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Published on: June 2, 2023
Lenvatinib therapy for the treatment of patients with advanced renal cell carcinoma
1Department of Medical Oncology, Beatson West of Scotland Cancer Centre, 1053 Great Western Road, Glasgow, G12 OYN, UK.
Abstract:
Despite advances in metastatic renal cell carcinoma (mRCC) treatments, patients eventually progress and develop resistance to therapies targeting a single pathway. Lenvatinib inhibits VEGFR1-3, FGFR1-4, PDGFRβ, RET and KIT proto-oncogenes. In a randomized, Phase II trial evaluating patients with mRCC who had progressed after one prior VEGF-targeted therapy, progression-free survival was significantly improved with lenvatinib alone or in combination with everolimus versus everolimus alone. This review summarizes the clinical development of lenvatinib in mRCC, and how simultaneous targeting of multiple pathways involved in carcinogenesis and/or therapeutic resistance may improve patient outcomes. Lenvatinib plus everolimus may be a promising second-line treatment in patients with mRCC.
Insights
Lenvatinib, a multi-kinase inhibitor, shows promise in treating metastatic renal cell carcinoma (mRCC). Combining lenvatinib with everolimus significantly improved progression-free survival in patients resistant to prior therapies.
Area of Science:
- Oncology
- Pharmacology
- Translational Medicine
Background:
- Metastatic renal cell carcinoma (mRCC) presents challenges due to therapeutic resistance.
- Current treatments targeting single pathways often lead to eventual disease progression.
Purpose of the Study:
- To review the clinical development of lenvatinib in mRCC.
- To explore the potential of multi-pathway inhibition for improved patient outcomes in mRCC.
Main Methods:
- A randomized Phase II trial was conducted.
- Patients with mRCC who progressed after one prior VEGF-targeted therapy were evaluated.
Main Results:
- Lenvatinib, alone or with everolimus, significantly improved progression-free survival compared to everolimus alone.
- Simultaneous targeting of multiple oncogenic pathways demonstrated clinical benefit.
Conclusions:
- Lenvatinib plus everolimus represents a promising second-line treatment option for mRCC.
- Multi-targeted therapies may overcome resistance mechanisms in metastatic renal cell carcinoma.
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