TheraRadar
Data updated: May 26, 2026

FOTIVDA (tivozanib hydrochloride)

Genetic Support Trial Activity: Declining
Oncology Approved 2021-03-10

Fotivda treats adults with advanced renal cell carcinoma that has returned or failed to respond to previous interventions. It is used for patients who have already undergone at least two prior systemic therapies for their kidney cancer. This medication helps manage advanced disease in cases where earlier treatment lines were not successful.

Source: FDA Label • AVEO PHARMS

How FOTIVDA Works

This drug works by blocking tyrosine kinases, specifically targeting vascular endothelial growth factor receptors 1, 2, and 3. By inhibiting these receptors and others like c-kit and PDGFR β, the medication helps prevent the growth of new blood vessels and slows the progression of tumor cells.

Development Insights

AVEO Pharmaceuticals, Inc. conducting 3 trials (100%)
3 indications explored (Focused)
carcinoma, renal cell (1 trials)
triple negative breast cancer (1 trials)
hepatic impairment (1 trials)
1
Indication
--
Phase 3 Trials
5
Years on Market

Details

Status
Prescription
First Approved
2021-03-10
Patent Cliff
2039

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
CAPSULE

Companies

Active Ingredient: TIVOZANIB HYDROCHLORIDE

FOTIVDA Approval History

2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
6 FDA actions from 2021 to 2025
Jan 2025 SUPPL
Label · Labeling
Aug 2024 SUPPL
Label · Labeling
Mar 2021 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What FOTIVDA Treats

1 indications

FOTIVDA is approved for 1 conditions since its original approval in 2021. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Renal Cell Carcinoma
Source: FDA Label

FOTIVDA Target & Pathway

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Target

VEGFR (Vascular Endothelial Growth Factor Receptor) Growth Factor Receptor

Receptors on blood vessel cells that respond to VEGF signals to form new blood vessels. Cancer cells exploit this pathway to ensure blood supply for tumor growth. Blocking VEGFRs prevents tumor angiogenesis and limits cancer progression.

Pathway Context

VEGFR on blood vessels is activated by VEGF to promote angiogenesis

VEGF (Vascular Endothelial Growth Factor) ligand

A signaling protein that stimulates the formation of new blood vessels (angiogenesis). Tumors need blood supply to grow, so they secrete VEGF to create new vessels. Blocking VEGF starves tumors of oxygen and nutrients, inhibiting their growth.

FOTIVDA Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in FOTIVDA's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications FOTIVDA treats. First-in-class if their pivotal trials read out positive.

Drugs Similar to FOTIVDA

3 of 15

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

AFINITOR
EVEROLIMUS
1 shared
Novartis
Shared indications:
AFINITOR DISPERZ
EVEROLIMUS
1 shared
Novartis
Shared indications:
AVZIVI
BEVACIZUMAB-TNJN
1 shared
BIO-THERA SOLUTIONS LTD
Shared indications:
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Clinical Trial Registry

3 trials
Trial Sponsor ID Phase Status Title
NCT02627963 results posted AV-951-15-303 Ph 3 completed A Study to Compare Tivozanib Hydrochloride to Sorafenib in Participants With Refractory Advanced Renal Cell Carcinoma (RCC)
NCT01745367 BATON-BC results posted AV-951-12-204 2012-003507-35 Ph 2 terminated Tivozanib in Combination With Paclitaxel in Patients With Locally Recurrent or Metastatic Triple Negative Breast Cancer
NCT01631097 AV-951-12-118 Ph 1 completed A Single-Dose Study of Tivozanib in Subjects With Hepatic Impairment and Normal Hepatic Function
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

FOTIVDA FDA Label Details

Indications & Usage

FDA Label (PDF)

FOTIVDA is indicated for the treatment of Renal Cell Carcinoma.

View full patent landscape →
2 OB patents · 2 families · 31 international docs across 16 countries

FOTIVDA Patents & Exclusivity

Latest Patent: Nov 2039
Exclusivity: Mar 2026

Patents (2 active)

US11504365 Expires Nov 5, 2039
US7166722 Expires Nov 16, 2028

Exclusivity

NCE Until Mar 2026
NCE Until Mar 2026
NCE Until Mar 2026
NCE Until Mar 2026
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for FOTIVDA

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2039
  • 8 active patents

Trial Analysis

  • 3 total trials
  • Stage: Declining

Competitive Landscape

  • 15 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment