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Tivantinib

Phase 3

Hepatocellular Carcinoma | Small molecule | Oncology |Merck & Company, Inc.|Trials Updated: Apr 6, 2021

Tivantinib development status

Highest phase Phase 3
Registered trials 6 across 2 sponsors since Aug 2010

Tivantinib target and mechanism

Molecular targetMET
Target classInhibitor
ModalitySmall molecule

Also known as ARQ197

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment443

FDA Designations

No designations recorded

Tivantinib clinical trials

Tivantinib · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT01755767Study of Tivantinib in Subjects With Inoperable Hepatocellular Carcinoma (HCC) Who Have Been Treated With One Prior TherapyHepatocellular Carcinoma
COMPLETED383 Analytics
PHASE3COMPLETED
Study of Tivantinib in Subjects With Inoperable Hepatocellular Carcinoma (HCC) Who Have Been Treated With One Prior Therapy
Hepatocellular CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Median Overall Survival (OS) Following Treatment With Tivantinib 120 mg BID Compared to Placebo Group in Participants With MET Diagnostic-High Inoperable Hepatocellular Carcinoma (HCC) Treated With One Prior Systemic Therapy
within 36 months

Overall survival (OS) is defined as the time from randomization to the date of death. The rate of OS (percentage of participants still alive) was determined only in the tivantinib 120 mg BID cohort.

Overall Survival (OS) Rate At Different Time Points Following Treatment With Tivantinib 120 mg BID Compared to Placebo Group in Participants With MET Diagnostic-High Inoperable Hepatocellular Carcinoma (HCC) Treated With One Prior Systemic Therapy
within 36 months

Overall survival (OS) is defined as the time from randomization to the date of death. The rate of OS (percentage of participants still alive) was determined only in the tivantinib 120 mg BID cohort.

Extent of Exposure to ARQ 197 in Participants Benefiting From Prior ARQ 197 Therapy
Up to 3,021 days (up to 14-Jan-2019)

The duration of ARQ 197 exposure in this study was calculated as \[(date of last dose of study drug - date of first dose of study drug) + 1\]. Results refer to duration of ARQ 197 treatment in the present study only (i.e., does not include treatment received during participation in "feeder" studies).

Secondary Endpoints

Progression-free Survival Following Treatment With Tivantinib 120 mg BID Compared to Placebo Group in Participants With MET Diagnostic-High Inoperable Hepatocellular Carcinoma (HCC) Treated With One Prior Systemic Therapy (ITT Population)
within 10 months
Treatment-Emergent Adverse Events Reported (>20% in Tivantinib Cohort) Following Treatment With Tivantinib Compared With Placebo in Participants With MET Diagnostic-High Inoperable Hepatocellular Carcinoma (HCC) Treated With One Prior Systemic Therapy
Baseline to 30 days after last dose, up to approximately 4 years
Number of Participants With ≥1 Treatment-emergent Adverse Event (TEAE)
Up to 3021 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Tivantinib 240 mg BID CohortEXPERIMENTALThe tivantinib dosage of 240 mg tablets administered by mouth twice daily (BID), once in the morning and once in the evening, with food, for a total daily dose of 480 mg.
Tivantinib 120 mg BID CohortEXPERIMENTALTivantinib 120 mg is administered by oral tablet BID, once in the morning and once in the evening, with food, for a total daily dose of 240 mg (amended dosing group; primary analysis group).
Placebo Matching 240 mg BID CohortPLACEBO_COMPARATORMatching placebo is administered by oral tablet(s) BID, once in the morning and once in the evening, with food.
Placebo Matching 120 mg BID CohortPLACEBO_COMPARATORMatching placebo is administered by oral tablet(s) BID, once in the morning and once in the evening, with food.
Tivantinib (Monotherapy or Combination Therapy)EXPERIMENTALTivantinib 360 mg will be administered twice daily, orally, with meals, as a monotherapy or in combination with other drug therapies.

Interventions

NameTypeDescription
TivantinibDRUGTivantinib tablets
PlaceboDRUGMatching placebo tablets
Anti-Cancer Combination TherapyDRUGTivantinib 360 mg twice daily in combination with other anti-cancer therapy (eg, erlotinib,sorafenib, pemetrexed, docataxel, gemcitabine, irinotecan, and/or cetuximab) at the same dose and schedule in which they were administered in the original (previous) study.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites112

Inclusion Criteria: * Histologically confirmed HCC that is inoperable (where surgery is not indicated due to disease extension, co-morbidities, or other technical reasons), and not eligible for local therapy * MET Diagnostic-High tissue reported by the central authorized laboratory using archival o...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaFranceGermanyItalyNetherlandsNew ZealandPortugalSpainSwedenSwitzerland
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Frequently asked questions about Tivantinib

What is Tivantinib used for?

Tivantinib is an investigational small molecule studied in oncology for advanced solid tumors and hepatocellular carcinoma. It has been evaluated in patients with inoperable hepatocellular carcinoma who received one prior therapy, and in an extension protocol for subjects previously enrolled in other Tivantinib protocols. It is not described as approved for any indication.

What does Tivantinib target?

Tivantinib targets MET, a receptor tyrosine kinase. It is classified as a MET inhibitor. By binding to and inhibiting MET, Tivantinib is designed to interfere with MET-mediated signaling in tumor cells. This mechanism underlies its investigation in advanced solid tumors and hepatocellular carcinoma.

Who is developing Tivantinib?

Tivantinib is being developed by Merck & Company, Inc., which trades under the ticker MRK. The company is the sponsor associated with the clinical development of Tivantinib in oncology, including studies in advanced solid tumors and hepatocellular carcinoma.

What phase is Tivantinib in?

Tivantinib is in Phase 1 development according to the current development stage. It is an investigational agent and has not been approved by the FDA. Clinical evaluation has included a completed Phase 3 trial in hepatocellular carcinoma and a completed Phase 1 extension protocol in advanced solid tumors.

What clinical trials is Tivantinib in?

Tivantinib has been studied in two completed trials. NCT01755767 was a Phase 3 study in subjects with inoperable hepatocellular carcinoma who had one prior therapy, enrolling 383 patients across multiple countries. NCT01178411 was a Phase 1 extension protocol for subjects previously enrolled in other Tivantinib protocols, enrolling 60 patients with advanced solid tumors.