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)
Cardiac failure02.05.01.0010.002780%
Cardiac failure acute02.05.01.0050.000208%Not Available
Cardiac failure congestive02.05.01.002--Not Available
Cardiac tamponade02.06.01.0010.000533%
Cardiogenic shock24.06.02.006; 02.05.01.003--Not Available
Cardiomyopathy02.04.01.0010.001066%Not Available
Cellulitis23.09.01.001; 11.02.01.001--Not Available
Cerebral haemorrhage24.07.04.001; 17.08.01.0030.001946%Not Available
Cerebral infarction24.04.06.002; 17.08.01.0040.009857%Not Available
Cerebral ischaemia24.04.06.003; 17.08.01.0050.000139%
Cerebrovascular accident24.03.05.001; 17.08.01.007--
Chest discomfort08.01.08.019; 02.02.02.009; 22.02.08.001--Not Available
Chest pain22.02.08.003; 02.02.02.011; 08.01.08.002--Not Available
Cholangitis09.02.01.0020.007460%Not Available
Cholecystitis09.03.01.0010.006927%
Cholecystitis acute09.03.01.0030.003730%Not Available
Coagulopathy01.01.02.001--Not Available
Colitis07.08.01.0010.001066%
Compression fracture15.08.02.004; 12.04.02.0080.000533%Not Available
Confusional state19.13.01.001; 17.02.03.005--
Constipation07.02.02.001--
Coronary artery disease24.04.04.006; 02.02.01.001--Not Available
Coronary artery stenosis24.04.04.017; 02.02.01.0100.000533%Not Available
Cough22.02.03.001--
Creatinine renal clearance decreased13.13.01.0130.000799%Not Available
Death08.04.01.001--
Decubitus ulcer23.03.11.0060.000533%Not Available
Dehydration14.05.05.0010.013321%
Delirium19.13.02.001--
Depressed level of consciousness17.02.04.002--
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