Drug intelligence / Profile preview

mFOLFOX6 + tivozanib

Development stage
Unknown
Lead developer
AVEO Oncology
Modality
Small Molecules
Administration
Oral, Intravenous
01

Overview

mFOLFOX6 + tivozanib is a combination regimen consisting of the chemotherapy protocol mFOLFOX6 (modified FOLinic acid [leucovorin], Fluorouracil [5-FU], and OXaliplatin) together with tivozanib, an oral small molecule inhibitor of vascular endothelial growth factor receptors (VEGFR)-1, -2, and -3. The combination has been investigated primarily for advanced gastrointestinal cancers, including metastatic colorectal cancer (mCRC). Tivozanib acts as a potent antiangiogenic agent by selectively inhibiting VEGFR tyrosine kinases, thereby blocking tumor angiogenesis. The addition of mFOLFOX6 provides cytotoxic activity against rapidly dividing tumor cells through DNA crosslinking (oxaliplatin), inhibition of thymidylate synthase (fluorouracil), and enhancement of 5-FU efficacy via leucovorin. Clinical studies have shown that this combination demonstrates encouraging antitumor activity with a tolerable safety profile in patients with advanced GI tumors; however, it was not superior to bevacizumab/mFOLFOX6 in phase II trials for previously untreated metastatic colorectal cancer[1][2][4][5].

Brand names
Fotivda (for tivozanib)
Other names
modified FOLFOX6 plus tivozanibmFOLFOX6 and tivozanibmFOLFOX-6 and tivozanibmFOLFOX 6 and tivozanib
02

Targets

VEGFR2 (Vascular endothelial growth factor receptor 2)TS (Thymidylate synthase)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDGFRB (Platelet-derived growth factor receptor beta)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR3 (Vascular endothelial growth factor receptor 3)

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