Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Targeted therapies

Tivantinib—a cytotoxic drug in MET inhibitor's clothes?

Tivantinib is being tested in a variety of phase II and phase III clinical trials as a highly selective, non ATP-competitive MET tyrosine kinase inhibitor. Its mechanism of action has been under scrutiny by two independent studies, which reveal that tivantinib is a cytotoxic drug acting on microtubule dynamics independently of MET. This finding has important implications for the interpretation of clinical results, for the design of new trials and for the selection of patients receiving tivantinib treatment.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: The MET inhibitor herd.

References

  1. Basilico, C. et al. Tivantinib (ARQ197) displays cytotoxic activity that is independent of its ability to bind MET. Clin. Cancer Res. 19, 2381–2392 (2013).

    Article  CAS  Google Scholar 

  2. Katayama, R. et al. Cytotoxic activity of tivantinib (ARQ 197) is not due solely to c-MET inhibition. Cancer Res. 73, 3087–3096 (2013).

    Article  CAS  Google Scholar 

  3. Yap, T. A. et al. Phase I trial of a selective c-MET inhibitor ARQ 197 incorporating proof of mechanism pharmacodynamic studies. J. Clin. Oncol. 29, 1271–1279 (2011).

    Article  CAS  Google Scholar 

  4. Li, C. J., Ashwell, A. M., Hill, J., Moussa, M. M. & Munshi, N. Compositions and methods for treatment of cancer. US Patent 7,713,969 B2; published May 11, (2010). Patent Lens [online].

  5. Munshi, N. et al. ARQ 197, a novel and selective inhibitor of the human c-MET receptor tyrosine kinase with antitumor activity. Mol. Cancer Ther. 9, 1544–1553 (2010).

    Article  CAS  Google Scholar 

  6. Eathiraj, S. et al. Discovery of a novel mode of protein kinase inhibition characterized by the mechanism of inhibition of human mesenchymal-epithelial transition factor (c-MET) protein autophosphorylation by ARQ 197. J. Biol. Chem. 286, 20666–20676 (2011).

    Article  CAS  Google Scholar 

  7. Sequist, L. V. et al. Randomized phase II study of erlotinib plus tivantinib versus erlotinib plus placebo in previously treated non-small-cell lung cancer. J. Clin. Oncol. 29, 3307–3315 (2011).

    Article  CAS  Google Scholar 

  8. Santoro, A. et al. Tivantinib for second-line treatment of advanced hepatocellular carcinoma: a randomised, placebo-controlled phase 2 study. Lancet Oncol. 14, 55–63 (2013).

    Article  CAS  Google Scholar 

  9. Liu, X. et al. Iniparib nonselectively modifies cysteine-containing proteins in tumor cells and is not a bona fide PARP inhibitor. Clin. Cancer Res. 18, 510–523 (2012).

    Article  CAS  Google Scholar 

  10. Patel, A. G., De Lorenzo, S. B., Flatten, K. S., Poirier, G. G. & Kaufmann, S. H. Failure of iniparib to inhibit poly(ADP-Ribose) polymerase in vitro. Clin. Cancer Res. 18, 1655–1662 (2012).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Andrea Sartore-Bianchi for critical reading of the manuscript, the Associazione Italiana per la Ricerca sul Cancro (AIRC) for research funding (2010 Special Program in Molecular Clinical Oncology 5‰ #9,970 and 2012 I G #12798 to P. Michieli; MFAG #11349 to F. Di Nicolantonio), and the Fondazione Piemontese per la Ricerca sul Cancro (FPRC) ONLUS for continuous support (Intramural Grant PAMI 5‰ 2008 to P. Michieli; Grant Farmacogenomica 5‰ 2009 MIUR to F. Di Nicolantonio).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paolo Michieli.

Ethics declarations

Competing interests

P. Michieli declares he is a consultant of arGEN-X (Zwijnaarde, Belgium) and Metheresis (Lugano, Switzerland). F. Di Nicolantonio declares no competing interests.

Supplementary information

Supplementary Table 1

The biochemical, biological and pharmacological properties of tivantinib are distinct to other MET inhibitors. (DOCX 27 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Michieli, P., Di Nicolantonio, F. Tivantinib—a cytotoxic drug in MET inhibitor's clothes?. Nat Rev Clin Oncol 10, 372–374 (2013). https://doi.org/10.1038/nrclinonc.2013.86

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrclinonc.2013.86

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing