Evidence map›Paper›PMID 39287755›Full record

ArticleEndocrine2025

Effects of lenvatinib on glucose, cholesterol, triglycerides and estimated cardiovascular risk in patients with advanced thyroid cancer.

E Acitelli, A Verrienti, M Sponziello, V Pecce, I Minicocci, M Macera, S Barp, P Lucia, G Grani, C Durante and 1 more

Abstract read
In one paragraph

Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

E AcitelliDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.ORCID 0009-0000-8412-5705
A VerrientiDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
M SponzielloDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.ORCID 0000-0003-0736-1047
V PecceDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
I MinicocciDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
M MaceraDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
S BarpDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
P LuciaDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.
G GraniDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy. giorgio.grani@uniroma1.it.ORCID 0000-0002-0388-1283
C DuranteDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.ORCID 0000-0002-1791-5915
M MaranghiDepartment of Translational and Precision Medicine, Sapienza University, Rome, Italy.ORCID 0000-0002-3117-7488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMultitarget kinase inhibitors (MKIs) are effective options in the treatment of cancer, significantly increasing the progression-free survival (PFS) of many tumors. Data about severity and prevalence of metabolic adverse events is scarce and may be significant in patients with a better survival. The aim of this study was to investigate glucose and lipids values of patients treated with lenvatinib. Secondary aims included evaluating changes in the estimated risk of cardiovascular disease and the relationship between metabolic alterations and tumor response to therapy.

methodsA retrospective pilot study on 29 patients with advanced differentiated thyroid cancer was conducted. Clinical and biochemical characteristics were collected at the day of therapy initiation and follow up. The 10-year risk of cardiovascular disease was estimated with the SCORE2 and SCORE2-OP algorithms. Tumor burden change was assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST).

resultsNo differences in glucose values were observed. A significant increase in total cholesterol (208 ± 41 versus 245 ± 67 mg/dl), triglycerides (112 [interquartile range, 58-326] versus 157 [78-296] mg/dl), calculated LDL cholesterol (128 [66-204] versus 140 [81-308] mg/dl) and cardiovascular risk was observed from baseline to follow up. Furthermore, these parameters increase progressively with increasing tumor response to therapy.

conclusionsDespite limitations, this study shows an association between the use of lenvatinib and the development of lipid alterations in patients with advanced thyroid cancer. However, further investigation is necessary for a more comprehensive understanding of the adverse metabolic profile of MKIs.

Indexed as

Antineoplastic AgentsBlood GlucoseCardiovascular DiseasesCholesterolPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesThyroid NeoplasmsTriglyceridesAdultAgedFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedAntineoplastic AgentsBlood GlucoseCholesterollenvatinibPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesTriglyceridesDyslipidemiaGlycemiaHypercholesterolemiaHyperglycemiaHypertriglyceridemiaMKIs

Identifiers

PMID39287755
PMCPMC11811238

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.