Evidence map›Paper›PMID 35475024›Full record

ArticleJournal of the Endocrine Society2022

Lenvatinib Therapy for Advanced Thyroid Cancer: Real-Life Data on Safety, Efficacy, and Some Rare Side Effects.

Sarah Hamidi, Andrée Boucher, Bernard Lemieux, Geneviève Rondeau, Rebecca Lebœuf, Louis-Georges Ste-Marie, Xuan Kim Le, Hortensia Mircescu

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Sarah HamidiDivision of Endocrinology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.ORCID https://orcid.org/0000-0002-1528-9885
Andrée BoucherDivision of Endocrinology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.
Bernard LemieuxDivision of Medical Oncology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.ORCID https://orcid.org/0000-0002-9950-7527
Geneviève RondeauDivision of Endocrinology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.
Rebecca LebœufDivision of Endocrinology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.
Louis-Georges Ste-MarieDivision of Endocrinology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.ORCID https://orcid.org/0000-0003-1367-4437
Xuan Kim LeDivision of Medical Oncology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.
Hortensia MircescuDivision of Endocrinology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, Montréal, QC H2X0C1, Canada.
Centre Hospitalier de l’Université de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: The SELECT trial led to the approval of lenvatinib for the treatment of advanced radioiodine-refractory differentiated thyroid carcinomas (DTCs) but also revealed an important adverse event (AE) profile which may limit its use in clinical practice. Objective: We aim to describe the efficacy and toxicity profiles of lenvatinib in real life. Methods: We included all patients who received lenvatinib for an advanced DTC at our institution, enrolling 27 patients. We reviewed retrospectively electronic medical records to assess efficacy and AEs. Results: Among the 24 patients with evaluation of tumor response during treatment, overall response rate (ORR) was 37.0% (95% CI, 19.4%-57.6%), and disease control rate was 85.2% (95% CI, 66.3%-95.8%). The median progression-free survival (PFS) was 12 months (95% CI, 7.5-16.5]. The most prevalent AEs were hypertension (77.8%), fatigue (55.6%), and weight loss (51.9%). At least one grade ≥ 3 AE was experienced by 25/27 patients (92.6%), mostly hypertension (59.3%). Lenvatinib was discontinued due to AEs in 13/27 patients (48.1%). Interestingly, 1 patient experienced a grade 4 posterior reversible encephalopathy syndrome, and another developed a Takotsubo cardiomyopathy. Conclusion: The safety profile of lenvatinib in our cohort was similar to that reported in the literature, with a predominance of hypertension. Rigorous blood pressure control is therefore essential to avoid discontinuing therapy. We also report 2 severe and rarely described AEs that physicians should watch for. As for efficacy, although less than in the SELECT trial, ORR and PFS were similar to other real-life studies.

Indexed as

advanced differentiated thyroid canceradverse eventsefficacylenvatinibreal-life data

Identifiers

PMID35475024
PMCPMC9032633
OpenAlexW4220921210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.