Lenvatinib

Generic Name
Lenvatinib
Brand Names
Lenvima 10, Kisplyx, Lenvima
Drug Type
Small Molecule
Chemical Formula
C21H19ClN4O4
CAS Number
417716-92-8
Unique Ingredient Identifier
EE083865G2
Background

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.

Indication

Lenvatinib is indicated for the treatment of the following cancerous conditions:

Differentiated Thyroid Cancer (DTC)

Renal Cell Carcinoma (RCC)

Hepatocellular Carcinoma (HCC)

Endometrial Carcinoma

Associated Conditions
Advanced Renal Cell Carcinoma, Endometrial Carcinoma, Unresectable Hepatocellular Carcinoma (HCC), Progressive, locally advanced radioactive iodine-refractory Differentiated Thyroid Cancer (DTC), Progressive, metastatic radioactive iodine-refractory Differentiated Thyroid Cancer (DTC)
Associated Therapies
-

Safety and Efficacy Study of Pembrolizumab (MK-3475) Combined With Lenvatinib (MK-7902/E7080) as First-line Intervention in Adults With Advanced Melanoma (MK-7902-003/E7080-G000-312/LEAP-003)-China Extension Study

First Posted Date
2021-05-17
Last Posted Date
2024-12-02
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
131
Registration Number
NCT04889118
Locations
🇨🇳

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

and more 8 locations

Pembrolizumab and Lenvatinib in Advanced Cervical Cancer

First Posted Date
2021-04-29
Last Posted Date
2024-08-23
Lead Sponsor
Georgetown University
Target Recruit Count
35
Registration Number
NCT04865887
Locations
🇺🇸

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

and more 1 locations

Pembrolizumab (MK-3475) Plus Lenvatinib (E7080/MK-7902) Versus Chemotherapy for Endometrial Carcinoma (ENGOT-en9 / MK-7902-001) - China Extension Study

First Posted Date
2021-04-29
Last Posted Date
2024-10-18
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
130
Registration Number
NCT04865289
Locations
🇨🇳

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

and more 19 locations

Pembrolizumab and Lenvatinib in Advanced/Metastatic Neuroendocrine Prostate Cancer

First Posted Date
2021-04-19
Last Posted Date
2024-08-14
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
50
Registration Number
NCT04848337
Locations
🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

Winship Cancer Instituted of Emory University, Atlanta, Georgia, United States

🇺🇸

Oregon health, Portland, Oregon, United States

and more 2 locations

Lenvatinib and Pembrolizumab in People With Advanced Soft Tissue Sarcoma

Phase 2
Active, not recruiting
Conditions
Interventions
First Posted Date
2021-03-05
Last Posted Date
2024-06-06
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
52
Registration Number
NCT04784247
Locations
🇺🇸

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

and more 4 locations

Lenvatinib, Pembrolizumab, and Paclitaxel for Treatment of Recurrent Endometrial, Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

First Posted Date
2021-03-04
Last Posted Date
2024-02-06
Lead Sponsor
Floor Backes, MD
Target Recruit Count
38
Registration Number
NCT04781088
Locations
🇺🇸

Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States

🇺🇸

Allegheny Health Network, Pittsburgh, Pennsylvania, United States

Study of Lenvatinib (MK-7902/E7080) in Combination With Pembrolizumab (MK-3475) Versus Standard of Care in Participants With Metastatic Colorectal Cancer (MK-7902-017/E7080-G000-325/LEAP-017)

First Posted Date
2021-03-01
Last Posted Date
2024-10-29
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
480
Registration Number
NCT04776148
Locations
🇨🇦

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

and more 92 locations

A Study of Atezolizumab With Lenvatinib or Sorafenib Versus Lenvatinib or Sorafenib Alone in Hepatocellular Carcinoma Previously Treated With Atezolizumab and Bevacizumab

First Posted Date
2021-02-25
Last Posted Date
2024-10-15
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
554
Registration Number
NCT04770896
Locations
🇦🇹

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

and more 131 locations

Systemic Chemotherapy, Lenvatinib Plus Sintilimab for ICC With Distant Metastasis

First Posted Date
2021-02-25
Last Posted Date
2021-02-25
Lead Sponsor
Sun Yat-sen University
Target Recruit Count
40
Registration Number
NCT04769908
Locations
🇨🇳

Cancer Center Sun Yat-sen University, Guangzhou, Guangdong, China

A Study to Evaluate the Safety and Tolerability of Lenvatinib in Participants With Advanced or Unresectable Hepatocellular Carcinoma

First Posted Date
2021-02-21
Last Posted Date
2024-07-18
Lead Sponsor
Eisai Inc.
Target Recruit Count
335
Registration Number
NCT04763408
Locations
🇺🇸

California Liver Research Institute, Pasadena, California, United States

🇩🇪

Eisai Trial Site #2, Berlin, Germany

🇩🇪

Eisai Trial Site #6, Munich, Germany

and more 41 locations
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