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Dovitinib

Phase 3

Metastatic Renal Cell Carcinoma | Small molecule | Oncology |Novartis AG|Trials Updated: Mar 11, 2021

Dovitinib development status

Highest phase Phase 3
Registered trials 26 across 8 sponsors since Oct 2005

Dovitinib target and mechanism

Molecular targetFGFR3, PDGFRB, PDGFRA, KIT, FLT3, FLT1
Target classInhibitor
ModalitySmall molecule

Also known as dovitinib (TKI258), TKI258, RTK Inhibitor, TKI258 (dovitinib)

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials20
Total Enrollment1,622

FDA Designations

No designations recorded

Dovitinib clinical trials

Dovitinib · 20 trials · 32 indications

Phase 3 1Phase 2 10Phase 1 9
NCT01223027Study of Dovitinib Versus Sorafenib in Patients With Metastatic Renal Cell CarcinomaMetastatic Renal Cell Carcinoma
COMPLETED564 Analytics
PHASE3COMPLETED
Study of Dovitinib Versus Sorafenib in Patients With Metastatic Renal Cell Carcinoma
Metastatic Renal Cell CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) Per Independent Central Radiology Review
Until disease progression or discontinuation of treatment due to unacceptable toxicity up to 30-Jun-2014 (discontinuation)

Assessed according to RECIST 1.1. PFS was defined as the time from the date of randomization to the date of the first documented disease progression or death due to any cause. If a patient had not progressed or died, on the date of the analysis cut-off or when he/she received any further anti-neoplastic therapy, PFS was censored on the date of last tumor assessment before the cutoff date or the anti-neoplastic therapy date. The distribution of PFS was estimated using the Kaplan-Meier method. The median PFS along with 95% confidence intervals was presented by treatment group.

Clinical Benefit Rate
2 years

The primary outcome measure is the clinical benefit rate, defined as an objective response (complete \[CR\] or partial \[PR\]) or stable disease \[SD\] of ≥6 months duration according to the RECIST version 1.1 criteria.

Number of Participants With Adverse Events of Grades 3 and 4 Severity
Until the last patient discontinued dovitinib up to 30 months

Participants with grades 3 and 4 severity adverse events were assessed according to the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.03, unless otherwise specified. AEs are provided by System Organ Class (SOC). A patient with multiple adverse events within a primary system organ class was counted only once in the total row.

Clinical Benefit Rate (CBR)
Week 16

CBR determined by investigator assessment for each tumor assessment \& defined as responses of Complete Response (CR) or Partial Response (PR) or Stable Disease (SD) ≥ 16 wks. Confirmed CR/PR or SD prior to 16 wks,but discontinued prior to 16 wks for reasons other than progressive disease,will have their clinical benefit defined non-evaluable; confirmed CR/PR or SD prior to 16 wks,but progressed prior to 16 wks,will be considered not achieving clinical benefit;if CR/PR/SD occurred prior to 16 wks,but progressed at or after 16 wks without evidence of CR/PR/SD at or after 16 wks,will also be considered not achieving clinical benefit. CBR will be analyzed by comparing achieved CBR with a historical control rate of each tumor type,\& if there is at least 90% probability that the response rate in a tumor type exceeds the historical rate,then the tumor type will be considered a success. CBR: CR+PR+SD the assessment criteria was RECIST 1.1

disease control rate (DCR)
up to 8 weeks after the start date of study treatment

Eight-week DCR is defined as the proportion of patients with best overall response of CR, PR or SD at the end of Week 8 as per local investigator's assessment.

Antitumor Activity of Dovitinib in Terms of Disease Control Rate (DCR): Complete Response+Partial Response +Stable Disease
12 Weeks

DCR is defined as the proportion of patients with a best overall response of Complete Responses (CR), Partial Response (PR) and Stable Disease (SD) at 12 weeks according to RECIST (version 1.1). Complete Response (CR): Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm 1;Partial Response (PR): At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Progressive Disease (PD): At least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm2. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD.

Progression Free Survival (PFS) Rate
up to 18 weeks

The 18-week PFS was defined as the percentage of participants who did not have a progression event at week 18. Participants who progressed, died, had response assessment of unknown (UNK) or discontinued before 18 weeks of observation without progression were counted as "failure". Progressive disease was assessed as per investigator assessment using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

Overall Survival - Overall Survival
Every 6 weeks from date of randomization until the patient has progressed, or the patient can no longer be followed, or at least 130 deaths have been observed in the study, whichever came first.

The overall survival (OS), defined as the time from date of randomization to the date of death from any cause. If a patient was not known to have died at the date of analysis cut-off, OS was censored at the last date of contact. Survival information was collected every 6 wks until at least 130 deaths have been observed

Overall response rate
4 weeks
Complete responses (CR) or partial response (PR) defined according to RECIST
Every 8 weeks
TKI258 pharmacokinetics (PK) parameters: Cmax (Maximum (peak) concentration of drug)
multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)
TKI258 pharmacokinetics (PK) parameters: AUC 0-24 hr (Area Under the Curve)
multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)
TKI258 pharmacokinetics (PK) parameters: AUC 0-72 hr
multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)
TKI258 pharmacokinetics (PK) parameters: Tmax (Time to maximum concentration)
multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)
TKI258 pharmacokinetics (PK) parameters: T1/2 (Half-life time)
multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)
TKI258 pharmacokinetics (PK) parameters: CL/F (Apparent Oral Clearance)
multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)
TKI258 pharmacokinetics (PK) parameters: Vz/F (apparent volume of distribution)
multiple time-points over 72h post dose on day Day 19 and Day 26 (PK phase)
Composite of Pharmacokinetics of TKI258, FMI capsule (supplied in 100 mg strength) and FMI tablet (supplied in 250 mg strength), in patients with advanced solid tumors, excluding breast cancer based on PK parameters AUClast and Cmax
9 days
Pharmacokinetic (PK) parameter of Cmax following a single dose of TKI258 and at the steady state
Day 1, Day 19

Cmax will be evaluated after a single dose of TKI258 and at the steady state following a 5 days on/2 days off dosing schedule. Cmax is the maximum (peak) plasma, blood, serum, or other body fluid drug concentration after a single dose administration (mass x volume - 1).

Pharmacokinetic (PK) parameter of Tmax following a single dose of TKI258 and at the steady state
Day 1, Day 19

Tmax will be evaluated after a single dose of TKI258 and at the steady state following a 5 days on/2 days off dosing schedule. Tmax is the time to to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after a single dose administration (mass x volume - 1).

Pharmacokinetic (PK) parameter of AUClast following a single dose of TKI258 and at steady state
Day 1, Day 19

AUClast will be evaluated after a single dose of TKI258 and at the steady state following a 5 days on/2 days off dosing schedule. AUC from time zero to the last measurable concentration sampling time t(last) (mass x time x volume\^-1)

Pharmacokinetic (PK) parameter of AUCinf following a single dose of TKI258
Day 1, Day 19

AUCinf is the time to zero to infinity (mass x time x volume)

Determine the relative bioavailability of the final market image form of TKI258 (monohydrate tablets) as compared to the clinical service form of TKI258 (anhydrate capsules)
relative bioavailability (9 days)
Determine the effect of food on the bioavailability of TKI258
food effect (22 days)
Determine the relative bioavailability of the final market image form of TKI258 (monohydrate capsules) as compared to the clinical service form of TKI258 (anhydrate capsules)
9 days
Maximum tolerated dose (MTD) of TKI258
30 days
Phase I: To determine the MTD of TKI258, administered orally on a 5 days on/2 days off schedule to adult patients with advanced or metastatic RCC whose diseases have progressed despite standard therapy or for whom no standard anticancer therapy exists.
at end of phase I
Phase II: To determine anti-tumor activity of TKI258 in advanced or metastatic RCC patients with predominant clear cell histology that have been previously treated with VEGF receptor tyrosine kinase inhibitor (sunitinib and/or sorafenib).
at end of phase II
Cohort1: Find out about the routes and rates of excretion of TKI258 and its metabolites
Day 15
Cohort 2: Safety and Tolerability of TKI258
Time to patient withdrawal due to disease progression or tolerability issues
Dose Expansion: Determine the maximum tolerated dose based on dose limiting toxicity of TKI258
end of dose escalation
Dose Expansion: Determine the plasma and whole blood pharmacokinetics of orally administered TKI258
PK run-in days 1 & 2, cycle 1 days 1, 8, 15, 16, 28, cycle 2 day 15, cycle 2+ day 28
Dose Escalation: Assess tumor response according to RECIST as measured by response rate and lack of early progressive disease (<=2 months)
every 8 weeks

Secondary Endpoints

Overall Survival (OS)
until at least 386 deaths are documented in the clinical database.
Progression Free Survival (PFS) Per Investigator's Radiology Review
Until disease progression or discontinuation of treatment due to unacceptable toxicity
Percentage of Participants With Overall Response Rate (ORR) by Central Radiology Review
Until disease progression or discontinuation of treatment due to unacceptable toxicity
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dovitinib + best supportive care (BSC)EXPERIMENTALPatients randomized to the dovitinib treatment arm received 500 mg of dovitinib orally on 5 days on/2 days off dosing schedule.
Sorafenib + BSCACTIVE_COMPARATORPatients in the sorafenib control arm received400 mg of sorafenib (2 x 200 mg tablets) orally taken twice daily.
DovitinibEXPERIMENTALDovitinib 500 mg PO OD (5 days on, 2 days off); Each cycle = 28 days
dovitinib + fulvestrantEXPERIMENTALParticipants were given dovitinib and fulvestrant coadministration starting with last assigned dose and regimen which patient received in parent study. Additional dose modifications were at the discretion of the investigator based on guidance provided in the protocol and IB.
TKI258EXPERIMENTALDovitinib (TKI) will be dosed on a flat scale of 500 mg on a 5 days on/2 days off dosing schedule.
Dovitinib (TKI258)EXPERIMENTALPatients will receive Dovitinib (TKI258) on an outpatient basis at the dose of 500 mg qd for 5 days followed by 2 days off, every week for cycle of 4 weeks (28d) until disease progression, unacceptable toxicity, or consent withdrawal.
SorafenibEXPERIMENTALtablet
FGFR3 wild typeEXPERIMENTAL -
FGFR3 mutantEXPERIMENTAL -
TKI258 - PositiveEXPERIMENTALThese are the participants who had a positive T(4;14) status
TKI258 - NegativeEXPERIMENTALThese are the participants who had a negative T(4;14) status
TKI258 Non-interpretableEXPERIMENTALThese are the participants who had a non-interpretable T(4;14) status
500 mg FMI capsule + 250 mg FMI tabletEXPERIMENTALBE phase sequence 1= 3 weeks on FMI capsule then 1 week on FMI tablet
500 mg TKI258 FMI capsule +250 mg FMI tabletEXPERIMENTALBE phase sequence 2= 3 weeks on FMI tablet then 1 week on FMI capsule
TKI258 normal hepatic functionEXPERIMENTALTKI258 Capsule, @ 500 mg p.o. o.d. 5 days on/2 days off
TKI258 mild hepatic impairmentEXPERIMENTALTKI258 capsule @ 500 or 400 mg p.o. o.d. 5 days on/2 days off
TKI258 moderate hepatic impairmentEXPERIMENTALTKI258 capsule @ starting dose at 400 mg p.o. o.d. 5 days on/2 days off
TKI258 severe hepatic impairmentEXPERIMENTALTKI258 capsule Starting dose to be determined based on the study outcome of the mild and moderate hepatic impairment groups
Arm 1 - TKI258 - bioavailabilityEXPERIMENTAL -
TKI258 - food effectEXPERIMENTAL -
TKI258 - bioavailabilityEXPERIMENTAL -
TKI258 - foodEXPERIMENTAL -

Interventions

NameTypeDescription
DovitinibDRUGDovitinib is formulated as an oral gelatin capsule of 100 mg strength and was dosed on a flat scale of 500 mg on a 5 days on/2 days off dosing schedule. Medication labels complied withthe legal requirements of each country and were printed in the local language.
SorafenibDRUGSorafenib is formulated as a round, oral, biconvex, red film-coated tablet that contains 200 mg of sorafenib (tosylate). Sorafenib was administered twice daily without food at least 1 hour before or 2 hours after a meal. Sorafenib was supplied according to local practice.
fulvestrantDRUGFulvestrant is generally available as solution for injection in pre-filled syringes containing 250 mg of fulvestrant in 5 mL solution.
Dovitinib (TKI258)DRUGDovitinib (TKI) will be dosed on a flat scale of 500 mg on a 5 days on/2 days off dosing schedule.
TKI258DRUGTKI258 is dosed on a flat scale of 500 mg, to be administered orally on a 5 days on / 2 days off dosing schedule which will be repeated every week.
fluvoxamineDRUGperpetrator drug; 7 days of dosing
TKI258 (dovitinib)DRUGbioavailability (anhydrate capsules) food (monohydrae capsules)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites199

Inclusion Criteria: * Patients with metastatic renal cell carcinoma (mRCC) with histological or cytological confirmation of clear cell carcinoma or a component of clear cell * Patients must have received one and only one prior VEGF-targeted therapy and one and only one prior mTOR inhibitor therapy ...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaColombiaCzechiaFranceGermanyGreeceHungaryIsraelItalyJapanNetherlandsNorwayPolandSaudi ArabiaSlovakiaSouth KoreaSpainSwedenSwitzerlandThailandUnited KingdomDenmarkFinlandNew ZealandChinaHong KongSingaporeTaiwanTurkey (Türkiye)
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Frequently asked questions about Dovitinib

What is Dovitinib used for?

Dovitinib is an investigational small molecule studied in oncology for several tumor types, including advanced solid tumors, gastrointestinal stromal tumors, hepatocellular carcinoma, metastatic renal cell carcinoma, and recurrent adenoid cystic carcinoma of the salivary glands. It is not an approved therapy and remains in clinical development.

What does Dovitinib target?

Dovitinib is a small molecule inhibitor that targets FGFR3, PDGFRB, PDGFRA, KIT, FLT3, and FLT1. By inhibiting these receptor tyrosine kinases, it is designed to interfere with signaling pathways that drive tumor growth and angiogenesis. This multi-target profile underlies its study across a range of solid tumors and hematologic-related pathways.

Who makes Dovitinib?

Dovitinib is developed by Novartis AG, which trades under the ticker NVS. Novartis sponsored the clinical studies evaluating the drug, including the long-term safety extension study and the pharmacokinetic drug-drug interaction study in patients with advanced solid tumors.

What phase is Dovitinib in?

Dovitinib is in Phase 1 development overall, though individual studies have been conducted at Phase 2. It is investigational and has not been approved by the FDA. The clinical program includes completed trials in solid tumors, adenoid cystic carcinoma of the salivary glands, and related oncology indications.

What clinical trials is Dovitinib in?

Dovitinib has been evaluated in completed trials including NCT02116803, a Phase 2 long-term safety extension study in solid tumors; NCT01831726, a Phase 2 study in tumor pathway activations; NCT01700270, a Phase 1 pharmacokinetic drug-drug interaction study; and NCT01678105, a Phase 2 study in recurrent or metastatic adenoid cystic carcinoma of the salivary glands.

Is Dovitinib the same as TKI258?

Yes, Dovitinib is also known as TKI258. The names dovitinib (TKI258) and Dovitinib (TKI258) refer to the same investigational compound developed by Novartis. Searches using either name point to the same small molecule inhibitor and its clinical trial program in oncology.