Medical Uses
Lenvima (lenvatinib) is a kinase inhibitor that is indicated:
Differentiated Thyroid Cancer (DTC): For the treatment of adult patients with locally recurrent or metastatic, progressive, radioactive iodine-refractory differentiated thyroid cancer (DTC).
Renal Cell Carcinoma (RCC):
- In combination with pembrolizumab, for the first-line treatment of adult patients with advanced renal cell carcinoma (RCC).
- In combination with everolimus, for the treatment of adult patients with advanced renal cell carcinoma (RCC) following one prior anti-angiogenic therapy.
Hepatocellular Carcinoma (HCC): For the first-line treatment of patients with unresectable hepatocellular carcinoma (HCC).
Endometrial Carcinoma (EC): Along with pembrolizumab to treat patients with advanced endometrial carcinoma (EC) that is mismatch repair proficient (pMMR) or not microsatellite instability-high (MSI-H), as determined by an FDA-approved test, who have disease progression following prior systemic therapy in any setting and are not candidates for curative surgery or radiation.
Recommended Dosage:
Differentiated Thyroid Cancer (DTC): The recommended dosage of Lenvatinib is 24 mg orally once daily until disease progression or until unacceptable toxicity.
Renal Cell Carcinoma (RCC): The recommended dosage of Lenvatinib as a first-line treatment of patients with advanced RCC is 20 mg orally once daily along with pembrolizumab 200 mg administered as an intravenous (IV) infusion over 30 minutes every 3 weeks until there is evidence of disease progression or until unacceptable toxicity or up to 2 years. After completing 2 years of combination therapy, Lenvatinib may be administered as a single agent until there is evidence of disease progression or until unacceptable toxicity.
The recommended dosage of Lenvatinib for previously treated RCC is 18 mg along with 5 mg everolimus orally once daily until there is evidence of disease progression or until unacceptable toxicity.
Hepatocellular Carcinoma (HCC): The recommended dosage of Lenvatinib is 12 mg orally once daily for patients greater than or equal to 60 kg or 8 mg once daily for patients less than 60 kg. Take this medicine orally once daily until disease progression or until unacceptable toxicity.
Endometrial Carcinoma (EC): The recommended dosage of Lenvatinib is 20 mg orally once daily, along with pembrolizumab 200 mg administered as an intravenous (IV) infusion over 30 minutes every 3 weeks, until there is evidence of unacceptable toxicity or disease progression.