Sitravatinib

drug
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Also known as MG-516MG-91516MGCD-516MGCD516

Summary

Sitravatinib (CHEMBL3989926) is a phase-3 clinical-stage small molecule (ATC L01EX26) targeting PDGFRA, KIT, and FLT3; indicated across 18 conditions including neoplasm and non-small cell lung carcinoma.

At a glance

  • Status: Max clinical phase 3 (not approved)
  • Modality: Small molecule
  • ATC class: L01EX26
  • Targets: 12 (PDGFRA, KIT, FLT3…)
  • Indications: 18 conditions
  • Clinical trials: 34
  • Chemistry: 629.7 Da · C33H29F2N5O4S

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL3989926
NameSitravatinib
TypeSmall molecule
Max phase3
FDA approvedno
PubChem CID25212148
ATCL01EX26
Molecular formulaC33H29F2N5O4S
Molecular weight629.7
InChIKeyWLAVZAAODLTUSW-UHFFFAOYSA-N

SMILES: COCCNCC1=CN=C(C=C1)C2=CC3=NC=CC(=C3S2)OC4=C(C=C(C=C4)NC(=O)C5(CC5)C(=O)NC6=CC=C(C=C6)F)F

IUPAC name: 1-N’-[3-fluoro-4-[2-[5-[(2-methoxyethylamino)methyl]-2-pyridinyl]thieno[3,2-b]pyridin-7-yl]oxyphenyl]-1-N-(4-fluorophenyl)cyclopropane-1,1-dicarboxamide

Also known as: MG-516, MG-91516, MGCD-516, MGCD516, Sitravatinib, SITRAVATINIB

Parent form; salt/anhydrous children: CHEMBL4298164

Patent coverage: 396 distinct patent families (982 SureChEMBL compound mentions), from 4 matched compound structure(s). One matched structure accounts for 906 (92%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.

Targets

Targets

Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).

GeneTargetActionpAffinityCancer dependencyUniProt
PDGFRAplatelet derived growth factor receptor alphaInhibition7.526.2%P16234
KITKIT proto-oncogene, receptor tyrosine kinaseInhibition8.220.5%P10721
FLT3fms related receptor tyrosine kinase 3Inhibition8.10.9%P36888
FLT1fms related receptor tyrosine kinase 1Inhibition8.220.1%P17948
KDRkinase insert domain receptorInhibition8.31.1%P35968
FLT4fms related receptor tyrosine kinase 4Inhibition8.70.2%P35916
METMET proto-oncogene, receptor tyrosine kinaseInhibition7.72.4%P08581
NTRK1neurotrophic receptor tyrosine kinase 1Inhibition8.30.1%P04629
EPHA3EPH receptor A3Inhibition90.4%P29320
AXLAXL receptor tyrosine kinaseInhibition8.821.1%P30530
MERTKMER proto-oncogene, tyrosine kinaseInhibition8.70.6%Q12866
DDR2discoidin domain receptor tyrosine kinase 2Inhibition9.30%Q16832

Broader ChEMBL bioactivity targets: 7 (assay-derived). Sample: Mast/stem cell growth factor receptor Kit, Receptor-type tyrosine-protein kinase FLT3, Vascular endothelial growth factor receptor 2, High affinity nerve growth factor receptor, Hepatocyte growth factor receptor, Tyrosine-protein kinase receptor UFO, BDNF/NT-3 growth factors receptor.

Bioactivity

ChEMBL activities: 8 potent at pChembl ≥ 5 of 8 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
AXL8.82IC501.5nMCHEMBL_ACT_18946682
KDR8.3IC505nMCHEMBL_ACT_18772571
KDR8.3IC505nMCHEMBL_ACT_18946681
NTRK18.3IC505nMCHEMBL_ACT_18946684
KIT8.22IC506nMCHEMBL_ACT_18946679
FLT38.1IC508nMCHEMBL_ACT_18946680
NTRK28.05IC509nMCHEMBL_ACT_18946683
MET7.7IC5020nMCHEMBL_ACT_18772566

Target pathways

Aggregated over 12 target gene(s): PDGFRA, KIT, FLT3, FLT1, KDR, FLT4, MET, NTRK1, EPHA3, AXL, MERTK, DDR2.

Top Reactome pathways

122 total, by targets touching each:

PathwayTargetsGenes
PIP3 activates AKT signaling4FLT3, KIT, MET, PDGFRA
Constitutive Signaling by Aberrant PI3K in Cancer4FLT3, KIT, MET, PDGFRA
RAF/MAP kinase cascade4FLT3, KIT, MET, PDGFRA
PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling4FLT3, KIT, MET, PDGFRA
VEGF binds to VEGFR leading to receptor dimerization3FLT1, FLT4, KDR
Developmental Biology2KIT, MET
Signal Transduction2KIT, MET
Disease2KIT, MET
Neuropilin interactions with VEGF and VEGFR2FLT1, KDR
Negative regulation of the PI3K/AKT network2KIT, MET
Generic Transcription Pathway2KIT, MET
PI3K/AKT Signaling in Cancer2KIT, MET
VEGFA-VEGFR2 Pathway2AXL, KDR
Diseases of signal transduction by growth factor receptors and second messengers2KIT, MET
MAPK family signaling cascades2KIT, MET
MAPK1/MAPK3 signaling2KIT, MET
RNA Polymerase II Transcription2KIT, MET
Gene expression (Transcription)2KIT, MET
Intracellular signaling by second messengers2KIT, MET
Signaling by Receptor Tyrosine Kinases2KIT, MET
MITF-M-regulated melanocyte development2KIT, MET
High laminar flow shear stress activates signaling by PIEZO1 and PECAM1:CDH5:KDR in endothelial cells2FLT4, KDR
Dengue Virus Attachment and Entry2AXL, MERTK
Hemostasis1MERTK
PI3K Cascade1FLT3
Signaling by SCF-KIT1KIT
Regulation of KIT signaling1KIT
PLC-gamma1 signalling1NTRK1
Signalling to RAS1NTRK1
Frs2-mediated activation1NTRK1

Dominant GO biological processes

GO termTargets
cell surface receptor protein tyrosine kinase signaling pathway12
protein phosphorylation12
cell migration9
positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction9
peptidyl-tyrosine phosphorylation8
protein autophosphorylation8
positive regulation of cell population proliferation7
positive regulation of cell migration5
positive regulation of ERK1 and ERK2 cascade5
positive regulation of MAPK cascade5
negative regulation of apoptotic process5
signal transduction4
spermatogenesis4
vascular endothelial growth factor signaling pathway4
cell differentiation4

Indications & clinical

Indications

18 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).

IndicationTrial phaseMONDOEFO
neoplasm3MONDO:0005070EFO:0000616
non-small cell lung carcinoma3MONDO:0005233EFO:0003060
hepatocellular carcinoma3MONDO:0007256EFO:0000182
adenocarcinoma2MONDO:0004970EFO:0000228
clear cell renal carcinoma2MONDO:0005005EFO:0000349
liposarcoma2MONDO:0005060EFO:0000569
squamous cell carcinoma2MONDO:0005096EFO:0000707
breast neoplasm2MONDO:0021100MONDO:0007254
renal cell carcinoma2MONDO:0005086EFO:0000681
small cell lung carcinoma2MONDO:0008433EFO:0000702
melanoma2MONDO:0005105EFO:0000756
esophageal squamous cell carcinoma2MONDO:0005580EFO:0005922
endometrium neoplasm2MONDO:0021251MONDO:0011962
liver disorder1MONDO:0005154EFO:0001421
oral cavity squamous cell carcinoma0MONDO:0004958EFO:0000199

3 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.

Clinical trials

Total trials: 34.

Phase distribution

PhaseTrials
PHASE217
PHASE19
PHASE34
PHASE1/PHASE22
PHASE2/PHASE31
EARLY_PHASE11

Top trials by phase / activity

NCTPhaseStatusTitle
NCT04164199PHASE3ACTIVE_NOT_RECRUITINGStudy of Tislelizumab, Pamiparib, and Other Investigational Agents in Participants With Advanced Malignancies
NCT03906071PHASE3COMPLETEDPhase 3 Study of Sitravatinib Plus Nivolumab vs Docetaxel in Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer
NCT04887870PHASE2/PHASE3COMPLETEDStudy of Sitravatinib With or Without Other Anticancer Therapies Receiving Clinical Benefit From Parent Study
NCT04921358PHASE3TERMINATEDTislelizumab in Combination With Sitravatinib in Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer
NCT05564338PHASE3WITHDRAWNEfficacy and Safety of Sitravatinib Plus Tislelizumab or Placebo Plus Tislelizumab Versus Placebo as Adjuvant Treatment in Participants With Hepatocellular Carcinoma
NCT05407519PHASE2RECRUITINGA Study to Evaluate Tislelizumab Combined With Sitravatinib as Adjuvant Therapy in Participants With HCC at High Risk of Recurrence After Curative Resection
NCT02664935PHASE2COMPLETEDNational Lung Matrix Trial: Multi-drug Phase II Trial in Non-Small Cell Lung Cancer
NCT02954991PHASE2TERMINATEDPhase 2 Study of Glesatinib, Sitravatinib or Mocetinostat in Combination With Nivolumab in Non-Small Cell Lung Cancer
NCT02978859PHASE2COMPLETEDSitravatinib in Advanced Liposarcoma and Other Soft Tissue Sarcomas
NCT03015740PHASE1/PHASE2COMPLETEDSitravatinib and Nivolumab in Treating Patients With Advanced or Metastatic Kidney Cancer
NCT03606174PHASE2TERMINATEDA Phase 2 Study of Sitravatinib in Combination With PD-(L)1 Checkpoint Inhibitor Regimens in Patients With Advanced or Metastatic Urothelial Carcinoma
NCT03680521PHASE2COMPLETEDNeoadjuvant Sitravatinib in Combination With Nivolumab in Patients With Clear Cell Renal Cell Carcinoma
NCT03941873PHASE1/PHASE2COMPLETEDA Study to Investigate Sitravatinib as Monotherapy and in Combination With Tislelizumab in Participants With Unresectable Locally Advanced or Metastatic Hepatocellular Carcinoma or Gastric/Gastroesophageal Junction Cancer
NCT04123704PHASE2TERMINATEDSitravatinib in Metastatic Breast Cancer
NCT04727996PHASE2UNKNOWNPhase II Study of Sitravatinib in Combination With Tislelizumab in Patients With Advanced Biliary Tract Cancer
NCT04734262PHASE2UNKNOWNA Phase II Study to Explore the Safety, Tolerability, and Preliminary Antitumor Activity of Sitravatinib Plus Tislelizumab or Combination With Nab-paclitaxel in Patients With Locally Recurrent or Metastatic Triple Negative Breast Cancer (TNBC)
NCT04904302PHASE2TERMINATEDSitravatinib and Nivolumab for the Treatment of Metastatic or Advanced Clear Cell Renal Cell Cancer
NCT04925986PHASE2TERMINATEDSitravatinib Plus Pembrolizumab in Patients With Advanced Treatment-Naïve PD-L1+ Non-Squamous NSCLC
NCT05104801PHASE2UNKNOWNSitravatinib With or Without Tislelizumab in Patients With Unresectable or Metastatic Melanoma
NCT05176925PHASE2TERMINATEDTislelizumab Combined With Sitravatinib as Consolidation Treatment Following Concurrent Chemoradiation in Patients With Locally Advanced, Unresectable NSCLC
NCT05228496PHASE2UNKNOWNA Study to Investigate the Efficacy and Safety of Tislelizumab Combined With Sitravatinib as Maintenance Therapy for ES-SCLC
NCT05419817PHASE2WITHDRAWNPembrolizumab With Sitravatinib in Recurrent Endometrial Cancer and Other Solid Tumors With Deficient Mismatch Repair System
NCT05461794PHASE2TERMINATEDStudy To Investigate the Efficacy and Safety of Sitravatinib in Combination With Tislelizumab in Participants With Esophageal Squamous Cell Carcinoma
NCT05614453PHASE2WITHDRAWNTislelizumab in Combination With Sitravatinib for Recurrent/Metastatic Cervical Cancer After Platinum-Based Chemotherapy
NCT02219711PHASE1COMPLETEDPhase 1/1b Study of MGCD516 in Patients With Advanced Cancer
NCT03666143PHASE1COMPLETEDA Phase 1b Study to Assess Sitravatinib in Combination With Tislelizumab in Participants With Advanced Solid Tumors
NCT04472650PHASE1COMPLETEDRelative Bioavailability of Two Different Capsule Formulations of Sitravatinib in Healthy Adults
NCT04518046PHASE1COMPLETEDStudy of Sitravatinib, Nivolumab and Ipilimumab in Advanced or Metastatic Clear-Cell Renal Cell Carcinoma or Other Solid Malignancies
NCT04772612PHASE1COMPLETEDA Study to Evaluate the Effect of Mild, Moderate, and Severe Hepatic Impairment on Pharmacokinetics of Sitravatinib
NCT04800614PHASE1COMPLETEDA Study to Explore the Effect of Food Before a Single Dose of Sitravatinib
NCT04887194PHASE1COMPLETEDPK Study to Assess Drug-drug Interaction and QTc Between Sitravatinib and a Cocktail of Substrates
NCT04935112PHASE1COMPLETEDA Study to Explore the Effect of Acid-reducing Agents
NCT05255276PHASE1COMPLETEDPK Study to Assess Drug-drug Interaction Between Sitravatinib and a P-gp Inducer and an Inhibitor.
NCT03575598EARLY_PHASE1COMPLETEDSitravatinib (MGCD516) and Nivolumab in Oral Cavity Cancer Window Opportunity Study

Clinical evidence (CIViC)

No CIViC predictive evidence (expected for non-precision-medicine drugs).

Pharmacology

Pharmacogenomics

No PharmGKB pharmacogenomic data curated for this drug.

Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.

280 molecules share ≥1 primary target. Top 60 by shared-target count:

MoleculeSourceStatusShared targets
AfatinibChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
AXITINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
CrizotinibChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
FEDRATINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
GefitinibChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
PAZOPANIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
SORAFENIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
SUNITINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
NINTEDANIBChEMBLPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
LESTAURTINIBChEMBLPhase 3AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
LINIFANIBChEMBLPhase 3AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
FORETINIBChEMBLPhase 2AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
R-406ChEMBLPhase 2AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
SU-014813ChEMBLPhase 2AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
TOZASERTIBChEMBLPhase 2AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
SelumetinibPubChemApprovedAXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
ERLOTINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, PDGFRA
MIDOSTAURINChEMBL + PubChemPhase 4 (approved)AXL, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
QUIZARTINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, NTRK1, PDGFRA
VANDETANIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, PDGFRA
CEDIRANIBChEMBLPhase 3AXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, PDGFRA
REBASTINIBChEMBLPhase 2AXL, DDR2, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
IdelalisibPubChemApprovedAXL, DDR2, EPHA3, FLT1, FLT3, FLT4, KIT, MERTK, MET, NTRK1, PDGFRA
CABOZANTINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, FLT1, FLT3, FLT4, KDR, KIT, MERTK, MET, NTRK1
DOVITINIBChEMBLPhase 3AXL, DDR2, FLT1, FLT3, FLT4, KDR, KIT, MERTK, NTRK1, PDGFRA
DORAMAPIMODChEMBLPhase 2DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MERTK, NTRK1, PDGFRA
TANDUTINIBChEMBLPhase 2AXL, DDR2, FLT1, FLT3, FLT4, KDR, KIT, MERTK, NTRK1, PDGFRA
BOSUTINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT3, KIT, MERTK, MET, NTRK1, PDGFRA
ENTRECTINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, FLT1, FLT3, FLT4, KDR, KIT, MET, NTRK1
REGORAFENIBChEMBL + PubChemPhase 4 (approved)DDR2, FLT1, FLT3, FLT4, KDR, KIT, MET, NTRK1, PDGFRA
TIVOZANIBChEMBL + PubChemPhase 4 (approved)DDR2, EPHA3, FLT1, FLT3, FLT4, KDR, KIT, MET, PDGFRA
BMS-777607ChEMBLPhase 2AXL, DDR2, FLT3, KDR, KIT, MERTK, MET, NTRK1, PDGFRA
DEFOSBARASERTIBChEMBLPhase 2AXL, DDR2, FLT1, FLT3, FLT4, KDR, KIT, MET, PDGFRA
ILORASERTIBChEMBLPhase 2AXL, FLT1, FLT3, FLT4, KDR, KIT, MET, NTRK1, PDGFRA
DASATINIBChEMBL + PubChemPhase 4 (approved)AXL, DDR2, EPHA3, FLT1, FLT3, KDR, KIT, PDGFRA
CANERTINIBChEMBLPhase 3AXL, EPHA3, FLT1, FLT3, KDR, KIT, MET, PDGFRA
CENISERTIBChEMBLPhase 2AXL, FLT1, FLT3, FLT4, KDR, KIT, MET, PDGFRA
OSI-632ChEMBLPhase 2AXL, DDR2, FLT1, FLT3, FLT4, KDR, MET, PDGFRA
RAF-265ChEMBLPhase 2DDR2, FLT1, FLT3, FLT4, KDR, KIT, MET, PDGFRA
PONATINIBChEMBL + PubChemPhase 4 (approved)DDR2, FLT1, FLT3, KDR, KIT, NTRK1, PDGFRA
INFIGRATINIBChEMBLPhase 4 (approved)FLT1, FLT3, FLT4, KDR, KIT, MET, PDGFRA
AT-9283ChEMBLPhase 2FLT1, FLT3, FLT4, KDR, MERTK, MET, PDGFRA
BEMCENTINIBChEMBLPhase 2AXL, FLT3, KDR, KIT, MERTK, MET, PDGFRA
MERESTINIBChEMBLPhase 2AXL, DDR2, FLT3, KDR, MERTK, MET, NTRK1
MK-2461ChEMBLPhase 2FLT1, FLT3, FLT4, KDR, MERTK, MET, NTRK1
BRIGATINIBChEMBL + PubChemPhase 4 (approved)EPHA3, FLT3, FLT4, KDR, KIT, MET
IMATINIBChEMBL + PubChemPhase 4 (approved)DDR2, EPHA3, FLT3, KDR, KIT, PDGFRA
NERATINIBChEMBL + PubChemPhase 4 (approved)AXL, EPHA3, FLT3, KDR, MERTK, MET
PEXIDARTINIBChEMBL + PubChemPhase 4 (approved)DDR2, FLT1, FLT3, KDR, KIT, PDGFRA
CERITINIBChEMBLPhase 4 (approved)FLT3, KDR, KIT, MET, NTRK1, PDGFRA
LENVATINIBChEMBLPhase 4 (approved)DDR2, FLT1, FLT4, KDR, KIT, PDGFRA
ALVOCIDIBChEMBLPhase 3AXL, EPHA3, FLT3, KIT, MERTK, PDGFRA
MOTESANIBChEMBLPhase 3FLT1, FLT3, FLT4, KDR, KIT, PDGFRA
SEMAXANIBChEMBLPhase 3FLT1, FLT3, FLT4, KDR, KIT, PDGFRA
CEP-32496ChEMBLPhase 2DDR2, FLT1, FLT3, KDR, KIT, MET
DANUSERTIBChEMBLPhase 2DDR2, FLT3, FLT4, KDR, KIT, NTRK1
ENMD-2076ChEMBLPhase 2DDR2, FLT3, KDR, KIT, NTRK1, PDGFRA
GLESATINIBChEMBLPhase 2AXL, DDR2, FLT3, KDR, MERTK, MET
PELITINIBChEMBLPhase 2AXL, EPHA3, FLT3, KDR, MERTK, MET
BinimetinibPubChemApprovedDDR2, FLT3, KDR, MERTK, MET, NTRK1