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)
Erythema23.03.06.001--Not Available
Erythema multiforme23.03.01.003; 10.01.03.0150.001865%
Fatigue08.01.01.0020.041294%
Febrile neutropenia08.05.02.004; 01.02.03.002--
Feeling abnormal08.01.09.014--Not Available
Feeling cold08.01.09.0080.000533%Not Available
Femoral neck fracture12.04.01.002; 15.08.03.0020.001332%Not Available
Fistula15.03.02.0010.005595%Not Available
Flank pain20.02.03.006; 15.03.04.003; 08.01.08.0070.000533%
Fracture15.08.02.001; 12.04.02.001--
Gait disturbance08.01.02.002; 17.02.05.016--
Gallbladder perforation09.03.02.002; 12.01.02.0050.000799%
Gastric cancer16.13.03.001; 07.21.02.0010.000208%Not Available
Gastric haemorrhage24.07.02.007; 07.12.01.0010.001865%
Gastric perforation12.02.03.007; 07.04.03.0010.000533%
Gastric ulcer haemorrhage07.04.03.005; 24.07.02.0030.000799%Not Available
Gastritis07.08.02.0010.000799%
Gastrointestinal fistula07.11.05.0010.000799%
Gastroenteritis11.01.07.004; 07.19.03.0010.001066%Not Available
Gastrointestinal haemorrhage24.07.02.009; 07.12.02.001--Not Available
Gastrointestinal necrosis24.04.08.006; 07.15.01.0030.000139%
Gastrointestinal pain07.01.05.005--
Gastrointestinal perforation07.04.04.0010.001529%Not Available
Generalised oedema14.05.06.007; 08.01.07.0040.001598%
Gingival bleeding07.09.07.001; 24.07.02.0100.001066%Not Available
Gingival pain07.09.04.0010.000533%
Gingivitis11.01.04.013; 07.09.03.0030.001865%
Glossitis07.14.01.0010.000799%Not Available
Glossodynia07.14.02.0010.001332%Not Available
Groin pain15.03.02.0040.000533%Not Available
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