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
Johns Hopkins Hospital-Sidney Kimmel Comprehensive Cancer Center - GI and Immunology ( Site 0013), Baltimore, Maryland, United States
CHUV (centre hospitalier universitaire vaudois) ( Site 0333), Lausanne, Vaud, Switzerland
Hospital Universitario Central de Asturias-Hepatology ( Site 0309), Oviedo, Asturias, Spain
Tianjin Cancer Hospital, Tianjin, Tianjin, China
Cancer Hospital Chinese Academy of Medical Sciences, shenzhen center, Shenzhen, Guangdong, China
Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China
Hartford Hospital ( Site 0024), Hartford, Connecticut, United States
Cedars Sinai Medical Center ( Site 0027), Los Angeles, California, United States
New England Cancer Specialists ( Site 0082), Scarborough, Maine, United States
Saint-Petersburg State University (SPSU) N.I.Pirogov Clinic of High Medical Technologies, Saint Petersburg, Russian Federation
Dana Farber Cancer Institute, Boston, Massachusetts, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Fujian Provincial Cancer Hospital ( Site 0102), Fuzhou, Fujian, China
Cancer Hospital Affiliated to Xinjiang Medical University ( Site 0110), Urumuqi, Xinjiang, China
The First Affiliated Hospital of Wenzhou Medical University ( Site 0124), Wen Zhou, Zhejiang, China
Comprehensive Cancer Centers of Nevada ( Site 0010), Las Vegas, Nevada, United States
Chernihiv Medical Center of Modern Oncology ( Site 0509), Chernihiv, Chernihivska Oblast, Ukraine
Russian Scientific Center of Radiology-Russian Scientific Center of Radiology ( Site 0602), Moscow, Moskva, Russian Federation
The Angeles Clinic and Research Institute ( Site 4009), Los Angeles, California, United States
UCLA Hematology & Oncology ( Site 4004), Los Angeles, California, United States
Martha Morehouse Tower ( Site 4020), Columbus, Ohio, United States
The First Affiliated Hospital of Anhui Medical University ( Site 0113), Hefei, Anhui, China
Hunan Cancer Hospital ( Site 0104), Changsha, Hunan, China
Anhui Provincial Hospital ( Site 0108), Hefei, Anhui, China
UCLA Hematology/Oncology - Santa Monica ( Site 0003), Los Angeles, California, United States
Nepean Hospital ( Site 2305), Kingswood, New South Wales, Australia
Mount Sinai Hospital ( Site 0051), New York, New York, United States
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