Lenvatinib is a receptor tyrosine kinase (RTK) inhibitor that inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4). Lenvatinib also inhibits other RTKs that have been implicated in pathogenic angiogenesis, tumor growth, and cancer progression in addition to their normal cellular functions, including fibroblast growth factor (FGF) receptors FGFR1, 2, 3, and 4; the platelet derived growth factor receptor alpha (PDGFRα), KIT, and RET. These receptor tyrosine kinases (RTKs) located in the cell membrane play a central role in the activation of signal transduction pathways involved in the normal regulation of cellular processes, such as cell proliferation, migration, apoptosis and differentiation, and in pathogenic angiogenesis, lymphogenesis, tumour growth and cancer progression. In particular, VEGF has been identified as a crucial regulator of both physiologic and pathologic angiogenesis and increased expression of VEGF is associated with a poor prognosis in many types of cancers.
Lenvatinib is indicated for the treatment of patients with locally recurrent or metastatic, progressive, radioactive iodine (RAI)-refractory differentiated thyroid cancer. Most patients with thyroid cancer have a very good prognosis with treatment (98% 5 year survival rate) involving surgery and hormone therapy. However, for patients with RAI-refractory thyroid cancer, treatment options are limited and the prognosis is poor, leading to a push for the development of more targeted therapies such as lenvatinib.
Lenvatinib is indicated for the treatment of the following cancerous conditions:
Differentiated Thyroid Cancer (DTC)
Renal Cell Carcinoma (RCC)
Hepatocellular Carcinoma (HCC)
Endometrial Carcinoma
Nanfang Hospital of Southern Medical University, Guangzhou, Guangdong, China
Shanghai Pulmonary Hospital, Shanghai, Shanghai, China
Queen Mary Hospital, Hong Kong, Hong Kong
Tisch Cancer Institute (TCI), Icahn School of Medicine, New York, New York, United States
Carolina Biooncology Institute, Huntersville, North Carolina, United States
The Catholic University of Korea St. Vincent's Hospital, Suwon-si, Kyeonggi-do, Korea, Republic of
University of Arizona Cancer Center-University of Arizona Cancer Center - North Campus ( Site 5047), Tucson, Arizona, United States
City of Hope Comprehensive Cancer Center ( Site 5002), Duarte, California, United States
Cedars-Sinai Medical Center ( Site 5045), Los Angeles, California, United States
Yale University, New Haven, Connecticut, United States
PROCLINICAL Pharma ( Site 0904), San José, San Jose, Costa Rica
Shanxi Provincial Cancer Hospital ( Site 8019), Taiyuan, Shanxi, China
West China Hospital of Sichuan University ( Site 8048), Chengdu, Sichuan, China
Banner MD Anderson Cancer Center ( Site 0152), Gilbert, Arizona, United States
Northside Hospital-Northside Hospital Oncology Network ( Site 0156), Atlanta, Georgia, United States
Parkview Research Center at Parkview Regional Medical Center ( Site 0180), Fort Wayne, Indiana, United States
UPMC Hillman Cancer Center ( Site 0127), Pittsburgh, Pennsylvania, United States
MFSMC-HJWCI-Oncology Research ( Site 0128), Baltimore, Maryland, United States
Cleveland Clinic-Taussig Cancer Center ( Site 0116), Cleveland, Ohio, United States
Weilin Wang, Hangzhou, None Selected, China
The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China
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