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Molecule

Tivozanib

Also known as tivozanib hydrochloride
Available on requestOncology
Presentations
2
Brands
1
Manufacturers
1
Available from stock
0

Tivozanib is a kinase inhibitor indicated for the treatment of adult patients with relapsed or refractory advanced renal cell carcinoma (RCC) following two or more prior systemic therapies. It is available as capsules for oral use. MedsAcross supplies Tivozanib for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Kinase Inhibitor, Tyrosine Kinase Inhibitors
ATC classification
L01EK03 Tivozanib · Cancer medicines (antineoplastics), subgroup L01E, subgroup L01EK
US FDA first approval
10 March 2021
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII 172030934TRxCUI 2534233CAS 475108-18-0DrugBank DB11800Q7810457

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

FOTIVDA is indicated for the treatment of adult patients with relapsed or refractory advanced renal cell carcinoma (RCC) following two or more prior systemic therapies. FOTIVDA is a kinase inhibitor indicated for the treatment of adult patients with relapsed or refractory advanced renal cell carcinoma (RCC) following two or more prior systemic therapies.

Source: US FDA prescribing information

How it works

Tivozanib is a tyrosine kinase inhibitor. In vitro cellular kinase assays demonstrated that tivozanib inhibits phosphorylation of vascular endothelial growth factor receptor (VEGFR)-1, VEGFR-2 and VEGFR-3 and inhibits other kinases including c-kit and PDGFR β at clinically relevant concentrations. In tumor xenograft models in mice and rats, tivozanib inhibited angiogenesis, vascular permeability, and tumor growth of various tumor cell types including human renal cell carcinoma.

Source: US FDA prescribing information

Dosing overview

Recommended Dose: 1.34 mg once daily with or without food for 21 days on treatment followed by 7 days off treatment (28-day cycle) until disease progression or unacceptable toxicity. Dose interruptions and/or dose reduction may be needed to manage adverse reactions. For patients with moderate hepatic impairment, reduce the dose to 0.89 mg for 21 days on treatment followed by 7 days off treatment (28-day cycle).

Source: US FDA prescribing information

Warnings and precautions

Hypertension and Hypertensive Crisis: Control blood pressure prior to initiating FOTIVDA. Monitor for hypertension and treat as needed. For persistent hypertension despite use of anti-hypertensive medications, reduce the FOTIVDA dose. Cardiac Failure: Monitor for signs or symptoms of cardiac failure throughout treatment with FOTIVDA. Cardiac Ischemia and Arterial Thromboembolic Events: Closely monitor patients who are at increased risk for these events. Permanently discontinue FOTIVDA for severe arterial thromboembolic events, such as myocardial infarction and stroke. Venous Thromboembolic Events: Closely monitor patients who are at increased risk for these events. Permanently discontinue FOTIVDA for severe venous thromboembolic events. Hemorrhagic Events: Closely monitor patients who are at risk for or who have a history of bleeding.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are also described elsewhere in the labeling: Hypertension and Hypertensive Crisis Cardiac Failure Cardiac Ischemia and Arterial Thromboembolic Events Venous Thromboembolic Events Hemorrhagic Events Proteinuria Gastrointestinal Perforation and Fistula Formation Thyroid Dysfunction Risk of Impaired Wound Healing Reversible Posterior Leukoencephalopathy Syndrome (RPLS) The most common (≥20%) adverse reactions were fatigue, hypertension, diarrhea, decreased appetite, nausea, dysphonia, hypothyroidism, cough, and stomatitis, and the most common Grade 3 or 4 laboratory abnormalities (≥5%) were sodium decreased, lipase increased, and phosphate decreased.

Source: US FDA prescribing information

Interactions

CYP3A Inducers: Avoid concomitant use of strong CYP3A inducers. Effect of Other Drugs on FOTIVDA Strong CYP3A Inducers Concomitant use of FOTIVDA with a strong CYP3A inducer decreases tivozanib exposure, which may reduce FOTIVDA anti-tumor activity. Avoid concomitant use of strong CYP3A inducers with FOTIVDA.

Source: US FDA prescribing information

Storage

Store at 20 ° C to 25 ° C (68 ° F to 77 ° F), excursions permitted between 15°C to 30 ° C (59°F to 86 ° F).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Tivozanib, sorted by availability.

MedicineManufacturerRegisterAvailability
Fotivda 0.89 mg capsuleOralAVEO PharmaceuticalsUS FDAAvailable on request
Fotivda 1.34 mg capsuleOralAVEO PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 10 March 2021Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Tivozanib in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Tivozanib available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Tivozanib and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Tivozanib have?

The catalogue lists 1 brand names for Tivozanib, including Fotivda.

Is Tivozanib approved by the US FDA?

Yes. The US FDA first approved Tivozanib on 10 March 2021, according to Drugs@FDA.

Is Tivozanib authorised in the European Union?

Yes. Tivozanib has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Tivozanib need cold chain shipping?

No listed presentation of Tivozanib is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Tivozanib in?

Tivozanib is classified under ATC code L01EK03 (Tivozanib).

References

  1. FOTIVDA prescribing information (AVEO Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 15 September 2026
  2. Fotivda: European public assessment report (EPAR). European Medicines Agency. Retrieved 17 July 2023

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