TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

LENVIMA

LENVATINIB MESYLATE Receptor Tyrosine Kinase Inhibitors
Oncology Approved 2015-02-13

Lenvima is a kinase inhibitor indicated for the treatment of several types of advanced, recurrent, or unresectable malignancies. It is used as a monotherapy for radioactive iodine-refractory differentiated thyroid cancer and as a first-line treatment for unresectable hepatocellular carcinoma. The drug is also used in combination with other therapies, such as pembrolizumab or everolimus, to treat advanced renal cell carcinoma and specific forms of advanced endometrial carcinoma.

Source: FDA Label • EISAI INC • Kinase Inhibitor

How LENVIMA Works

Lenvatinib inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1, VEGFR2, and VEGFR3. It also targets other kinases implicated in pathogenic angiogenesis and tumor progression, including fibroblast growth factor (FGF) receptors, platelet-derived growth factor receptor alpha, KIT, and RET. By blocking these pathways, the drug inhibits endothelial cell proliferation and signaling necessary for tumor growth and blood vessel formation.

Source: FDA Label
11
Indications
--
Phase 3 Trials
7
Priority Reviews
11
Years on Market

Details

Status
Prescription
First Approved
2015-02-13
Routes
ORAL
Dosage Forms
CAPSULE

Companies

Active Ingredient: LENVATINIB MESYLATE

LENVIMA Approval History

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What LENVIMA Treats

5 indications

LENVIMA is approved for 5 conditions since its original approval in 2015. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Locally recurrent or metastatic, progressive, radioactive iodine-refractory differentiated thyroid cancer
  • Advanced renal cell carcinoma (first-line, in combination with pembrolizumab)
  • Advanced renal cell carcinoma following one prior anti-angiogenic therapy (in combination with everolimus)
  • Unresectable hepatocellular carcinoma (first-line)
  • Advanced endometrial carcinoma that is mismatch repair proficient (pMMR) or not microsatellite instability-high (MSI-H) following prior systemic therapy (in combination with pembrolizumab)
Source: FDA Label

LENVIMA Target & Pathway

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Target

PD-1 (Programmed Cell Death Protein 1) Immune Checkpoint

An immune checkpoint receptor on T-cells that acts as an 'off switch' for immune responses. Cancer cells often exploit PD-1 by expressing its ligands (PD-L1/PD-L2), allowing tumors to evade immune detection. Blocking PD-1 releases this brake, enabling T-cells to recognize and attack cancer cells.

Pathway Context

PD-1 on T-cells binds to PD-L1/PD-L2 on tumor cells, suppressing immune attack

PD-L1 (Programmed Death-Ligand 1) ligand

A protein expressed on tumor cells and immune cells that binds to PD-1 on T-cells, suppressing immune responses. Many cancers overexpress PD-L1 to avoid immune attack. Blocking PD-L1 prevents this immune suppression, allowing the body's T-cells to fight cancer.

PD-L2 (Programmed Death-Ligand 2) ligand

A second ligand for PD-1, expressed on antigen-presenting cells and some tumors. PD-L2 binds PD-1 with higher affinity than PD-L1 but is less widely expressed. Drugs blocking PD-1 prevent both PD-L1 and PD-L2 interactions.

LENVIMA Competitors

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10 other drugs also target PD-1. Compare mechanisms, indications, and trial activity.

View all 10 PD-1 drugs →
Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (PD-1). Earlier expiry dates signal biosimilar/generic opportunities.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

LENVIMA FDA Label Details

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Indications & Usage

FDA Label (PDF)

LENVIMA 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 treatm...

LENVIMA Patents & Exclusivity

Latest Patent: Nov 2038
Exclusivity: Oct 2027

Patents (84 active)

US12226409*PED Expires Nov 15, 2038
US12226409 Expires May 15, 2038
US12083112*PED Expires Sep 3, 2036
US11090386*PED Expires Aug 23, 2036
US12083112 Expires Mar 3, 2036
US11186547*PED Expires Feb 26, 2036
US10407393*PED Expires Feb 26, 2036
US10259791*PED Expires Feb 26, 2036
US11090386 Expires Feb 23, 2036
US11186547 Expires Aug 26, 2035
+ 74 more patents

Exclusivity

M-14 Until Apr 2027
ODE-196 Until Aug 2025
M-14 Until Apr 2027
ODE-196 Until Aug 2025
PED Until Feb 2026
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.