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
Nanjing Drum Tower Hospital (0609), Nanjing, Jiangsu, China
Beijing Cancer Hospital (0601), Beijing, Beijing, China
Sun Yat-Sen University Cancer Center (0602), Guangzhou, Guangdong, China
Georgia Cancer Center at Augusta University, Augusta, Georgia, United States
John Theurer Cancer Center at Hackensack UMC, Hackensack, New Jersey, United States
Medstar Washington Hospital Center, Washington, District of Columbia, United States
Fudan University Shanghai Cancer Center ( Site 2500), Shanghai, Shanghai, China
Women s Hospital School of Medicine Zhejiang University ( Site 2511), Hangzhou, Zhejiang, China
Anhui Cancer Hospital-Gynecological Oncology ( Site 2509), Hefei, Anhui, China
City of Hope, Duarte, California, United States
Winship Cancer Instituted of Emory University, Atlanta, Georgia, United States
Oregon health, Portland, Oregon, United States
Memorial Sloan Kettering Bergen (Limited Protocol Activities), Montvale, New Jersey, United States
Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities), Basking Ridge, New Jersey, United States
Memorial Sloan Kettering Monmouth (Limited Protocol Activities), Middletown, New Jersey, United States
Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States
Allegheny Health Network, Pittsburgh, Pennsylvania, United States
NSHA-QEII Health Sciences Centre-Dickson Bldg-Dept. of Medical Oncology ( Site 0200), Halifax, Nova Scotia, Canada
Shizuoka Cancer Center ( Site 1706), Nagaizumi, Shizuoka, Japan
Herlev and Gentofte Hospital-Department of Oncology ( Site 0704), Copenhagen, Hovedstaden, Denmark
Medizinische Universität Innsbruck; Universitätsklinik für Innere Medizin I, Innsbruck, Austria
Uniklinikum Salzburg, LKH; Univ.Klinik f. Innere Medizin III der PMU, Salzburg, Austria
Universitätsklinikum St. Pölten; Innere Medizin 2, St. Pölten, Austria
Cancer Center Sun Yat-sen University, Guangzhou, Guangdong, China
California Liver Research Institute, Pasadena, California, United States
Eisai Trial Site #2, Berlin, Germany
Eisai Trial Site #6, Munich, Germany
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