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.

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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