Lenvatinib for hepatocellular carcinoma: From preclinical mechanisms to anti-cancer therapy

被引:167
作者
Zhao, Yan [1 ,3 ]
Zhang, Ya-Ni [1 ]
Wang, Kai-Ting [1 ]
Chen, Lei [2 ,4 ]
机构
[1] Fudan Univ, Sch Life Sci, Shanghai 200438, Peoples R China
[2] Eastern Hepatobiliary Surg Inst, Int Cooperat Lab Signal Transduct, Shanghai, Peoples R China
[3] 2005 Songhu Rd, Shanghai 200438, Peoples R China
[4] 225 Changhai Rd, Shanghai 200438, Peoples R China
来源
BIOCHIMICA ET BIOPHYSICA ACTA-REVIEWS ON CANCER | 2020年 / 1874卷 / 01期
基金
中国国家自然科学基金; 上海市自然科学基金;
关键词
Lenvatinib; HCC; Molecular mechanisms; Clinical efficacy; Precision medicine; ENDOTHELIAL GROWTH-FACTOR; SUPPRESSES TUMOR-GROWTH; FACTOR-RECEPTOR; ANTITUMOR ACTIVITIES; CLINICAL-OUTCOMES; T-CELLS; SORAFENIB; CANCER; BEVACIZUMAB; INHIBITOR;
D O I
10.1016/j.bbcan.2020.188391
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Lenvatinib, a multi-target tyrosine kinase inhibitor (TKI), is an emerging first-line therapy for hepatocellular carcinoma (HCC). Its application has changed the status of sorafenib as the only first-line TKI treatment for HCC for more than a decade. Evidence has shown that lenvatinib possesses antitumor proliferation and immunomodulatory activity in preclinical studies. In comparison, lenvatinib was non-inferior to sorafenib in overall survival (OS), and even shows superiority with regard to all the secondary efficacy endpoints. Immune-checkpoint inhibitors(ICIs)are now being incorporated into HCC treatment. Positive outcomes have been achieved in the combination of lenvatinib plus ICIs, bringing broader prospects for HCC. This review presents an overview on the therapeutic mechanisms and clinical efficacy of lenvatinib in HCC, and we discuss the future perspectives of lenvatinib in HCC management with focus on biomarker-guided precision medicine.
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页数:9
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