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Lenvatinib is an oral small molecule receptor tyrosine kinase inhibitor developed for the treatment of various cancers. It inhibits multiple targets involved in tumor angiogenesis and cancer progression, including vascular endothelial growth factor receptors (VEGFR1, VEGFR2, VEGFR3), fibroblast growth factor receptors (FGFR1–4), platelet-derived growth factor receptor alpha (PDGFRα), KIT, and RET proto-oncogene. By blocking these kinases, lenvatinib disrupts signaling pathways that promote tumor cell proliferation and new blood vessel formation. Lenvatinib is approved for use as monotherapy or in combination with other agents to treat differentiated thyroid cancer refractory to radioactive iodine therapy, advanced renal cell carcinoma (with everolimus or pembrolizumab), unresectable hepatocellular carcinoma, endometrial carcinoma (with pembrolizumab), and unresectable thymic carcinoma in some regions.
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