Mr. Ibrahem/Lenvatinib
Clinical data
Trade namesLenvima, Kisplyx, others
Other namesE7080
AHFS/Drugs.comMonograph
License data
Pregnancy
category
  • AU: D
Routes of
administration
By mouth
Drug classTyrosine kinase inhibitor[1]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • US: ℞-only
  • EU: Rx-only
Pharmacokinetic data
Bioavailability85% (estimated)
Protein binding98–99%
MetabolismCYP3A4, aldehyde oxidase, non-enzymatic
MetabolitesDesmethyl-lenvatinib (M2) and others
Elimination half-life28 hours
Excretion~65% feces, 25% urine
Identifiers
  • 4-[3-Chloro-4-(cyclopropylcarbamoylamino)phenoxy]-7-methoxy-quinoline-6-carboxamide
Chemical and physical data
FormulaC21H19ClN4O4
Molar mass426.86 g·mol−1
3D model (JSmol)
  • C4CC4NC(=O)Nc3ccc(cc3Cl)Oc1ccnc(cc2OC)c1cc2C(=O)N
  • InChI=1S/C21H19ClN4O4/c1-29-19-10-17-13(9-14(19)20(23)27)18(6-7-24-17)30-12-4-5-16(15(22)8-12)26-21(28)25-11-2-3-11/h4-11H,2-3H2,1H3,(H2,23,27)(H2,25,26,28) checkY
  • Key:WOSKHXYHFSIKNG-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Lenvatinib, sold under the brand name Lenvima among others, is medication used to treat certain types of thyroid cancer, renal cell cancer, and hepatocellular carcinoma.[2][3] For thyroid cancer, it is used when radioactive iodine is not effective.[1] It is taken by mouth.[1]

Common side effects include high blood pressure, diarrhea, weight loss, nausea, inflammation of the mouth, headache, and rash.[2] Other side effects may include kidney problems, heart failure, blood clots, bleeding in the brain, and liver problems.[2] Use in pregnancy may harm the baby.[1] It is a tyrosine kinase inhibitor against VEGFR1, VEGFR2 and VEGFR3.[1]

Lenvatinib was approved for medical use in the United States and Europe in 2015.[1][2] In the United Kingdom it costs the NHS about £1,400 at a dose of 10 mg per day for a month as of 2021.[3] In the United States this amount is about 21,300 USD.[4]

References

edit
  1. ^ a b c d e f "Lenvatinib Monograph for Professionals". Drugs.com. Archived from the original on 23 January 2021. Retrieved 21 November 2021.
  2. ^ a b c d e f "Lenvima". Archived from the original on 24 June 2021. Retrieved 21 November 2021.
  3. ^ a b c BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 1033. ISBN 978-0857114105.
  4. ^ "Lenvima Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 16 January 2021. Retrieved 21 November 2021.