Evidence map›Paper›PMID 29733511›Full record

ArticleCancer medicine2018

Lenvatinib inhibits angiogenesis and tumor fibroblast growth factor signaling pathways in human hepatocellular carcinoma models.

Masahiro Matsuki, Taisuke Hoshi, Yuji Yamamoto, Megumi Ikemori-Kawada, Yukinori Minoshima, Yasuhiro Funahashi, Junji Matsui

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 178 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
178citing papers in PubMed, 5 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT04656249 phase2completednot on this map

The Efficacy and Safety of Lenvatinib in Patients With Previously Treated Advanced Biliary Tract Cancer

TypeinterventionalSponsorPeking Union Medical College HospitalRan2018 to 2021Enrolled46ConditionsCholangiocarcinoma, Biliary Tract Cancer, Targeted TherapyArmsLenvatinib
NCT05171335 phase2enrolling by invitationnot on this mapstarted 2022, after this paper: background citation

Neoadjuvant Combination Therapy of Lenvima Plus Transcatheter Arterial Chemoembolization (TACE) for Transplant-Eligible Patients With Large Hepatocellular Carcinoma

TypeinterventionalSponsorThe Methodist Hospital Research InstituteRan2022 to 2027Enrolled50ConditionsHepatocellular CarcinomaArmsLenvatinib, Transcatheter Arterial Chemoembolization
NCT05546619 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Research on Effectiveness and Safety of the Treatment, Hyperthermic Intraperitoneal Chemotherapy Combined With Tislelizumab and Targeted Therapy, That is Used for High-risk Hepatocellular Carcinoma After R0 Resection

TypeinterventionalSponsorSulai LiuRan2022 to 2025Enrolled30ConditionsHepatocellular CarcinomaArmsHIPEC+tislelizumab + targeted therapy
3 · Its place in the literature

Who cites it

178 citing papers in PubMed, 5 syntheses or guidelines pooled it, 256 citations in OpenAlex.

  1. Pooled it
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  5. Pooled it
  6. A Phase Ib/IIa Study of Fostrox in Combination with Lenvatinib as Second-line Therapy in Patients with Advanced Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  7. E7386 Enhances Lenvatinib's Antitumor Activity in Preclinical Models and Human Hepatocellular Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
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  11. Pharmacodynamic Biomarkers Predictive of Survival Benefit with Lenvatinib in Unresectable Hepatocellular Carcinoma: From the Phase III REFLECT Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
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118 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

Masahiro MatsukiTsukuba Research Laboratories, Eisai Co., Ltd., Ibaraki, Japan.ORCID 0000-0001-9867-3702
Taisuke HoshiTsukuba Research Laboratories, Eisai Co., Ltd., Ibaraki, Japan.
Yuji YamamotoTsukuba Research Laboratories, Eisai Co., Ltd., Ibaraki, Japan.
Megumi Ikemori-KawadaTsukuba Research Laboratories, Eisai Co., Ltd., Ibaraki, Japan.
Yukinori MinoshimaTsukuba Research Laboratories, Eisai Co., Ltd., Ibaraki, Japan.
Yasuhiro FunahashiTsukuba Research Laboratories, Eisai Co., Ltd., Ibaraki, Japan.
Junji MatsuiTsukuba Research Laboratories, Eisai Co., Ltd., Ibaraki, Japan.
Eisai (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unresectable hepatocellular carcinoma (uHCC) is one of the most lethal and prevalent cancers worldwide, and current systemic therapeutic options for uHCC are limited. Lenvatinib, a multiple receptor tyrosine kinase inhibitor targeting vascular endothelial growth factor receptors (VEGFRs) and fibroblast growth factor receptors (FGFRs), recently demonstrated a treatment effect on overall survival by statistical confirmation of noninferiority to sorafenib in a phase 3 study of uHCC. Here, we investigated mechanisms underlying the antitumor activity of lenvatinib in preclinical HCC models. In vitro proliferation assay of nine human HCC cell lines showed that lenvatinib selectively inhibited proliferation of FGF signal-activated HCC cells including FGF19-expressing Hep3B2.1-7. Lenvatinib suppressed phosphorylation of FRS2, a substrate of FGFR1-4, in these cells in a concentration-dependent manner. Lenvatinib inhibited in vivo tumor growth in Hep3B2.1-7 and SNU-398 xenografts and decreased phosphorylation of FRS2 and Erk1/2 within the tumor tissues. Lenvatinib also exerted antitumor activity and potently reduced tumor microvessel density in PLC/PRF/5 xenograft model and two HCC patient-derived xenograft models. These results suggest that lenvatinib has antitumor activity consistently across diverse HCC models, and that targeting of tumor FGF signaling pathways and anti-angiogenic activity underlies its antitumor activity against HCC tumors.

Indexed as

AnimalsAntineoplastic AgentsCarcinoma, HepatocellularCell Line, TumorCell ProliferationCell SurvivalDisease Models, AnimalFemaleFibroblast Growth FactorsHumansImmunohistochemistryLiver NeoplasmsNeovascularization, PathologicPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesAntineoplastic AgentsFibroblast Growth FactorslenvatinibPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesVascular Endothelial Growth Factor Aangiogenesisfibroblast growth factorhepatocellular carcinomaLenvatinibvascular endothelial growth factor

Identifiers

PMID29733511
PMCPMC6010799
OpenAlexW2800499107

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.