC - HAL
Fort Worth, Texas, 76177
Comprehensive Cancer Centers of Nevada (CCCN)
Fort Worth, Texas, 76177
Comprehensive Cancer Centers of Nevada
Fort Worth, Texas, 76177
Nebraska Cancer Specialists (NCS) - Midwest Cancer Center
Fort Worth, Texas, 76177
Texas Oncology - El Paso Cancer Treatment Center
Fort Worth, Texas, 76177
Texas Oncology-El Paso Cancer Treatment Center
Fort Worth, Texas, 76177
Long Beach Memorial Medical Center
Fountain Valley, California, 92708
Texas Oncology-Garland
Garland, Texas, 75042
Marin Cancer Care
Greenbrae, California, 94904
Hackensack University Medical Center - John Theurer Cancer
Hackensack, New Jersey, 07601
Comprehensive Cancer Center Of Nevada
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89074
Baylor College of Medicine - Baylor Clinic
Houston, Texas, 77030
Investigative Clinical Research of Indiana
Indianapolis, Indiana, 46260
Comprehensive Cancer Center Of Nevada
Las Vegas, Nevada, 89128
Comprehensive Cancer Center of Nevada
Las Vegas, Nevada, 89148
Texas Oncology - Longview Cancer Center
Longview, Texas, 75601
UCLA
Los Angeles, California, 90095
Ohio Cancer Specialists
Mansfield, Ohio, 44906
Loyola University Medical Center
Maywood, Illinois, 60153
University of Miami Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
New York Presbyterian Hospital
New York, New York, 10021
Columbia University Medical Center - Herbert Irving Pavilion
New York, New York, 10032
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Midwest Cancer Center
Omaha, Nebraska, 68130
Urology Cancer Center, PC
Omaha, Nebraska, 68130
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
University Of UA Cancer Center(UACC)/DH-SJHMC
Phoenix, Arizona, 85004
Arizona Oncology Associates, PC - HAL
Phoenix, Arizona, 85016
Arizona Oncology - Phoenix - Deer Valley Women's Center Loca
Phoenix, Arizona, 85027
University of Pittsburgh Medical Center (UPMC)
Pittsburgh, Pennsylvania, 15232
Texas Oncology, P.A.
Plano, Texas, 75093
University of Rochester Medical Center
Rochester, New York, 14642
North Coast Cancer Care, Inc
Sandusky, Ohio, 44870
Arizona Oncology - Scottsdale
Scottsdale, Arizona, 85258
Montefiore Medical Center
The Bronx, New York, 10467
Texas Oncology - Tyler
Tyler, Texas, 75702
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
Wake Forest University Baptist Medical Center (WFUBMC)
Winston-Salem, North Carolina, 27157
Wooster Specialty and Surgery Center
Wooster, Ohio, 44691
Spain28 sites
H.U.F. Alcorcón
Alcorcón, Madrid, 28922
Institut Català d'Oncologia-Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916
H.del Mar
Barcelona, 08003
H.Sta.Creu i St.Pau
Barcelona, 08025
H.U.Vall d'Hebrón
Barcelona, 08035
H. Clinic de Barcelona
Barcelona, 08036
H.U. Reina Sofía
Córdoba, 14004
H.G.U. de Elche
Elche, Alicante, 03203
ICO-H.U.Dr.J.Trueta
Girona, 17007
C.H. de Jaén
Jaén, 23007
Institut Catalá d´Oncología (I.C.O.)
L'Hospitalet de Llobregat, Barcelona, 08907
H.G.U. G. Marañón
Madrid, 28007
H.U. Infanta Leonor
Madrid, 28031
Hospital Universitario Ramón y Cajal
Madrid, 28034
H.C. S.Carlos
Madrid, 28040
H.U. F. Jiménez Díaz
Madrid, 28040
H.U. 12 de Octubre
Madrid, 28041
H.U. La Paz
Madrid, 28046
H. Madrid Norte Sanchinarro
Madrid, 28050
H.U.P Hierro-Majadahonda
Majadahonda, Madrid, 28222
H.U. Virgen de la Victoria
Málaga, 29010
H.U.Son Espases
Palma, Balearic Islands, 07010
C.H. de Navarra
Pamplona, Navarre, 31008
C.S. Parc Taulí
Sabadell, Barcelona, 08208
H.U.V. Macarena
Seville, 41009
F.I. Valenciano de Oncología
Valencia, 46009
H.U.P.La Fe
Valencia, 46026
H.U. Miguel Servet
Zaragoza, 50009
Italy23 sites
Ospedale S.Donato, AUSL 8 di Arezzo
Arezzo, 52100
Centro di Riferimento Oncologico IRCCS
Aviano, 33081
AO Spedali Civili di Brescia, PO Spedali Civili
Brescia, 25123
Istituto di Candiolo, IRCCS
Candiolo, Torino, 10060
P.O. Ss. Annunziata
Chieti, 66013
ASST-Istituti Ospitalieri di Cremona, AO di Cremona
Cremona, 26100
AOU Careggi
Florence
IRCCS AOU San Martino-IST Istituto Nazionale per la Ricerca
Genova, 16132
Ospedale Vito Fazzi, ASL Lecce
Lecce, 73100
Irccs Irst
Meldola, Forli, 47014
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
Ieo, Irccs
Milan
AOU Policlinico di Modena
Modena, 41124
IRCCS Fondazione "Giovanni Pascale"
Naples, 80131
Istituto Oncologico Veneto IOV-IRCCS
Padova, 35128
IRCCS Policlinico San Matteo
Pavia, 27100
Usl 7 Siena - Ospedale Alta Valdelsa ASL TOSCANA SUD-EST
Poggibonsi, Siena, 53100
PU Campus Bio-medico di Roma
Roma, 00128
Regina Elena, Istituto Nazionale dei Tumori, IFO, IRCCS
Roma, 144
Azienda Ospedaliera San Camillo Forlanini
Roma, 151
Istituto Clinico Humanitas Rozzano, IRCCS
Rozzano, Milano, 20089
Casa Sollievo della Sofferenza, IRCCS
San Giovanni Rotondo, Foggia, 71013
Azienda Ospedaliera S. Maria di Terni
Terni, 5100
United Kingdom17 sites
East Lancashire Hospitals NHS Trust
Blackburn, Lancashire, BB2 3HH
Addenbrooke's Hospital
Cambridge, Cambridgeshire, CB2 0QQ
Cheltenham General Hospital
Cheltenham, Gloucestershire, GL53 7AN
Beatson West Of Scotland Cancer Centre
Glasgow, Glasgow City, G12 0YN
St James's University Hospital / Leeds Teaching Hospitals
Leeds, LS9 7TF
The Royal Marsden NHS Foundation Trust
London, SW36JJ
Charing Cross Hospital
London, W6 8RF
The Christie NHS Foundation Trust
Manchester, M20 4BX
Mount Vernon Cancer Care
Middlesex, HA6 2RN
Nottingham University Hospitals NHS Trust - City Hospital
Nottingham, NG5 1PB
Churchill Hospital [Oncology]
Oxford, OX3 7LJ
Lancashire Teaching Hospitals NHS Foundation Trust
Preston, Lancashire, PR2 9HT
Southampton University Hospitals Nhs Trust
Southampton, Hampshire, SO16 6YD
Royal Stroke Center
Stoke-on-Trent, Staffordshire, ST4 6QG
The Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT
Singleton Hospital
Swansea, SA2 8QA
New Cross Hospital
Wolverhampton, WV10 0QP
Germany15 sites
Universitätsklinikum Aachen
Aachen, 52074
Evangelisches Krankenhaus Bielefeld
Bielefeld, North Rhine-Westphalia, 33611
SZB Study Center University Hospital Bonn
Bonn, North Rhine-Westphalia, D-53127
Uniklinik Köln Klinik und Poliklinik für Urologie
Cologne, North Rhine-Westphalia, 50937
Universitätsklinikum Carl Gustav Carus
Dresden, Saxony, 1307
Johann Wolfgang Goethe Universität
Frankfurt am Main, Hesse, 60590
Universitätsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
Medizinische Hochschule Hannover
Hanover, 30625
Univesitaetsklinik Heidelberg
Heidelberg, Baden-Wurttemberg, 69120
Universitätsklinikum des Saarlandes
Homburg, Saarland, 66421
Jena University Hospital
Jena, Thuringia, 7743
Universitaetsklinikum Muenster
Münster, 48149
Universität Tübingen
Tübingen, 72076
Kliniken Nordoberpfalz AG, Klinikum Weiden
Weiden, Bavaria, 92637
Hungary14 sites
Szent Margit Kórház
Budapest, 1032
Magyar Honvédség Egészségügyi Központ
Budapest, 1062
Semmelweis Egyetem
Budapest, 1082
Semmelweis Egyetem
Budapest, 1083
Országos Onkológiai Intézet
Budapest, 1122
Egyesített Szent István és Szent László Kórház-Rendelőintéze
Budapest, H-1096
Debreceni Egyetem Klinikai Központ
Debrecen, Hajdú-Bihar, 4032
Békés Megyei Pándy Kálmán Kórház
Gyula, Bekes County, 5700
Somogy Megyei Kaposi Mór Oktató Kórház
Kaposvár, 7400
Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház
Miskolc, Borsod-Abauj Zemplen county, 3526
Pécsi Tudományegyetem Klinikai Központ
Pécs, Baranya, 7624
Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpo
Szeged, Csongrád megye, 6720
Markusovszky Egyetemi Oktatókórház
Szombathely, H-9700
Zala Megyei Korhaz
Zalaegerszeg, H-8900
France11 sites
Institut de Cancérologie de l'Ouest Site Paul Papin
Angers, Maine-et-Loire, 49000
Hopital Saint-André
Bordeaux, Gironde, 33075
Clinique Victor Hugo
Le Mans, Pays de la Loire Region, 72000
centre Oscar Lambret
Lille, Hauts-de-France, 59020
Institut Paoli-Calmettes
Marseille, 13273
Chu De Poitiers
Poitiers, 86021
ICO
Saint-Herblain, 44805
Institut de Cancerologie de la Loire
Saint-Priest-en-Jarez, Pays de la Loire Region, 42271
CHRU de Tours - Hopital Bretonneau TOURS
Tours, Indre-et-Loire, 37000
Institut de cancérologie de Lorraine
Vandœuvre-lès-Nancy, Meurthe-et-Moselle, 54519
Institut Gustave Roussy
Villejuif, 94805
Belgium8 sites
AZ Sint-Jan Brugge - Oostende - Campus Sint-Jan
Bruges, West-Vlaanderen, 8000
Institut Jules Bordet
Brussels, Brussels Capital, 1000
Grand Hôpital de Charleroi - Site Notre-Dame
Charleroi, Hainaut, 6000
UZ Antwerpen
Edegem, Antwerpen, 2650
UZ Gent
Ghent, Oost-Vlaanderen, 9000
Jessa Ziekenhuis - Campus Virga Jesse
Hasselt, Limburg, 3500
CHU Ambroise Paré
Mons, Hainaut, 7000
CHU Dinant Godinne UCL Namur
Yvoir, Namur, 5530
Poland7 sites
Szpital Specjalist w Brzozowie Podkarpacki Ośrodek Onkologiczny
Brzozów, 36-200
COPERNICUS Podmiot Leczn. Sp z o.o.,Wojew. Centrum Onkologii
Gdansk, 80-219
NZOZ Vesalius Sp. z o.o.
Krakow, 31-216
Europejskie Centrum Zdrowia Otwock, Szpital im. F. Chopina
Otwock, Masovian Voivodeship, 05-400
Centrum Onkologii - Instytut im. Marii Sklodowskiej - Curie
Warsaw, Masovian Voivodeship, 02-781
MAGODENT Sp. z o.o. Szpital Onkologiczno-Kardiologiczny
Warsaw, Masovian Voivodeship, 04-125
Uniwersytecki Szpital Kliniczny im. J. Mikulicza-Radeckiego
Wroclaw, 50-556
Czechia5 sites
Masarykuv onkologicky ustav
Brno, Brno-město, 656 53
Fakultni nemocnice u sv. Anny v Brne
Brno, 656 91
FN Hradec Kralove
Hradec Králové, Hradec Králové Region, 500 05
Fakultni nemocnice Olomouc
Olomouc, Olomouc Region, 779 00
Fakultni nemocnice v Motole
Prague, 150 06
Canada4 sites
London Health Sciences Center
London, Ontario, N6A 4L6
Dr. Leon Richard Oncology Centre
Moncton, New Brunswick, E1C 8X3
Sunnybrook
Toronto, Ontario, M4N3M5
British Columbia Cancer Agency (BCCA)
Vancouver, British Columbia, V5Z 4E6
Denmark3 sites
Aarhus Universitetshospital
Aarhus C, Central Jutland, 8000
Herlev Hospital
Herlev, Capital, 2730
Odense Universitetshospital
Odense, Region Syddanmark, 5000
About this study
Official title: A Phase 3, Randomized, Controlled, Multi-Center, Open-Label Study to Compare Tivozanib Hydrochloride to Sorafenib in Subjects With Refractory Advanced Renal Cell Carcinoma
This is a Phase 3, open-label, randomized, controlled, multi-national, multi-center, parallel-arm study comparing tivozanib to sorafenib in participants with refractory advanced renal cell carcinoma (RCC).
Participants will be randomized (1:1) to treatment with tivozanib or sorafenib.
Read more
Participants will be stratified by International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) risk category (favorable; intermediate; poor) and prior therapy (two prior vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR TKI); a prior checkpoint inhibitor [programmed cell death -1 protein (PD-1) or PD-1 ligand (PD1-L) inhibitor] plus a prior VEGFR TKI; a prior VEGFR TKI plus any other systemic agent).
All participants will be evaluated for progression free survival, overall survival, objective response rate, and the duration of response as well as safety and tolerability.
Pharmacokinetic (PK) analyses are also included in study.
- Conditions
- Carcinoma, Renal Cell
- Being tested
- Tivozanib hydrochloride, Sorafenib
- Medical subject headings
- Carcinoma, Renal Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Tivozanib hydrochlorideDrug
Tivozanib hydrochloride
SorafenibDrug
Sorafenib
| Study group | Role | What they receive |
|---|---|---|
| Tivozanib hydrochloride | Experimental | Participants randomized to this arm will receive the study drug, tivozanib hydrochloride. Receives: Drug: Tivozanib hydrochloride |
| Sorafenib | Active comparator | Participants randomized to this arm will receive the comparator drug, sorafenib. Receives: Drug: Sorafenib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS)
The PFS, as assessed by a blinded independent radiological review (IRR), 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 1.1 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 (up to approximately 5 years)
Secondary outcomes (3)
Overall Survival (OS)
The OS is defined as the time from the date of randomization to date of death due to any cause.
Measured: Date of randomization to date of death (up to approximately 5 years)
Objective Response Rate (ORR)
The ORR is defined as the percentage of participants who have at least a 30% reduction in the sum of diameters per RECIST (Version 1.1).
Measured: Every 8 weeks from date of randomization until disease progression (up to approximately 5 years)
Duration of Response (DOR)
The DOR is defined as the time from the first documentation of objective tumor response to the first documentation of tumor progression per RECIST 1.1 or to death due to any cause.
Measured: Assessed every 8 weeks from date of randomization until date of progression (up to approximately 5 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Dec 2015 (estimated)
- Study start24 May 2016
- Primary completion4 Oct 2018
- Study completion21 Jun 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Renal CellStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 350 participants (actual)
Sponsor and investigators
- Lead sponsor
- AVEO Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02627963
- Sponsor's protocol ID
- AV-951-15-303
- Status last verified
- Jun 2023
- First submitted
- 9 Dec 2015
- Last updated
- 18 Jul 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Undecided
Publications
Beckermann KE, Asnis-Alibozek AG, Atkins MB, Escudier B, Hutson TE, Kasturi V, McDermott DF, Pal SK, Porta C, Rini BI, Verzoni E. Long-Term Survival in Patients With Relapsed/Refractory Advanced Renal Cell Carcinoma Treated With Tivozanib: Analysis of the Phase III TIVO-3 Trial. Oncologist. 2024 Mar 4;29(3):254-262. doi: 10.1093/oncolo/oyad348.
PubMed 38262444Meza L, McDermott DF, Escudier B, Hutson TE, Porta C, Verzoni E, Atkins MB, Kasturi V, Pal SK, Rini B. Tivozanib in Patients with Advanced Renal Cell Carcinoma Previously Treated With Axitinib: Subgroup Analysis from TIVO-3. Oncologist. 2023 Mar 17;28(3):e167-e170. doi: 10.1093/oncolo/oyac255.
PubMed 36576430Szarek M, Needle MN, Rini BI, Pal SK, McDermott DF, Atkins MB, Hutson TE, Escudier BJ. Q-TWiST Analysis of Tivozanib Versus Sorafenib in Patients With Advanced Renal Cell Carcinoma in the TIVO-3 Study. Clin Genitourin Cancer. 2021 Oct;19(5):468.e1-468.e5. doi: 10.1016/j.clgc.2021.03.018. Epub 2021 Apr 3.
PubMed 33980467Rini BI, Pal SK, Escudier BJ, Atkins MB, Hutson TE, Porta C, Verzoni E, Needle MN, McDermott DF. Tivozanib versus sorafenib in patients with advanced renal cell carcinoma (TIVO-3): a phase 3, multicentre, randomised, controlled, open-label study. Lancet Oncol. 2020 Jan;21(1):95-104. doi: 10.1016/S1470-2045(19)30735-1. Epub 2019 Dec 3.
PubMed 31810797
Study at a glance
From the registry record, last updated by the sponsor on 18 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Controlled, Multi-Center, Open-Label Study to Compare Tivozanib Hydrochloride to Sorafenib in Subjects With Refractory Advanced Renal Cell Carcinoma
- ClinicalTrials.gov ID
- NCT02627963
- Acronym / sponsor ID
- AV-951-15-303
- Conditions
- Carcinoma, Renal Cell
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 350 participants (actual)
- Lead sponsor
- AVEO Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 24 May 2016 (actual)
- Primary completion
- 4 Oct 2018 (actual)
- Study completion
- 21 Jun 2021 (actual)
- First posted
- 11 Dec 2015 (estimated)
- Results
- Posted 20 Feb 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 3, open-label, randomized, controlled, multi-national, multi-center, parallel-arm study comparing tivozanib to sorafenib in participants with refractory advanced renal cell carcinoma (RCC).
Participants will be randomized (1:1) to treatment with tivozanib or sorafenib.
Participants will be stratified by International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) risk category (favorable; intermediate; poor) and prior therapy (two prior vascular endothelial growth factor receptor tyrosine kinase inhibitors (VEGFR TKI); a prior checkpoint inhibitor [programmed cell death -1 protein (PD-1) or PD-1 ligand (PD1-L) inhibitor] plus a prior VEGFR TKI; a prior VEGFR TKI plus any other systemic agent).
All participants will be evaluated for progression free survival, overall survival, objective response rate, and the duration of response as well as safety and tolerability.
Pharmacokinetic (PK) analyses are also included in study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Tivozanib hydrochloride | Experimental | Drug: Tivozanib hydrochlorideParticipants randomized to this arm will receive the study drug, tivozanib hydrochloride. |
| Sorafenib | Active comparator | Drug: SorafenibParticipants randomized to this arm will receive the comparator drug, sorafenib. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 18 years or older
- Participants with metastatic RCC who have failed 2 or 3 prior systemic regimens, one of which includes a VEGFR TKI other than sorafenib or tivozanib.
- Histologically or cytologically confirmed RCC with a clear cell component (participants with pure papillary cell tumor or other non-clear cell histologies, including collecting duct, medullary, chromophobe, and unclassified RCC are excluded).
- Measurable disease per the Response Evaluation Criteria in Solid Tumors (RECIST) criteria Version 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Key exclusion criteria (8 listed)
- Prior treatment with sorafenib or tivozanib.
- More than 3 prior regimens for metastatic RCC.
- Known central nervous system (CNS) metastases other than stable, treated brain metastases. Participants with previously treated brain metastasis will be allowed if the brain metastasis has been stable by neuroimaging without steroid treatment for at least 3 months following prior treatment (radiotherapy or surgery).
- Significant hematologic, gastrointestinal, thromboembolic, vascular, bleeding, or coagulation disorders.
- Significant serum chemistry abnormalities
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tivozanib hydrochlorideTivozanib hydrochloride | Drug | Tivozanib hydrochloride |
| SorafenibSorafenib | Drug | Sorafenib |
Primary outcome
Progression-free Survival (PFS)
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 (up to approximately 5 years)
The PFS, as assessed by a blinded independent radiological review (IRR), 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 1.1 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.
3 secondary outcomes
Overall Survival (OS)
Time frame: Date of randomization to date of death (up to approximately 5 years)
Objective Response Rate (ORR)
Time frame: Every 8 weeks from date of randomization until disease progression (up to approximately 5 years)
Duration of Response (DOR)
Time frame: Assessed every 8 weeks from date of randomization until date of progression (up to approximately 5 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jul 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38262444Beckermann KE, Asnis-Alibozek AG, Atkins MB, Escudier B, Hutson TE, Kasturi V, McDermott DF, Pal SK, Porta C, Rini BI, Verzoni E. Long-Term Survival in Patients With Relapsed/Refractory Advanced Renal Cell Carcinoma Treated With Tivozanib: Analysis of the Phase III TIVO-3 Trial. Oncologist. 2024 Mar 4;29(3):254-262. doi: 10.1093/oncolo/oyad348.
- Derived from this study: PubMed 36576430Meza L, McDermott DF, Escudier B, Hutson TE, Porta C, Verzoni E, Atkins MB, Kasturi V, Pal SK, Rini B. Tivozanib in Patients with Advanced Renal Cell Carcinoma Previously Treated With Axitinib: Subgroup Analysis from TIVO-3. Oncologist. 2023 Mar 17;28(3):e167-e170. doi: 10.1093/oncolo/oyac255.
- Derived from this study: PubMed 33980467Szarek M, Needle MN, Rini BI, Pal SK, McDermott DF, Atkins MB, Hutson TE, Escudier BJ. Q-TWiST Analysis of Tivozanib Versus Sorafenib in Patients With Advanced Renal Cell Carcinoma in the TIVO-3 Study. Clin Genitourin Cancer. 2021 Oct;19(5):468.e1-468.e5. doi: 10.1016/j.clgc.2021.03.018. Epub 2021 Apr 3.
- Derived from this study: PubMed 31810797Rini BI, Pal SK, Escudier BJ, Atkins MB, Hutson TE, Porta C, Verzoni E, Needle MN, McDermott DF. Tivozanib versus sorafenib in patients with advanced renal cell carcinoma (TIVO-3): a phase 3, multicentre, randomised, controlled, open-label study. Lancet Oncol. 2020 Jan;21(1):95-104. doi: 10.1016/S1470-2045(19)30735-1. Epub 2019 Dec 3.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
191 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Tivozanib hydrochloride and Sorafenib in people with Carcinoma, Renal Cell, run by AVEO Pharmaceuticals, Inc. at 191 sites in 12 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 6 inclusion and 8 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 18 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 191 sites in United States, Spain, Italy, United Kingdom, Germany and 7 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 20 Feb 2020). 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) (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 (up to approximately 5 years)). 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 NCT02627963, which also lists 4 linked publications.
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 18 Jul 2023.