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Lenvatinib: A Promising Molecular Targeted Agent for Multiple Cancers
Koichi Suyama1, Hirotaka Iwase1,2
11 Kumamoto University Hospital Cancer Center, Graduate School of Life Sciences, Kumamoto University, Kumamoto, Japan.
Abstract:
Lenvatinib is a small-molecule tyrosine kinase inhibitor that inhibits vascular endothelial growth factor receptor (VEGFR1-3), fibroblast growth factor receptor (FGFR1-4), platelet-derived growth factor receptor α (PDGFRα), stem cell factor receptor (KIT), and rearranged during transfection (RET). These receptors are important for tumor angiogenesis, and lenvatinib inhibits tumor angiogenesis by inhibiting function of these receptors. Phase I trials of lenvatinib were conducted at the same time in Japan, Europe, and the United States, and tumor shrinkage effects were observed in thyroid cancer, endometrial cancer, melanoma, renal cell carcinoma, sarcoma, and colon cancer. Lenvatinib is a promising drug that has shown therapeutic effects against various solid tumors. Adverse events, such as hypertension, proteinuria, diarrhea, and delayed wound healing, can occur with lenvatinib treatment. Managing these adverse events is also important for the use of lenvatinib. In this mini-review article, we outline the current state, toxicity, and future prospects of lenvatinib toward thyroid cancer, hepatocellular carcinoma, renal cell carcinoma, and lung cancer.
Insights
Lenvatinib, a tyrosine kinase inhibitor, shows therapeutic effects against various solid tumors like thyroid and liver cancer by inhibiting angiogenesis. Managing its adverse events, such as hypertension and proteinuria, is crucial for effective lenvatinib treatment.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Lenvatinib is a multi-targeted tyrosine kinase inhibitor.
- It targets key receptors involved in tumor angiogenesis, including VEGFR, FGFR, PDGFRα, KIT, and RET.
- Tumor angiogenesis is critical for the growth and metastasis of various solid tumors.
Purpose of the Study:
- To review the current status of lenvatinib.
- To discuss the toxicity profile of lenvatinib.
- To explore the future prospects of lenvatinib in treating specific cancers.
Main Methods:
- Review of Phase I clinical trials conducted globally.
- Analysis of lenvatinib's mechanism of action.
- Compilation of data on observed therapeutic effects and adverse events.
Main Results:
- Lenvatinib demonstrated tumor shrinkage in thyroid cancer, endometrial cancer, melanoma, renal cell carcinoma, sarcoma, and colon cancer.
- Key adverse events include hypertension, proteinuria, diarrhea, and delayed wound healing.
- The drug shows promise for treating thyroid cancer, hepatocellular carcinoma, renal cell carcinoma, and lung cancer.
Conclusions:
- Lenvatinib is a promising therapeutic agent for multiple solid tumors.
- Effective management of adverse events is essential for lenvatinib therapy.
- Further research into lenvatinib's application in various cancers is warranted.
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