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Updated: Jan 24, 2026

A "Patient-Like" Orthotopic Syngeneic Mouse Model of Hepatocellular Carcinoma Metastasis
Published on: October 24, 2015
Lenvatinib mesylate to treat hepatocellular carcinoma
L Ielasi1, F Tovoli2, F Piscaglia1
1Unit of Internal Medicine, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Abstract:
Hepatocellular carcinoma (HCC) is a worldwide healthcare problem, with a rising incidence. In its advanced stage, the prognosis of untreated HCC is very poor. Only in 2007, after a long series of failed trials, the multi-tyrosine kinase inhibitor sorafenib demonstrated its superiority over placebo, becoming the first approved frontline therapy for advanced HCC. For a decade, all of the frontline trials using sorafenib as a comparator systematically failed, leaving this drug as the only available treatment in this setting. In 2018, lenvatinib mesylate (another multitarget tyrosine kinase inhibitor) demonstrated noninferiority compared to sorafenib in the phase III, randomized, controlled REFLECT trial. Currently, lenvatinib represents the only available alternative to sorafenib as a frontline systemic treatment of advanced HCC. In this monograph, we review the main preclinical and clinical evidence that emerged in the trials of lenvatinib, with particular attention to the features differentiating this drug from sorafenib.
Insights
Hepatocellular carcinoma (HCC) treatment advanced with lenvatinib, a multi-tyrosine kinase inhibitor, offering an alternative to sorafenib. This review details lenvatinib
Area of Science:
- Hepatocellular carcinoma (HCC) research
- Oncology drug development
- Clinical trial analysis
Background:
- Hepatocellular carcinoma (HCC) presents a significant global health challenge with increasing incidence.
- Advanced HCC prognosis is poor without effective treatment.
- Sorafenib, a multi-tyrosine kinase inhibitor, was the first approved frontline therapy for advanced HCC in 2007.
Purpose of the Study:
- To review preclinical and clinical evidence for lenvatinib in advanced HCC.
- To highlight key differences between lenvatinib and sorafenib.
- To provide an overview of lenvatinib's role in advanced HCC management.
Main Methods:
- Review of preclinical data for lenvatinib.
- Analysis of clinical trial evidence for lenvatinib, including the REFLECT trial.
- Comparative analysis of lenvatinib and sorafenib efficacy and safety profiles.
Main Results:
- Lenvatinib demonstrated noninferiority to sorafenib in the Phase III REFLECT trial.
- Lenvatinib offers a new frontline systemic treatment option for advanced HCC.
- Evidence supports lenvatinib as a viable alternative to sorafenib.
Conclusions:
- Lenvatinib is a key therapeutic option for advanced hepatocellular carcinoma.
- Understanding lenvatinib's distinct features is crucial for clinical application.
- The availability of lenvatinib expands treatment choices for advanced HCC patients.
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