Drug intelligence / Profile preview

lenvatinib + pembrolizumab + pemetrexed + carboplatin

Development stage
Phase 3
Lead developer
Eisai
Modality
Monoclonal Antibodies → Antibody-Based Therapeutics, Small Molecules
Administration
Oral, Intravenous
01

Overview

Lenvatinib + pembrolizumab + pemetrexed + carboplatin is an investigational four-drug combination regimen developed by Eisai and Merck & Co. for the first-line treatment of metastatic nonsquamous non-small cell lung cancer (NSCLC). The regimen combines lenvatinib (a multi-kinase inhibitor targeting VEGFR and FGFR), pembrolizumab (an anti-PD-1 monoclonal antibody), and a chemotherapy backbone of pemetrexed and carboplatin. The combination was designed to enhance anti-tumor activity by simultaneously targeting angiogenesis, immune evasion, and cellular proliferation. However, the Phase 3 LEAP-006 trial (NCT03829319) demonstrated that the addition of lenvatinib to the pembrolizumab plus chemotherapy standard-of-care did not provide a survival benefit, leading to the termination of this specific combination's development for this indication.

Other names
lenvatinib mesylatepembrolizumabpemetrexed disodiumcarboplatin
02

Targets

DNADHFR (Dihydrofolate reductase)FGFR1 (Fibroblast growth factor receptor 1)GART (GAR transformylase)KIT (c-KIT proto-oncogene receptor tyrosine kinase)PDCD1 (Programmed cell death protein 1 receptor)PDGFRA (Platelet-derived growth factor receptor alpha)RET (Rearranged during transfection receptor tyrosine kinase)TS (Thymidylate synthase)VEGFR2 (Vascular endothelial growth factor receptor 2)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)FGFR4 (Fibroblast growth factor receptor 4)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR4 (Vascular endothelial growth factor Receptor-3)

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