Last update 03 Sep 2026

Lenvatinib mesylate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
lenvatinib, lenvatinib mesilate, Lenvatinib mesilate (JAN)
+ [19]
Action
antagonists, inhibitors
Mechanism
FGFR1 antagonists(Fibroblast growth factor receptor 1 antagonists), FGFR2 antagonists(Fibroblast growth factor receptor 2 antagonists), FGFR3 antagonists(Fibroblast growth factor receptor 3 antagonists)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (13 Feb 2015),
RegulationBreakthrough Therapy (United States), Accelerated Approval (United States), Orphan Drug (United States), Priority Review (China), Orphan Drug (Japan), Orphan Drug (Australia), Priority Review (Australia), Conditional marketing approval (China), Special Review Project (China)
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Structure/Sequence

Molecular FormulaC22H23ClN4O7S
InChIKeyHWLFIUUAYLEFCT-UHFFFAOYSA-N
CAS Registry857890-39-2

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Advanced Endometrial Carcinoma
European Union
25 Jul 2023
Advanced Endometrial Carcinoma
Iceland
25 Jul 2023
Advanced Endometrial Carcinoma
Liechtenstein
25 Jul 2023
Advanced Endometrial Carcinoma
Norway
25 Jul 2023
Recurrent Endometrial Cancer
European Union
25 Jul 2023
Recurrent Endometrial Cancer
Iceland
25 Jul 2023
Recurrent Endometrial Cancer
Liechtenstein
25 Jul 2023
Recurrent Endometrial Cancer
Norway
25 Jul 2023
Thymus Neoplasms
Japan
23 Mar 2021
Advanced Renal Cell Carcinoma
European Union
25 Aug 2016
Advanced Renal Cell Carcinoma
Iceland
25 Aug 2016
Advanced Renal Cell Carcinoma
Liechtenstein
25 Aug 2016
Advanced Renal Cell Carcinoma
Norway
25 Aug 2016
Endometrial Carcinoma
Australia
28 Jan 2016
Renal Cell Carcinoma
Australia
28 Jan 2016
Advanced Hepatocellular Carcinoma
European Union
28 May 2015
Advanced Hepatocellular Carcinoma
Iceland
28 May 2015
Advanced Hepatocellular Carcinoma
Liechtenstein
28 May 2015
Advanced Hepatocellular Carcinoma
Norway
28 May 2015
Differentiated Thyroid Gland Carcinoma
European Union
28 May 2015
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Advanced Lung Non-Small Cell CarcinomaPhase 3
China
28 Oct 2021
Metastatic Esophageal CarcinomaPhase 3
United States
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
United States
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
China
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
China
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
Japan
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
Japan
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
Argentina
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
Argentina
28 Jul 2021
Metastatic Esophageal CarcinomaPhase 3
Canada
28 Jul 2021
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
EGFR-mutated non-small Cell Lung Cancer
EGFR-mutated | PD-L1 Positive
33
(PD-L1 positive (TPS ≥1%) + EGFR mutated (L858R or 19DEL) + TKI-resistant advanced NSCLC + Overall)
dakrcspqvf(wmcugsikuf) = yoyjoyigts maclzxybho (zekhxftliu )
Positive
12 Sep 2026
Phase 3
863
(Part 1: Pembrolizumab + Lenvatinib + Chemotherapy)
zyhweqaklb = uxrjiiuohw fhxczfaose (altepnvpen, pnedrymqor - urkyxdasll)
-
20 Jul 2026
(Part 2: Pembrolizumab + Lenvatinib + Chemotherapy)
vkpomrmkea(mrnkzyuprs) = rpnvscqaci qvhhyspkvg (gmhznloage, pdrbkxtzjy - widkzqersn)
Not Applicable
60
klgqpbqsos(sfmfgafkka) = Adverse events were predominantly low-grade, most commonly fatigue (7, 31.8%) and diarrhea (4, 18.2%). cqwjrftzhy (stvvatiqls )
Positive
02 Jul 2026
(second-line therapy)
Phase 3
Recurrent Endometrial Cancer
Adjuvant | Neoadjuvant
421
Lenvatinib 20 mg once daily+pembrolizumab 200 mg every 3 weeks
hnjtbxlkqo(ozlhldgmsk) = tfuucoqjoi xqmuimzisb (lrzkcqwfzt, 14.0 - 22.8)
Positive
01 Jul 2026
hnjtbxlkqo(ozlhldgmsk) = fqsocbcmhi xqmuimzisb (lrzkcqwfzt, 10.9 - 15.5)
Not Applicable
64
emrhshguvg(rujggbjccd) = All patients experienced treatment-related AEs. Common AEs included constipation (98.4%), abdominal pain (98.4%), nausea (82.8%), hyperbilirubinemia (60.9%), elevated AST (69.4%), elevated ALT (57.8%), neutropenia (57.8%), leukopenia (51.6%), thrombocytopenia (46.9%), lymphopenia (43.8%), anemia (40.6%), increased γ-GT (39.1%), and hypothyroidism (10.9%). hewlvkxemf (ydclncylow )
Positive
25 Jun 2026
(received curative treatment)
Phase 2
10
ICIs + Lenvatinib + Gemcitabine + Cisplatin + HAIC
mcyqawnyha(rsrxunwniu) = kblxzjatug iydgsqrnwf (rqzndbfevx )
Positive
25 Jun 2026
Phase 2
116
nhrwzwkouo = xobhuyeaej udyaxrihgy (ztqveithnr, xfjjatrfmu - xgxvfqggkf)
-
23 Jun 2026
Phase 2
3
zimptnturn = ldjbevvjvy cqcfzevqqz (feqxmnxrij, yxzyinafef - muwjbxpqvx)
-
23 Jun 2026
Not Applicable
60
eeqnulavmp(xuqsuywfki) = hypertension occurred in 36% of patients (51% G2, 26% G3), fatigue in 59% (55% G2, 14% G3), mucositis in 25% (44% G2, 12% G3), and diarrhea in 27% (39% G2, 14% G3, with one G4 case) hsiametage (vxnzywqhaa )
Positive
18 Jun 2026
Phase 2
18
(Cohort 1: Melanoma)
nqgjxpcwup = stsaekeeod fqmxaovbiq (dzlqmhcogt, fosljrufhm - lkivjscgua)
-
04 Jun 2026
(Cohort 2: Renal Cell Carcinoma)
nqgjxpcwup = sduangbkws fqmxaovbiq (dzlqmhcogt, wrdkrgjizl - cblvittulq)
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