Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Lenvatinib
Drug ID BADD_D01254
Description Lenvatinib is a receptor tyrosine kinase (RTK) inhibitor that inhibits the kinase activities of vascular endothelial growth factor (VEGF) receptors VEGFR1 (FLT1), VEGFR2 (KDR), and VEGFR3 (FLT4). Lenvatinib also inhibits other RTKs that have been implicated in pathogenic angiogenesis, tumor growth, and cancer progression in addition to their normal cellular functions, including fibroblast growth factor (FGF) receptors FGFR1, 2, 3, and 4; the platelet derived growth factor receptor alpha (PDGFRα), KIT, and RET. These receptor tyrosine kinases (RTKs) located in the cell membrane play a central role in the activation of signal transduction pathways involved in the normal regulation of cellular processes, such as cell proliferation, migration, apoptosis and differentiation, and in pathogenic angiogenesis, lymphogenesis, tumour growth and cancer progression. In particular, VEGF has been identified as a crucial regulator of both physiologic and pathologic angiogenesis and increased expression of VEGF is associated with a poor prognosis in many types of cancers. Lenvatinib is indicated for the treatment of patients with locally recurrent or metastatic, progressive, radioactive iodine (RAI)-refractory differentiated thyroid cancer. Most patients with thyroid cancer have a very good prognosis with treatment (98% 5 year survival rate) involving surgery and hormone therapy. However, for patients with RAI-refractory thyroid cancer, treatment options are limited and the prognosis is poor, leading to a push for the development of more targeted therapies such as lenvatinib.
Indications and Usage Lenvatinib is indicated for the treatment of patients with locally recurrent or metastatic, progressive, radioactive iodine-refractory differentiated thyroid cancer.
Marketing Status Prescription
ATC Code L01EX08
DrugBank ID DB09078
KEGG ID D09919
MeSH ID C531958
PubChem ID 9823820
TTD Drug ID D0R0FO
NDC Product Code 62856-718; 62856-714; 62856-708; 54893-0080; 63285-757; 62856-704; 62856-712; 11071-912; 62856-720; 11071-913; 63285-758; 62856-710; 62856-724
Synonyms lenvatinib | 4-(3-chloro-4-((cyclopropylaminocarbonyl)amino)phenoxy)-7-methoxy-6-quinolinecarboxamide | 4-(3-chloro-4-(N'-cyclopropylureido)phenoxy)-7-methoxyquinoline-6-carboxamide | lenvatinib mesylate | E7080 mesylate | N-(4-((6-carbamoyl-7-methoxyquinolin-4-yl)oxy)-2-chlorophenyl)-N'-cyclopropylurea monomethanesulfonate | lenvatinib mesilate | lenvatinib methanesulfonate | Lenvima | E-7080 mesylate | E 7080 | E-7080 | ER-203492-00 | E7080 | lenvatinib metabolite M2 | 4-(3-chloro-4-(((cyclopropylamino)carbonyl)amino)phenoxy)-7-hydroxy-6-quinolinecarboxamide
Chemical Information
Molecular Formula C21H19ClN4O4
CAS Registry Number 417716-92-8
SMILES COC1=CC2=NC=CC(=C2C=C1C(=O)N)OC3=CC(=C(C=C3)NC(=O)NC4CC4)Cl
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Arterial rupture24.03.02.027; 12.01.11.0100.000208%Not Available
Biliary fistula09.02.03.0050.000799%
Cerebellar haemorrhage24.07.04.023; 17.08.01.0460.000208%Not Available
Cholangitis acute09.02.01.0060.001066%Not Available
Diverticulum intestinal haemorrhagic24.07.02.043; 07.10.01.0030.000533%Not Available
Drowning12.01.03.008; 08.04.01.0140.000139%Not Available
Hepatic infarction24.04.07.007; 09.01.06.0170.000139%Not Available
Hepatic rupture12.01.02.012; 09.01.08.0160.000208%Not Available
Malignant pleural effusion22.05.04.001; 16.32.03.0140.001332%Not Available
Pulmonary artery thrombosis24.01.06.005; 22.06.02.0050.000533%Not Available
Varicose vein ruptured24.10.04.0050.000139%Not Available
Tracheal stenosis22.04.07.0100.000278%
Liver carcinoma ruptured16.07.02.007; 09.04.02.0120.001181%Not Available
Small intestinal haemorrhage24.07.02.019; 07.12.03.0020.000799%
Lymphangiosis carcinomatosa24.09.02.007; 16.22.02.009; 01.09.01.0270.000139%Not Available
Abscess neck15.03.03.007; 11.01.17.0040.000139%Not Available
Vascular pseudoaneurysm ruptured24.03.02.031; 12.02.01.0290.000533%Not Available
Protein induced by vitamin K absence or antagonist II increased13.09.01.0270.000799%Not Available
Gastric varices haemorrhage07.12.01.005; 24.07.02.044; 09.01.06.0140.001066%Not Available
Thalamus haemorrhage24.07.04.033; 17.08.01.0620.000139%Not Available
Portal vein occlusion24.04.07.009; 09.01.06.0240.000533%Not Available
Trousseau's syndrome16.32.03.028; 24.01.01.0330.000799%Not Available
Arterial haemorrhage24.07.01.0630.000695%Not Available
Tracheal haemorrhage22.04.07.009; 12.02.07.013; 24.07.01.0840.000347%
Oesophageal fistula07.11.05.0130.001598%
Tumour rupture16.32.03.0330.000417%Not Available
Infectious pleural effusion11.01.09.011; 22.05.01.0040.000208%Not Available
Internal haemorrhage24.07.01.0720.000533%Not Available
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