Table 3.
Phase II and III studies
|
|||
---|---|---|---|
SELECT trial*47 | Phase II*45 | Phase II*46 | |
n | 392 | 58 | 59 |
Cohort | Radioiodine-refractory thyroid cancer of follicular origin | Radioiodine-refractory thyroid cancer of follicular origin | Refractory medullary thyroid |
Common clinical AEs** | Hypertension, diarrhea, fatigue, decreased appetite, nausea, vomiting, weight loss | Weight loss, hypertension, diarrhea, fatigue, dehydration, arthralgia | Diarrhea, hypertension, decreased appetite, fatigue |
Grade ≥3 | 75% | 72% | 61% |
Discontinuation of medication due to AEs | 14% | 26% | 24% |
Dose reduction due to AEs | 67% | 66% | 59% |
Dose delay due to AEs | 82% | 74% | 75% |
Number of deaths on study | 6 | 2 | 3 |
Cause of death | Three unspecified, one pulmonary embolism, one hemorrhagic stroke, one health deterioration | One cardiac arrest, one arterial hemorrhage | Two respiratory failures (one not specified), one paraneoplastic syndrome |
Notes:
Lenvatinib was administered at 24 mg po daily in 28-day treatment cycles.
Grade ≥3 proteinuria was present in 10% of patients in two of the trials described in the table and AEs are presented in descending order of frequency.
Abbreviation: AEs, adverse events.