Evidence map›Paper›PMID 27018262›Full record

ArticleInvestigational new drugs2016

Metabolite profiling of the multiple tyrosine kinase inhibitor lenvatinib: a cross-species comparison.

Anne-Charlotte Dubbelman, Cynthia M Nijenhuis, Robert S Jansen, Hilde Rosing, Hitoshi Mizuo, Shinki Kawaguchi, David Critchley, Robert Shumaker, Jan H M Schellens, Jos H Beijnen

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Anne-Charlotte DubbelmanThe Netherlands Cancer Institute, Division of Clinical Pharmacology, Department of Medical Oncology, Amsterdam, The Netherlands. a.c.dubbelman@gmail.com.
Cynthia M NijenhuisAntoni van Leeuwenhoek / The Netherlands Cancer Institute and MC Slotervaart, Department of Pharmacy & Pharmacology, Louwesweg 6, 1066 CE, Amsterdam, The Netherlands. cynthia.nijenhuis@slz.nl.
Robert S JansenAntoni van Leeuwenhoek / The Netherlands Cancer Institute and MC Slotervaart, Department of Pharmacy & Pharmacology, Louwesweg 6, 1066 CE, Amsterdam, The Netherlands.
Hilde RosingAntoni van Leeuwenhoek / The Netherlands Cancer Institute and MC Slotervaart, Department of Pharmacy & Pharmacology, Louwesweg 6, 1066 CE, Amsterdam, The Netherlands.
Hitoshi MizuoEisai Co. Ltd., Drug metabolism and Pharmacokinetics Japan, Tsukuba, Japan.
Shinki KawaguchiEisai Co. Ltd., Drug metabolism and Pharmacokinetics Japan, Tsukuba, Japan.
David CritchleyEisai Ltd., Chief Clinical Officer Department, Clinical Pharmacology, Hatfield, UK.
Robert ShumakerEisai Inc., Oncology Product Creation Unit, Clinical Pharmacology and Translational Medicine, Woodcliff Lake, NJ, USA.
Jan H M SchellensThe Netherlands Cancer Institute, Division of Clinical Pharmacology, Department of Medical Oncology, Amsterdam, The Netherlands.
Jos H BeijnenAntoni van Leeuwenhoek / The Netherlands Cancer Institute and MC Slotervaart, Department of Pharmacy & Pharmacology, Louwesweg 6, 1066 CE, Amsterdam, The Netherlands.
The Netherlands Cancer Institute · NLEisai (Japan) · JPUtrecht University · NLEisai (United Kingdom) · GBEisai (United States) · USSlotervaartziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lenvatinib is an oral, multiple receptor tyrosine kinase inhibitor. Preclinical drug metabolism studies showed unique metabolic pathways for lenvatinib in monkeys and rats. A human mass balance study demonstrated that lenvatinib related material is mainly excreted via feces with a small fraction as unchanged parent drug, but little is reported about its metabolic fate. The objective of the current study was to further elucidate the metabolic pathways of lenvatinib in humans and to compare these results to the metabolism in rats and monkeys. To this end, we used plasma, urine and feces collected in a human mass balance study after a single 24 mg (100 μCi) oral dose of (14)C-lenvatinib. Metabolites of (14)C-lenvatinib were identified using liquid chromatography (high resolution) mass spectrometry with off-line radioactivity detection. Close to 50 lenvatinib-related compounds were detected. In humans, unchanged lenvatinib accounted for 97 % of the radioactivity in plasma, and comprised 0.38 and 2.5 % of the administered dose excreted in urine and feces, respectively. The primary biotransformation pathways of lenvatinib were hydrolysis, oxidation and hydroxylation, N-oxidation, dealkylation and glucuronidation. Various combinations of these conversions with modifications, including hydrolysis, gluthathione/cysteine conjugation, intramolecular rearrangement and dimerization, were observed. Some metabolites seem to be unique to the investigated species (human, rat, monkey). Because all lenvatinib metabolites in human plasma were at very low levels compared to lenvatinib, only lenvatinib is expected to contribute to the pharmacological effects in humans.

Indexed as

Administration, OralAnimalsAntineoplastic AgentsChromatography, LiquidHumansMacaca fascicularisMaleMass SpectrometryPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesRatsRats, Sprague-DawleySpecies SpecificityAntineoplastic AgentslenvatinibPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesClinical pharmacologyLenvatinibMass balanceMetabolismMetabolite identificationPharmacokinetics

Identifiers

PMID27018262
OpenAlexW2332522313

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.