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Tivantinib

Phase 3

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

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment383

FDA Designations

No designations recorded

Clinical trial landscape

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 being studied for the treatment of hepatocellular carcinoma and advanced solid tumors. It is an oral oncology drug in clinical development, though it is not approved by the FDA and remains investigational.

Who makes Tivantinib?

Tivantinib is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting clinical trials to evaluate the drug's safety and efficacy in cancer patients.

What phase is Tivantinib in?

Tivantinib has been studied in Phase 1 and Phase 3 clinical trials. A Phase 1 extension study for advanced solid tumors has been completed, and a Phase 3 study in hepatocellular carcinoma has also been completed. The drug is investigational and not FDA approved.

What clinical trials is Tivantinib in?

Tivantinib has been evaluated in two completed trials: NCT01178411, a Phase 1 extension study for advanced solid tumors with 60 participants, and NCT01755767, a Phase 3 study in inoperable hepatocellular carcinoma with 383 participants. Both trials are completed.

Does Tivantinib target a specific biomarker?

Tivantinib is not biomarker-selected in its clinical trials. The studies did not require patients to have a specific biomarker, and the trials were uncontrolled, meaning there was no comparator arm.