On April 23, 2019 AVEO Oncology (NASDAQ:AVEO) reported the triggering of a $2 million milestone payment to AVEO from EUSA Pharma (Press release, AVEO, APR 23, 2019, View Source [SID1234535332]). The milestone payment relates to the reimbursement approval and commercial launch in Spain of FOTIVDA (tivozanib) as a first line treatment of adult patients with advanced renal cell carcinoma (RCC). Commercial launch in Spain is the third of five EU5 country launches to trigger a $2 million payment under the terms of AVEO’s license agreement with EUSA Pharma. In the European Union, Norway and Iceland, tivozanib is indicated for the first line treatment of adult patients with RCC and for adult patients who are vascular endothelial growth factor receptor (VEGFR) and mTOR pathway inhibitor-naïve following disease progression after one prior treatment with cytokine therapy for RCC. Tivozanib is an oral, once-daily, potent and highly-selective vascular endothelial growth factor receptor tyrosine kinase inhibitor.
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"We are pleased to see Spain recognize the benefit of patient access to FOTIVDA and continued expansion of the FOTIVDA commercial footprint in Europe," said Michael Bailey, president and chief executive officer of AVEO. "We continue to work toward reporting more mature interim overall survival results from our TIVO-3 study in the fourth quarter of 2019, and remain confident in the significant commercial potential for a VEGF therapy that has demonstrated activity and tolerability in all lines of RCC therapy, including highly refractory patients with prior exposure to PD-1 therapy."
EUSA Pharma is the licensee for tivozanib in Europe, North and South Africa, Latin America and Australasia. Under the terms of their December 2015 agreement, EUSA Pharma has agreed to pay AVEO up to $382 million in future research and development funding and milestone payments, assuming successful achievement of specified development, regulatory and commercialization objectives, as well as a tiered royalty ranging from a low double-digit up to mid-twenty percent on net sales of tivozanib in the agreement’s territories. Thirty percent of milestone and royalty payments received by AVEO, excluding research and development funding, are due to Kyowa Hakko Kirin (KHK) as a sublicensing fee in Europe. In the United States, the royalty obligation to KHK would range from the low- to mid-teens on net sales upon approval and commercialization.
About Tivozanib (FOTIVDA)
Tivozanib (FOTIVDA) is an oral, once-daily, vascular endothelial growth factor (VEGF) tyrosine kinase inhibitor (TKI) discovered by Kyowa Hakko Kirin and approved for the treatment of adult patients with advanced renal cell carcinoma (RCC) in the European Union plus Norway and Iceland. It is a potent, selective and long half-life inhibitor of all three VEGF receptors and is designed to optimize VEGF blockade while minimizing off-target toxicities, potentially resulting in improved efficacy and minimal dose modifications.1,2 Tivozanib has been shown to significantly reduce regulatory T-cell production in preclinical models3 and has demonstrated synergy in combination with nivolumab (anti PD-1) in a Phase 2 study in RCC. Tivozanib has been investigated in several tumor types, including renal cell, hepatocellular, colorectal and breast cancers. In addition, a new formulation of tivozanib is in pre-clinical development for the treatment of age-related macular degeneration.