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The LEAP program: lenvatinib plus pembrolizumab for the treatment of advanced solid tumors
Matthew H Taylor1, Emmett V Schmidt2, Corina Dutcus3
1Earle A Chiles Research Institute, Providence Portland Medical Center, Portland, OR 97213, USA.
Abstract:
Tumor progression and immune evasion result from multiple oncogenic and immunosuppressive signals within the tumor microenvironment. The combined blockade of VEGF and inhibitory immune checkpoint signaling has been shown to enhance immune activation and tumor destruction in preclinical models. The LEAP clinical trial program is evaluating the safety and efficacy of lenvatinib (a multikinase inhibitor) plus pembrolizumab (a PD-1 inhibitor) across several solid tumor types. Preliminary results from ongoing trials demonstrate robust antitumor activity and durable responses across diverse tumor types with a manageable safety profile. Thus, lenvatinib plus pembrolizumab is anticipated to be an important potential new regimen for several solid cancers that currently have limited therapeutic options. Clinical trial registration: NCT03884101, NCT03713593, NCT03820986, NCT03776136, NCT03797326, NCT03829319, NCT03829332, NCT03976375, NCT04428151, NCT04199104, NCT03898180, NCT04246177 (ClinicalTrials.gov).
Insights
Lenvatinib plus pembrolizumab shows promising antitumor activity and durable responses in solid tumors. This combination therapy offers a potential new treatment option for cancers with limited therapeutic choices.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Tumor progression and immune evasion are driven by complex signals in the tumor microenvironment.
- Combined blockade of VEGF and immune checkpoints can enhance anti-tumor immunity.
- Preclinical models suggest synergistic effects of dual blockade strategies.
Purpose of the Study:
- To evaluate the safety and efficacy of lenvatinib plus pembrolizumab in patients with various solid tumors.
- To assess the antitumor activity and response durability of this combination regimen.
- To explore a novel therapeutic approach for advanced solid cancers.
Main Methods:
- The LEAP clinical trial program is investigating lenvatinib (multikinase inhibitor) and pembrolizumab (PD-1 inhibitor).
- The study includes multiple ongoing trials across diverse solid tumor types.
- Safety and efficacy data are being collected from participants.
Main Results:
- Preliminary results indicate robust antitumor activity across different tumor types.
- Durable responses have been observed in patients treated with the combination.
- The safety profile of lenvatinib plus pembrolizumab is manageable.
Conclusions:
- Lenvatinib plus pembrolizumab demonstrates significant potential as a new treatment regimen.
- This combination offers a promising option for solid tumors with unmet therapeutic needs.
- Further investigation is warranted to establish its role in cancer therapy.
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