Product Information
Tivoxen (Tivozanib) 1.34mg is a potent, selective, long half-life VEGFR tyrosine kinase inhibitor used to treat relapsed or refractory advanced Renal Cell Carcinoma (RCC) in adults who have already received two or more prior systemic therapies. It works by inhibiting VEGFR-1, VEGFR-2, and VEGFR-3 (along with c-KIT and PDGFR-beta at clinically relevant concentrations), blocking the angiogenic signalling tumours rely on to form new blood vessels and grow. Tivoxen was designed to provide effective VEGF pathway blockade with improved tolerability compared with earlier VEGFR-targeted therapies. Manufactured by Everest Pharmaceuticals Ltd., Bangladesh and globally supplied by Mediaid Pharmacy with worldwide shipping.
Basic Product Information of Tivoxen (Tivozanib) 1.34mg
| Brand Name | Tivoxen (Tivozanib) |
| Generic Name | Tivozanib INN |
| Drug Class | Selective VEGFR-1/-2/-3 Tyrosine Kinase Inhibitor |
| Available Strength | 1.34mg |
| Formulation | Capsule |
| Pack Size | 21 Capsules per Pack (One 21-Day Active-Dosing Cycle) |
| Primary Indication | Relapsed or Refractory Advanced Renal Cell Carcinoma |
| Regulatory Approvals | USFDA Approved (2021, Relapsed/Refractory Advanced RCC After 2 or More Prior Therapies). |
| Originator Brand | Fotivda by AVEO Pharmaceuticals |
| Manufacturer | Everest Pharmaceuticals Ltd., Dhaka, Bangladesh |
| Global Supplier | Mediaid Pharmacy, Worldwide Shipping Available |
| Registration Status | Export Only – Manufactured for International Markets |
| Storage Conditions | Store below 30 degrees Celsius. Keep in a dry place away from light and moisture. Keep out of the reach of children. |
How Tivoxen (Tivozanib) Works
Tivoxen contains Tivozanib, an oral, next-generation inhibitor of the vascular endothelial growth factor receptor (VEGFR) family. The VEGF signalling pathway plays a central role in tumour angiogenesis, the process by which cancers form the new blood vessels they need to grow and spread, and VEGFR tyrosine kinase inhibitors are an established class of treatment for renal cell carcinoma.
Tivozanib acts as a potent, selective inhibitor of VEGFR-1, VEGFR-2, and VEGFR-3, and, at clinically relevant concentrations, also inhibits c-KIT and PDGFR-beta. With a comparatively long half-life, Tivozanib was designed to optimise VEGF pathway blockade while aiming for improved tolerability relative to some earlier VEGFR-targeted therapies. In pre-clinical tumour models, Tivozanib inhibited angiogenesis, vascular permeability, and tumour growth, and in the pivotal TIVO-3 clinical trial, it was associated with longer progression-free survival compared with sorafenib in patients with relapsed or refractory advanced RCC.
Tivoxen is taken as an oral capsule, using a distinctive 21 days on treatment, followed by 7 days off schedule, repeated in 28-day cycles.
Indication for Tivoxen (Tivozanib)
Tivoxen (Tivozanib) is indicated for the following condition:
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Relapsed or Refractory Advanced Renal Cell Carcinoma For the treatment of adult patients with relapsed or refractory advanced RCC following two or more prior systemic therapies. Pivotal trial data supporting this indication was generated in patients who had received two or three prior systemic treatments, including at least one VEGFR tyrosine kinase inhibitor other than sorafenib or tivozanib. |
Benefits of Tivoxen (Tivozanib) 1.34mg
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Designed for Improved Tolerability Tivozanib’s high selectivity for VEGFR was designed to optimise pathway blockade while improving tolerability compared with some earlier, less selective VEGFR-targeted therapies. |
Proven Against an Active Comparator Tivoxen’s approval was supported by the TIVO-3 trial, which compared it directly against sorafenib, an active treatment, rather than placebo, in heavily pre-treated RCC patients. |
Option for Heavily Pre-Treated Patients Tivoxen offers a further treatment option for patients whose RCC has relapsed or become refractory after two or more prior lines of systemic therapy. |
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Affordable Alternative to Fotivda Tivoxen contains the same active ingredient as Fotivda by AVEO Pharmaceuticals, at a significantly lower cost, making later-line targeted therapy more financially accessible. |
Convenient Once-Daily Dosing Tivoxen is taken as a single oral capsule once daily, with or without food, supporting outpatient management on its 21-days-on, 7-days-off schedule. |
cGMP Certified Manufacturing Produced by Everest Pharmaceuticals Ltd. under cGMP-compliant manufacturing standards, helping ensure consistent quality, purity, and potency in every batch of Tivoxen capsules. |
How to Take Tivoxen (Tivozanib)
Route: Oral, with or without food. Capsules should be swallowed whole with a full glass of water; do not open the capsule.
Standard dose: 1.34mg (one capsule) taken orally once daily for 21 consecutive days, followed by 7 days off treatment, comprising a complete 28-day cycle, continued until disease progression or unacceptable toxicity, exactly as directed by the prescribing oncologist.
Missed or vomited dose: If a dose is missed, or if vomiting occurs after taking a dose, do not take an additional dose; take the next dose at its normal scheduled time and inform your oncology team that a dose was missed.
Dose modification for toxicity: Dose interruptions and/or dose reductions may be needed to manage adverse reactions, as directed by the prescribing physician.
Hepatic impairment: For patients with moderate hepatic impairment, the recommended dose is reduced to 0.89mg once daily on the same 21-days-on/7-days-off schedule. The recommended dose in severe hepatic impairment has not been established.
Paediatric use: The safety and efficacy of Tivoxen in paediatric patients have not been established. No data are currently available.
Monitoring and Dosage Adjustments
Regular monitoring is essential throughout Tivoxen treatment. Your oncologist will monitor blood pressure closely, particularly during the first cycle, given the high frequency of hypertension with this medicine, along with cardiac function in patients with cardiac risk factors. Monitoring also includes assessment for signs of bleeding, urine protein (proteinuria), and thyroid function, since hypothyroidism is a recognised side effect. Wound healing is also assessed before any planned surgery, as treatment is typically interrupted beforehand. Report any severe headache, chest pain, breathlessness, unusual bleeding or bruising, severe abdominal pain, vision changes, confusion, or seizures to your doctor immediately.
Drug Interactions and Important Information
Use with caution alongside other medicines known to raise blood pressure or that affect blood clotting, and inform your physician of any history of cardiovascular disease, thromboembolic events, or bleeding disorders before starting treatment. Surgery or invasive procedures, including dental surgery, should be planned around Tivoxen treatment, as it may impair wound healing; contact your healthcare provider before any planned surgery.
Tivoxen can cause foetal harm and may impair fertility in both men and women. Women of childbearing potential and men with partners of childbearing potential should use effective contraception during treatment and for a period after the final dose, as advised by their physician. Always inform your physician of all medications, supplements, and herbal products you are currently taking before starting Tivoxen.
Side Effects and Precautions
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Common Side Effects Fatigue Hypertension Diarrhoea and decreased appetite Nausea Dysphonia (voice changes) and cough Hypothyroidism Stomatitis and laboratory abnormalities |
Serious Warnings and Precautions Hypertension, including hypertensive crisis. Cardiac failure, and arterial and venous thromboembolic events. Haemorrhage, and gastrointestinal perforation or fistula. Reversible posterior leukoencephalopathy syndrome (RPLS), a rare neurological condition. Proteinuria and impaired wound healing. Embryo-foetal toxicity and impaired fertility in both sexes. Not recommended during pregnancy or breastfeeding. |
Who Should Use Tivoxen (Tivozanib)?
Tivoxen is suitable for adult patients with relapsed or refractory advanced Renal Cell Carcinoma who have already received two or more prior systemic therapies, including patients who have progressed on earlier VEGFR-targeted treatment. It is prescribed by medical oncologists experienced in managing later-line RCC therapy and its associated cardiovascular risks. A thorough medical assessment including blood pressure, cardiac risk evaluation, thyroid function, and bleeding risk is required before initiating treatment.
Manufacturer: Everest Pharmaceuticals Ltd.
Everest Pharmaceuticals Ltd. is a vertically integrated pharmaceutical company based in Dhaka, Bangladesh, focused on complex, technology-driven specialty medicines across oncology, nephrology, and virology. Operating under Bangladesh’s TRIPS/Doha Declaration exemption for least-developed countries, Everest manufactures advanced generics such as Tivoxen under cGMP-compliant standards, with the stated mission of making high-cost, life-saving medicines accessible and affordable to patients around the world. Tivoxen is one of Everest’s specialty oncology products, offering a bioequivalent alternative to Fotivda by AVEO Pharmaceuticals at a fraction of the cost.
Global Supplier: Mediaid Pharmacy with Worldwide Shipping
Mediaid Pharmacy is a trusted global supplier of specialty and oncology medications. We ensure Tivoxen (Tivozanib) is accessible to patients and healthcare providers worldwide through reliable worldwide shipping. Whether you are located in South Asia, the Middle East, Africa, Europe, or beyond, Mediaid Pharmacy provides fast and reliable delivery with full order support. Contact us directly via WhatsApp, phone, or WeChat for pricing, availability, and delivery enquiries.
Why Choose Tivoxen (Tivozanib) from Mediaid Pharmacy?
Tivoxen represents an important later-line option for patients with relapsed or refractory advanced kidney cancer. As the generic equivalent of Fotivda by AVEO Pharmaceuticals, it delivers the same active ingredient, Tivozanib, with the same proven, selective VEGFR-inhibition mechanism at a dramatically more affordable price. Manufactured by Everest Pharmaceuticals Ltd. under cGMP-compliant standards and distributed globally by Mediaid Pharmacy, Tivoxen gives patients worldwide access to advanced targeted kidney cancer therapy without the financial burden of brand-name alternatives. For patients and physicians seeking a proven, affordable, and accessible Tivozanib option with worldwide delivery, Tivoxen from Mediaid Pharmacy is the trusted choice.
Frequently Asked Questions About Tivoxen (Tivozanib)
What is Tivoxen (Tivozanib) used for?
Tivoxen (Tivozanib) is used to treat adult patients with relapsed or refractory advanced Renal Cell Carcinoma (kidney cancer) who have already received two or more prior systemic therapies. It works by blocking VEGFR signalling, cutting off the blood supply tumours need to grow.
How should I take Tivoxen (Tivozanib)?
Tivoxen is taken orally, once daily, with or without food, for 21 consecutive days, followed by 7 days off treatment, repeated in 28-day cycles. Capsules should be swallowed whole with a full glass of water. Always follow your oncologist’s exact instructions.
What strength is Tivoxen available in?
Tivoxen is available in a 1.34mg capsule, supplied in a pack of 21 capsules, matching the 21 active-dosing days in each 28-day treatment cycle. A lower 0.89mg dose is used for patients with moderate hepatic impairment.
Is Tivoxen the same as Fotivda (Tivozanib by AVEO)?
Yes. Tivoxen is the generic equivalent of Fotivda. Both contain the same active ingredient, Tivozanib, and work through the same selective VEGFR-inhibition mechanism. Tivoxen is manufactured by Everest Pharmaceuticals Ltd. in Bangladesh and offers the same clinical mechanism as Fotivda at a significantly lower cost.
What are the side effects of Tivoxen (Tivozanib)?
Common side effects include fatigue, high blood pressure, diarrhoea, decreased appetite, and voice changes. Serious but less common risks include severe hypertension, heart failure, blood clots, bleeding, and gastrointestinal perforation. Always consult your oncologist for a complete assessment of your individual risks and benefits before starting treatment.
Can Tivoxen be used with other medications?
Use caution combining Tivoxen with other medicines that raise blood pressure or affect blood clotting. Treatment is usually paused before planned surgery, including dental surgery, due to effects on wound healing. Always inform your physician of all medications, supplements, and herbal products you are taking before starting Tivoxen.
Is Tivoxen (Tivozanib) safe during pregnancy or breastfeeding?
No. Tivoxen is not recommended during pregnancy or breastfeeding, as it can cause foetal harm, and it may also impair fertility in both men and women. Effective contraception should be used during treatment and for a period after the final dose, as advised by your physician. Please consult your physician before starting treatment if you are pregnant, planning to become pregnant, or breastfeeding.
Can I order Tivoxen (Tivozanib) online with worldwide shipping?
Yes. Mediaid Pharmacy supplies Tivoxen (Tivozanib) 1.34mg globally with worldwide shipping. Contact us via WhatsApp, phone, or WeChat at +8801773428128 or email us at info@mediaidpharmacy.com to enquire about pricing, availability, and delivery to your country.
Order Tivoxen (Tivozanib) 1.34mg with Worldwide Shipping
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