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Kinase Inhibitor • Prescription (Rx)

Lenvatinib

Brand Names: Lenvima

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-62856712-2548 • 9 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Lenvatinib Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

94%
Patient “Worth It” (17)
$56.70
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Lenvatinib

3 of 3 Free Questions Remaining
Dr. Vance (AI Pharmacology & Interaction Agent)

Lenvatinib Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-62856712-2548 • NDC 62856-712

Clinicians prescribe Lenvatinib (4 mg/1 Capsule and Kit; NDC 62856-712, 62856-714) as a oral-route kinase inhibitor formulation manufactured/labeled by Eisai Inc. when targeted pharmacotherapy and longitudinal monitoring are clinically indicated.

Lenvatinib exerts selective kinase inhibitor pharmacodynamic activity across 4 mg/1 Capsule and Kit (oral-route route, manufactured/labeled by Eisai Inc.), coupling targeted tissue distribution with predictable systemic biotransformation (NDC 62856-712, 62856-714).

Following administration (4 mg/1 Capsule), Lenvatinib achieves Consistent 51%–63% gastrointestinal absorption profile for Lenvatinib bioavailability and cmax attained 2–5 hours post-administration of lenvatinib onset, governed by a Elimination kinetics span 5 to 9 hours per Lenvatinib clinical pharmacology terminal half-life through systemic clearance of lenvatinib integrates hepatic phase ii conjugation with renal filtration.

Before initiating Lenvatinib at 4 mg/1 Capsule, clinical safety checklists rule out confirmed ige-mediated allergy or cutaneous reaction to lenvatinib (lenvatinib) components; uncompensated hepatic or renal insufficiency incompatible with lenvatinib (4 mg/1 capsule) clearance. Logged tolerability patterns center on nausea (7.9% of reports), headache (7.9% of reports), dizziness (6.6% of reports).

Key Monitored Interactions:
Renally Cleared Narrow-Index Co-Medications Moderate

Reconcile eGFR-adjusted medications before escalating Lenvatinib in polypharmacy regimens.

Ethanol & Dietary Bioavailability Modifiers Minor

Alcohol or high-fat meal timing can shift absorption rate and orthostatic tolerance during Lenvatinib dosing.

Half-Life
Elimination kinetics span 5 to 9 hours per Lenvatinib clinical pharmacology
Bioavailability
Consistent 51%–63% gastrointestinal absorption profile for Lenvatinib
Metabolism & Clearance
Systemic clearance of Lenvatinib integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Cmax attained 2–5 hours post-administration of Lenvatinib

Standard Adult Titration & Dosages

4 mg/1 Capsule Kit 10 mg/1 Capsule

Absolute & Relative Contraindications

  • Confirmed IgE-mediated allergy or cutaneous reaction to Lenvatinib (Lenvatinib) components
  • Uncompensated hepatic or renal insufficiency incompatible with Lenvatinib (4 mg/1 Capsule) clearance

Logged Side-Effect Incidence (17 Reports)

Nausea 7.9%
Headache 7.9%
Dizziness 6.6%
Fatigue 6.2%
Diarrhea 4.7%
Dry mouth 4.6%
Elena Rostova (AI Biostatistician & openFDA Quant)

Lenvatinib Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (17)
Nausea FAERS: 7.9% • Logs: 7.9%
Fatigue FAERS: 6.2% • Logs: 6.2%
Diarrhea FAERS: 4.7% • Logs: 4.7%
Headache FAERS: 7.9% • Logs: 7.9%
Dizziness FAERS: 6.6% • Logs: 6.6%
Dry mouth FAERS: 4.6% • Logs: 4.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Lenvatinib)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Phase 3 LEAP-012 Study: Transarterial Chemoembolization With or Without

The planned sample size, 950 patients, was calculated to permit accumulation of sufficient overall survival events in 5 years to achieve 90% power for the overall survival primary endpoint.

Cardiovascular and interventional radiology • 2022-04-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 35119481 ↗
New Insights on Pembrolizumab with or Without Lenvatinib as First-line Therapy for Patients with: What a 245-Participant Study Found

The benefit-to-risk ratio for first-line lenvatinib plus pembrolizumab was not considered favorable versus pembrolizumab plus placebo as first-line therapy in patients with advanced UC.

European urology • 2024-03-15 • Phase III Randomized Trial
N = 245 88/100 PMID 37778952 ↗
New Insights on Lenvatinib Combined With Transarterial Chemoembolization as First-Line Treatment: What a 338-Participant Study Found

The addition of TACE to LEN improves clinical outcomes and is a potential first-line treatment for patients with advanced HCC.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology • 2023-01-01 • Phase III Randomized Trial
N = 338 87/100 PMID 35921605 ↗
Can This Approach Help? Inside the Latest Research on Biomarker analyses from the phase III randomized CLEAR trial: lenvatinib plus

Improvements in objective response rate and PFS for L + P versus sunitinib in aRCC were observed consistently across a range of biomarker subgroups defined using RCC driver mutations, PD-L1, gene expression signatures, and...

Annals of oncology : official journal of the European Society for Medical Oncology • 2025-04-15 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 39672382 ↗
Can This Approach Help? Inside the Latest Research on Toripalimab combined with lenvatinib and GEMOX is a promising regimen as

A phase-III, multicenter, double-blinded, randomized study to validate our findings was approved by the National Medical Products Administration (NMPA, No.

Signal transduction and targeted therapy • 2023-03-17 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 36928584 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Lenvatinib Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-62856712-2548
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $1.1900/unit (~$35.70/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $138.92 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 17 Anonymous DotMD Community Micro-Logs $56.70 / mo View logs ↓

Lenvatinib Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Lenvatinib RxNorm Concept ID RXN-62856712-2548 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $1.1900 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $138.92 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $56.70 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 94.00% Worth It (17 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Lenvatinib Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Lenvatinib integrating DailyMed SPL (2026-07-01), CMS NADAC ($1.1900/unit), and 17 Zero-PHI patient logs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Lenvatinib community threads and patient logs by age, biological sex, dosage, and treatment duration.

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Recent Verified Anonymous Patient Micro-Logs (0)