The efficacy and safety of lenvatinib in the treatment of solid tumors: an up-to-date meta-analysis

Future Oncol. 2021 Feb;17(6):745-754. doi: 10.2217/fon-2020-0327. Epub 2021 Jan 6.

Abstract

Aim: We performed an updated meta-analysis to evaluate the efficacy and safety of lenvatinib in cancer patients. Materials & methods: Databases were searched to identify relevant trials. Data were extracted to evaluate overall survival, progression-free survival, overall response rate and grade ≥3 adverse events. Results: The pooled analysis demonstrated that lenvatinib significantly improved progression-free survival (hazard ratio: 0.43; 95% CI: 0.23-0.80; p = 0.008), overall survival (hazard ratio: 0.85; 95% CI: 0.75-0.97; p = 0.013) and overall response rate (relative risk: 6.89; 95% CI: 2.22-21.36; p = 0.001) compared with control therapy. However, the use of lenvatinib can increase the risk of severe infection. Conclusion: Lenvatinib-containing regimens are associated with better progression-free survival, overall survival and overall response rate, but can induce severe infection.

Keywords: cancer patients; efficacy; lenvatinib; meta-analysis; safety.

Publication types

  • Meta-Analysis

MeSH terms

  • Clinical Trials, Phase II as Topic
  • Clinical Trials, Phase III as Topic
  • Humans
  • Infections / chemically induced
  • Infections / epidemiology*
  • Infections / immunology
  • Kaplan-Meier Estimate
  • Neoplasms / drug therapy*
  • Neoplasms / mortality
  • Phenylurea Compounds / administration & dosage*
  • Phenylurea Compounds / adverse effects
  • Progression-Free Survival
  • Protein Kinase Inhibitors / administration & dosage*
  • Protein Kinase Inhibitors / adverse effects
  • Quinolines / administration & dosage*
  • Quinolines / adverse effects
  • Signal Transduction / drug effects
  • Signal Transduction / immunology

Substances

  • Phenylurea Compounds
  • Protein Kinase Inhibitors
  • Quinolines
  • lenvatinib