Regorafenib

(Stivarga®)

Stivarga®

Drug updated on 11/1/2024

Dosage FormTablet (oral; 40 mg)
Drug ClassKinase inhibitors
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of patients with metastatic colorectal cancer (CRC) who have been previously treated with fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapy, an antiVEGF therapy, and, if RAS wild-type, an anti-EGFR therapy
  • Indicated for the treatment of patients with locally advanced, unresectable or metastatic gastrointestinal stromal tumor (GIST) who have been previously treated with imatinib mesylate and sunitinib malate
  • Hepatocellular carcinoma (HCC) who have been previously treated with sorafenib.

Latest News

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Summary
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  • This summary is based on the review of 24 systematic review(s)/meta-analysis(es). [1-24]
  • In Hepatocellular Carcinoma (HCC), Nivolumab demonstrated statistically insignificantly longer overall survival (OS), time to progression (TTP), and progression-free survival (PFS) compared to Regorafenib; however, Nivolumab had a higher overall response rate (ORR) with mixed disease control rate (DCR) results. Regorafenib combined with PD-1 inhibitors significantly improved OS (HR (hazard ratio), 0.61) and PFS (HR, 0.51) compared to monotherapy.
  • For Metastatic Colorectal Cancer (mCRC), TAS-102 plus Bevacizumab was the most effective regimen in terms of median overall survival (mOS) and median progression-free survival (mPFS), outperforming standard and dose-escalated Regorafenib treatments.
  • In Gastrointestinal Stromal Tumors (GIST), Regorafenib showed improved survival rates after the failure of Imatinib and Sunitinib, with acceptable safety profiles; it also resulted in better PFS compared to placebo, Imatinib, and Sunitinib, although Ripretinib and Masitinib exhibited superior OS.
  • Combination therapies, specifically Nivolumab plus Ipilimumab, yielded significantly higher ORR and longer OS compared to Regorafenib, Cabozantinib, and Nivolumab monotherapy.
  • Nivolumab exhibited fewer side effects and improved tolerance compared to Regorafenib in patients with Hepatocellular Carcinoma (HCC). However, Regorafenib combined with programmed death-1 inhibitors (R-P) resulted in a higher incidence of adverse events, including hypothyroidism, thrombocytopenia, and rash, relative to Regorafenib monotherapy.
  • In Metastatic Colorectal Cancer (mCRC), Fruquintinib was linked to a significantly higher risk of serious adverse events compared to TAS-102 and Regorafenib, highlighting differing safety profiles among these treatments.
  • Adverse events associated with Regorafenib in Gastrointestinal Stromal Tumors (GIST) were predominantly mild to moderate; however, monitoring for grade 4 or higher adverse events is necessary, as Regorafenib was found to have the highest rates of high-grade adverse events compared to Ripretinib and Masitinib, which had lower rates of severe events.
  • Regorafenib demonstrates significant superiority in overall survival (OS) for patients with low-level AFP in hepatocellular carcinoma (HCC), while no statistical differences were observed in patients with elevated AFP; in metastatic colorectal cancer (mCRC), the studies included primarily middle-aged to elderly individuals with a slight male predominance, mostly Caucasian, and TAS-102 plus Bevacizumab ranked highest across various subgroups including age, gender, and ECOG performance status.

Product Monograph / Prescribing Information

Document TitleYearSource
Stivarga (regorafenib) Prescribing Information.2020Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ

Systematic Reviews / Meta-Analyses

Document TitleYearSource
An Efficacy and Safety Comparison of Regorafenib and Nivolumab in Unresectable Hepatocellular Cancer Patients: A Systematic Review2024Acta Medica Academica
Regorafenib plus programmed death‑1 inhibitors vs. regorafenib monotherapy in second‑line treatment for advanced hepatocellular carcinoma: A systematic review and meta‑analysis2024Oncology Letters
Impact of Systemic Treatments on Outcomes and Quality of Life in Patients with RAS-Positive Stage IV Colorectal Cancer: A Systematic Review2024Diseases (Basel, Switzerland)
Selective Internal Radiation Therapy Using Y-90 Resin Microspheres for Metastatic Colorectal Cancer: An Updated Systematic Review and Network Meta-Analysis2024Advances in Therapy
Comparison of the efficacy and safety of third-line treatments for metastatic colorectal cancer: a systematic review and network meta-analysis2023Frontiers in Oncology
The Role of Regorafenib in the Management of Advanced Gastrointestinal Stromal Tumors: A Systematic Review2022Cureus
The prognostic role of neutrophil-to-lymphocyte ratio and C-reactive protein in metastatic colorectal cancer using regorafenib: a systematic review and meta-analysis2022Journal of Gastrointestinal Oncology
Evaluation of and Current Trends in the Management of Gastrointestinal Stromal Tumors: A Systematic Review2022Cureus
Health-Related Quality of Life and Side Effects in Gastrointestinal Stromal Tumor (GIST) Patients Treated with Tyrosine Kinase Inhibitors: A Systematic Review of the Literature2022Cancers
Comparative efficacy and safety for second-line treatment with ramucirumab, regorafenib, and cabozantinib in patients with advanced hepatocellular carcinoma progressed on sorafenib treatment: A network meta-analysis2021Medicine
Immune-Checkpoint Inhibitors for Metastatic Colorectal Cancer: A Systematic Review of Clinical Outcomes2021Cancers
Network meta-analysis of nivolumab plus ipilimumab in the second-line setting for advanced hepatocellular carcinoma2021Journal of Comparative Effectiveness Research
The integration of immune checkpoint inhibitors with VEGF targeted agents in advanced gastric and gastroesophageal adenocarcinoma: a review on the rationale and results of early phase trials2021Journal of Hematology & Oncology
Comparative Efficacy and Safety of Different Regimens of Advanced Gastrointestinal Stromal Tumors After Failure Prior Tyrosine Kinase Inhibitors: A Network Meta-Analysis2021Advances in Therapy
Optimizing Survival and the Changing Landscape of Targeted Therapy for Intermediate and Advanced Hepatocellular Carcinoma: A Systematic Review2021Journal of the National Cancer institute
A systematic review and network meta-analysis of second-line therapy in hepatocellular carcinoma2020Current Oncology
Systemic Therapy and Sequencing Options in Advanced Hepatocellular Carcinoma: A Systematic Review and Network Meta-analysis2020JAMA Oncology
Systematic Review and Meta-Analysis of Multitargeted Tyrosine Kinase Inhibitors in Patients With Intractable Metastatic Colorectal Cancer2020Technology in Cancer Research & Treatment
Efficacy and safety of regorafenib as beyond second-line therapy in patients with metastatic colorectal cancer: an adjusted indirect meta-analysis and systematic review2020Therapeutic Advances in Medical Oncology
Systematic review and network meta-analyses of third-line treatments for metastatic colorectal cancer2020Journal of Cancer Research and Clinical Oncology
Incidence and risk of proteinuria associated with newly approved vascular endothelial growth factor receptor tyrosine kinase inhibitors in cancer patients: an up-to-date meta-analysis of randomized controlled trials2020Expert Review of Clinical Pharmacology
Regorafenib, TAS-102, or fruquintinib for metastatic colorectal cancer: any difference in randomized trials?2020International Journal of Colorectal Disease
Efficacy of Regorafenib in Hepatocellular Carcinoma Patients: A Systematic Review and Meta-Analysis2019Cancers
Comparison of Regorafenib, Fruquintinib, and TAS-102 in Previously Treated Patients with Metastatic Colorectal Cancer: A Systematic Review and Network Meta-Analysis of Five Clinical Trials2019Medical Science Monitor

Clinical Practice Guidelines