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Ex Vivo Treatment Response of Primary Tumors and/or Associated Metastases for Preclinical and Clinical Development of Therapeutics
Published on: October 2, 2014
Lenvatinib, a molecule with versatile application: from preclinical evidence to future development in anti-cancer
Monica Capozzi1, Chiara De Divitiis2, Alessandro Ottaiano3
1Department of Abdominal Oncology, Istituto Nazionale Tumori, IRCCS - Fondazione "G. Pascale", Napoli, Italia.
Abstract:
Lenvatinib is an emerging multi-kinase inhibitor with a preferential anti-angiogenic activity, which has shown efficacy in the treatment of renal cell carcinoma, differentiated thyroid cancer and hepatocellular carcinoma. It inhibits vascular endothelial growth factor receptor family (VEGFR1-3), fibroblast growth factor receptor family (FGFR1-4), platelet-derived growth factor receptor-alpha (PDGFRα), tyrosine-kinase receptor (KIT) and rearranged during transfection receptor (RET). In this review we have evaluated the development from bench to bedside of lenvatinib. PubMed, MEDLINE and clinicaltrials.gov are the sources of data. Furthermore, the preclinical in vitro and in vivo data, as well as efficacy and toxicity results of lenvatinib in the clinic, are presented and discussed. Treatment with lenvatinib causes side effects (hypertension, proteinuria, fatigue and diarrhea), which are predominantly related to the inhibition of angiogenesis. For these reasons, the identification of biomarkers of efficacy and resistance to lenvatinib is a key challenge in order to select responsive patients. This review provides an overview on lenvatinib's clinical use, perspectives and indications for future development.
Insights
Lenvatinib, a multi-kinase inhibitor, shows efficacy in treating cancers like renal cell carcinoma. Identifying biomarkers for lenvatinib efficacy and resistance is crucial for patient selection.
Area of Science:
- Oncology
- Pharmacology
Background:
- Lenvatinib is a multi-kinase inhibitor with anti-angiogenic properties.
- It targets VEGFR, FGFR, PDGFRα, KIT, and RET signaling pathways.
- Lenvatinib is approved for renal cell carcinoma, differentiated thyroid cancer, and hepatocellular carcinoma.
Purpose of the Study:
- To review the development of lenvatinib from preclinical stages to clinical application.
- To discuss the efficacy, toxicity, and future perspectives of lenvatinib treatment.
Main Methods:
- Literature review using PubMed, MEDLINE, and clinicaltrials.gov.
- Analysis of preclinical in vitro and in vivo data.
- Evaluation of clinical efficacy and toxicity data.
Main Results:
- Lenvatinib demonstrates efficacy in treating specific cancers.
- Common side effects include hypertension, proteinuria, fatigue, and diarrhea, linked to angiogenesis inhibition.
- Biomarker identification for efficacy and resistance is a significant challenge.
Conclusions:
- Lenvatinib is a valuable therapeutic agent for certain cancers.
- Managing side effects and identifying predictive biomarkers are key for optimizing lenvatinib use.
- Further research is needed to expand its clinical applications and improve patient outcomes.
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