Evidence map›Paper›PMID 39568177›Full record

ArticleBritish journal of clinical pharmacology2025

Risk factors for lenvatinib-induced hypertension in patients with hepatocellular carcinoma: A retrospective study.

Shusuke Uekusa, Misaki Nakashin, Yuki Hanai, Maho Nemoto, Sachiko Yanagino, Yoshiki Arita, Takahiro Matsumoto, Noritaka Wakui, Hidenari Nagai, Koji Higai and 1 more

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 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. Current Status of Research on Losartan in Tumour Therapy.Journal of cellular and molecular medicine · 2026
    Review
  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.

Shusuke UekusaDepartment of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Toho University, Chiba, Japan.ORCID https://orcid.org/0000-0003-0993-6019
Misaki NakashinDepartment of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Toho University, Chiba, Japan.
Yuki HanaiDepartment of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Toho University, Chiba, Japan.ORCID https://orcid.org/0000-0002-4606-7150
Maho NemotoDepartment of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Toho University, Chiba, Japan.
Sachiko YanaginoToho University Omori Medical Center, Tokyo, Japan.
Yoshiki AritaToho University Omori Medical Center, Tokyo, Japan.
Takahiro MatsumotoToho University Omori Medical Center, Tokyo, Japan.
Noritaka WakuiDivision of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), School of Medicine, Faculty of Medicine, Tokyo, Japan.
Hidenari NagaiDivision of Gastroenterology and Hepatology, Department of Internal Medicine (Omori), School of Medicine, Faculty of Medicine, Tokyo, Japan.
Koji HigaiLaboratory of Medical Biochemistry, Faculty of Pharmaceutical Sciences Toho University, Chiba, Japan.
Kazuhiro MatsuoDepartment of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Toho University, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLenvatinib mesylate (LEN) is an orally administered tyrosine kinase inhibitor used to treat various cancers, including hepatocellular carcinoma (HCC). LEN therapy for HCC is associated with a high incidence of adverse events, including hypertension (HTN). However, the risk factors associated with LEN therapy remain unclear. This study investigated the incidence of LEN-induced HTN (LENiHTN), and the relationship between HTN incidence and patient demographics in patients with HCC receiving LEN therapy.

methodsThis was a single-centre, retrospective study of patients with HCC who received LEN therapy between 19 April 2018 and 30 September 2020. The observation period was from 1 week before the start to 1 month after the end of LEN administration.

resultsSeventy-five patients with HCC were enrolled. Any grade LENiHTN was found in 74.7% of patients. Among patients with LENiHTN, the use of 2 or more antihypertensive agents before starting LEN was less common (P = .007); serum potassium (K) and albumin-bilirubin score (ALBI) were lower (P = .013 and 0.038, respectively); and albumin (Alb) was higher (P = .025). The cut-off values of K, Alb and ALBI for HTN were estimated at 4.1 mEq L

conclusionLow K, high Alb and low ALBI were independent risk factors for LENiHTN. Systematic evaluation of HTN risk and early intervention for HTN prevention among high-risk patients can markedly enhance LEN therapy efficacy and use.

Indexed as

Antineoplastic AgentsCarcinoma, HepatocellularHypertensionLiver NeoplasmsPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesAdultAgedAged, 80 and overAntihypertensive AgentsFemaleHumansIncidenceMaleMiddle AgedAntihypertensive AgentsAntineoplastic AgentslenvatinibPhenylurea CompoundsProtein Kinase InhibitorsQuinolinesalbuminalbumin–bilirubin scorehepatocellular carcinomalenvatinibpotassium

Identifiers

PMID39568177
PMCPMC11862797

What OpenQuestion holds

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Registered trials

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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.