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What Is Lenvima?

Lenvima is a prescription kinase inhibitor containing lenvatinib. Current U.S. labeling includes locally recurrent or metastatic progressive radioactive iodine-refractory differentiated thyroid cancer, advanced renal cell carcinoma, unresectable hepatocellular carcinoma, and selected advanced endometrial carcinoma.

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What Is Lenvima?

Lenvima is a prescription kinase inhibitor containing lenvatinib. Current U.S. labeling includes locally recurrent or metastatic progressive radioactive iodine-refractory differentiated thyroid cancer, advanced renal cell carcinoma, unresectable hepatocellular carcinoma, and selected advanced endometrial carcinoma.

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How Does Lenvima Work?

Lenvatinib inhibits receptor tyrosine kinases involved in angiogenesis and tumor growth, including vascular endothelial growth factor receptors, fibroblast growth factor receptors, RET, KIT, and platelet-derived growth factor receptor alpha.

Who Is Treated With Lenvima?

Lenvima is used alone for selected differentiated thyroid cancer and unresectable hepatocellular carcinoma. It is combined with pembrolizumab for first-line advanced renal cell carcinoma and selected advanced endometrial carcinoma. It is combined with everolimus for advanced renal cell carcinoma after one prior anti-angiogenic therapy.

How Is Lenvima Dosed?

Differentiated thyroid cancer uses 24 mg once daily. First-line advanced renal cell carcinoma uses 20 mg once daily with pembrolizumab. Previously treated renal cell carcinoma uses 18 mg once daily with everolimus. Unresectable hepatocellular carcinoma uses 12 mg daily for body weight of at least 60 kg and 8 mg daily below 60 kg. Advanced endometrial carcinoma uses 20 mg once daily with pembrolizumab.

What Serious Risks Are Linked to Lenvima?

Serious concerns include hypertension, cardiac dysfunction, arterial thromboembolic events, hepatotoxicity, kidney failure or impairment, proteinuria, diarrhea, fistula or gastrointestinal perforation, QT prolongation, hypocalcemia, reversible posterior leukoencephalopathy syndrome, hemorrhage, thyroid dysfunction, impaired wound healing, osteonecrosis of the jaw, and embryo-fetal toxicity.

Frequently Asked Questions About Lenvima

What cancers does Lenvima treat?

Current labeling includes selected differentiated thyroid cancer, renal cell carcinoma, hepatocellular carcinoma, and endometrial carcinoma.

What is the Lenvima dose for differentiated thyroid cancer?

The recommended dose is 24 mg once daily.

How is Lenvima dosed for unresectable hepatocellular carcinoma?

The dose is 12 mg once daily for patients weighing at least 60 kg and 8 mg once daily for patients weighing less than 60 kg.

Can Lenvima be used with pembrolizumab?

Yes. Current labeling includes Lenvima with pembrolizumab for first-line advanced renal cell carcinoma and selected advanced endometrial carcinoma.

References

DailyMed - LENVIMA (lenvatinib) capsule and kit. https://www.dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f4bedd21-efde-44c6-9d9c-b48b78d7ed1e. Date Accessed October 8, 2026.

Lenvatinib. MedlinePlus. https://www.medlineplus.gov/druginfo/meds/a615015.html. Date Accessed October 8, 2026.

Lenvatinib. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/Lenvatinib. Date Accessed October 8, 2026.

Lenvima. National Cancer Institute. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lenvima. Date Accessed October 8, 2026.

LENVIMA (lenvatinib) Prescribing Information. Eisai. https://www.lenvima.com/-/media/Project/EISAI/Lenvima/PDF/prescribing-information.pdf. Date Accessed October 8, 2026.