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Sitravatinib

Phase 3

Advanced Solid Tumors | Small molecule | Oncology |BeOne Medicines Ltd.|Trials Updated: Nov 4, 2024

Sitravatinib development status

Highest phase Phase 3 (NCT05564338)
Phase scored for ONCPhase 1
Registered trials 21 across 6 sponsors since Aug 2014

Sitravatinib target and mechanism

Target class-Tinib (Kinase)
ModalitySmall molecule

Also known as Sitravatinib Malate, MGCD516

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials3
Total Enrollment353

FDA Designations

No designations recorded

Sitravatinib clinical trials

Sitravatinib · 3 trials · 4 indications

Phase 1 3
NCT04472650Relative Bioavailability of Two Different Capsule Formulations of Sitravatinib in Healthy AdultsTumor
COMPLETED26 Analytics
NCT03941873A Study to Investigate Sitravatinib as Monotherapy and in Combination With Tislelizumab in Participants With Unresectable Locally Advanced or Metastatic Hepatocellular Carcinoma or Gastric/Gastroesophageal Junction CancerCarcinoma, Hepatocellular
COMPLETED111 Analytics
NCT03666143A Phase 1b Study to Assess Sitravatinib in Combination With Tislelizumab in Participants With Advanced Solid TumorsAdvanced Solid Tumors
COMPLETED216 Analytics
PHASE1COMPLETED
Relative Bioavailability of Two Different Capsule Formulations of Sitravatinib in Healthy Adults
TumorUnlock trial analytics
PHASE1COMPLETED
A Study to Investigate Sitravatinib as Monotherapy and in Combination With Tislelizumab in Participants With Unresectable Locally Advanced or Metastatic Hepatocellular Carcinoma or Gastric/Gastroesophageal Junction Cancer
Carcinoma, HepatocellularUnlock trial analytics
PHASE1COMPLETED
A Phase 1b Study to Assess Sitravatinib in Combination With Tislelizumab in Participants With Advanced Solid Tumors
Advanced Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Concentration-time Curve (AUC) From Time Zero to Infinity (AUC0-∞) of Sitravatinib
Predose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 168 hours postdose in each study period
Area Under the Concentration-time Curve From Time Zero to Time of the Last Quantifiable Concentration (AUC0-t) of Sitravatinib
Predose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 168 hours postdose in each study period
Maximum Observed Plasma Concentration (Cmax) of Sitravatinib
Predose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 168 hours postdose in each study period
Time of the Maximum Observed Plasma Concentration (Tmax) of Sitravatinib
Predose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 168 hours postdose in each study period
Apparent Terminal Elimination Half-life (T1/2) of Sitravatinib
Predose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 168 hours postdose in each study period
Apparent Total Plasma Clearance (CL/F) of Sitravatinib
Predose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 168 hours postdose in each study period
Apparent Volume of Distribution (Vz/F) of Sitravatinib
Predose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72 and 168 hours postdose in each study period
Number of Participants With Adverse Events
Up to approximately 4 years and 1 month

Number of participants with treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) per National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0 (NCI-CTCAE v5.0), including relevant physical examination, electrocardiograms, and laboratory assessments. Safety analysis set is presented by dose, as prespecified in the statistical analysis plan (SAP).

Objective Response Rate (ORR)
Up to approximately 4 years and 1 month

ORR is defined as the percentage of participants whose best overall response (BOR) is the confirmed complete response (CR) or partial response (PR) assessed by investigator using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Efficacy evaluable analysis set is presented by indication group, as prespecified in the statistical analysis plan.

Number of Participants With Adverse Events (AEs)
Up to approximately 4 years and 2 months

Number of participants with treatment-emergent AEs (TEAEs) and serious adverse events (SAEs), which includes laboratory tests, physical exams, electrocardiogram results and vital signs; TEAE was defined as an adverse event that had an onset date or a worsening in severity from baseline (pretreatment) on or after the first dose of study drug(s) up to 30 days following last dose of study drug(s) or initiation of a new anticancer therapy, whichever occurs first.

Secondary Endpoints

Number of Participants With Adverse Events
Up to Week 8
Duration of Response (DOR)
Up to approximately 4 years and 1 month
Disease Control Rate (DCR)
Up to approximately 4 years and 1 month
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dosing Sequence 1: Sitravatinib Free Base then Malate SaltEXPERIMENTALSitravatinib free base capsule 120 mg on Day 1 in Period 1 then sitravatinib malate salt capsule 100 mg on Day 1 in Period 2, with a minimum washout period between dose administrations of 14 days
Dosing Sequence 2: Sitravatinib Malate Salt then Free BaseEXPERIMENTALSitravatinib malate salt capsule 100 mg on Day 1 in Period 1 then sitravatinib free base capsule 120 mg on Day 1 in Period 2, with a minimum washout period between dose administrations of 14 days
Sitravatinib Monotherapy: 80 mgEXPERIMENTALSitravatinib 80 mg orally once daily in 21-day cycles in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Sitravatinib Monotherapy: 120 mgEXPERIMENTALSitravatinib 120 mg orally once daily in 21-day cycles in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Sitravatinib 80 mg + TislelizumabEXPERIMENTALSitravatinib 80 mg orally once daily in 21-day cycles with tislelizumab 200 mg intravenously (IV) once every 3 weeks in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Sitravatinib 120 mg + TislelizumabEXPERIMENTALSitravatinib 120 mg orally once daily in 21-day cycles with tislelizumab 200 mg IV once every 3 weeks in participants with unresectable locally advanced or metastatic HCC or G/GEJ cancer
Sitravatinib + TislelizumabEXPERIMENTALSitravatinib 120 mg was administered orally once daily in combination with tislelizumab 200 mg intravenously (IV) once every 3 weeks

Interventions

NameTypeDescription
SitravatinibDRUGAdministered orally as a free base capsule
TislelizumabDRUGAdministered intravenously
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Eligibility Criteria

Age Range18 Years to 55 Years
SexMALE
Healthy VolunteersYes
Study Sites1

Key Inclusion Criteria: 1. Body mass index between 18.0 and 32.0 kg/m2, inclusive. 2. In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG, vital sign measurements, and clinical laboratory evaluations at Screening and/or Check-in a...

Countries:AustraliaChina
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Competitive Landscape -Other Solid Tumors 10 trials (matched to "Advanced Solid Tumors")

Frequently asked questions about Sitravatinib

What is Sitravatinib?

Sitravatinib is an investigational small molecule kinase inhibitor being developed by BeOne Medicines Ltd. (ticker ONC) for oncology indications. It has been studied in advanced solid tumors, hepatocellular carcinoma, and gastric or gastroesophageal junction cancer. It is not approved and remains in clinical development.

What is Sitravatinib used for?

Sitravatinib has been studied in adults with advanced solid tumors, unresectable locally advanced or metastatic hepatocellular carcinoma, and gastric or gastroesophageal junction cancer. It has also been tested in healthy adult male volunteers for capsule formulation bioavailability. All studied indications remain investigational.

What does Sitravatinib target?

Sitravatinib is a small molecule kinase inhibitor, belonging to the -tinib target class. It is designed to inhibit kinase activity. It has been evaluated both as monotherapy and in combination with tislelizumab in clinical studies.

Who is developing Sitravatinib?

Sitravatinib is being developed by BeOne Medicines Ltd., which trades under the ticker ONC. The company has sponsored Phase 1 studies of the drug in Australia and China.

What phase is Sitravatinib in?

Sitravatinib is in Phase 1 clinical development. It is investigational and has not been approved for any indication. The completed Phase 1 trials include a bioavailability study in healthy volunteers and studies in advanced solid tumors and hepatocellular or gastric cancer.

What clinical trials is Sitravatinib in?

Sitravatinib has been evaluated in completed Phase 1 trials including NCT04472650, a bioavailability study of two capsule formulations in healthy adults; NCT03941873, a monotherapy and tislelizumab combination study in hepatocellular and gastric or gastroesophageal junction cancer; and NCT03666143, a combination study with tislelizumab in advanced solid tumors.

Is Sitravatinib the same as Sitravatinib Malate?

Yes, Sitravatinib Malate is an alternative name for Sitravatinib. The malate refers to the salt form of the same active small molecule kinase inhibitor developed by BeOne Medicines Ltd. for oncology indications.