LENVIMA (lenvatinib)
                   			ONCOLOGY - New indication
						
                   	
                    
                        Opinions on drugs - 
	
		Posted on 
	
		
			Mar 24 2020
		
		
	
	
						
                    
                Reason for request
										Extension of indication
									
									Insufficient clinical benefit as monotherapy for the treatment of adult patients with advanced or unresectable hepatocellular carcinoma (HCC) who have received no prior systemic therapy
- LENVIMA has an MA as monotherapy for the treatment of adult patients with advanced or unresectable hepatocellular carcinoma (HCC) who have received no prior systemic therapy.
 - The non-inferiority of lenvatinib was demonstrated in comparison with sorafenib in terms of overall survival, but not its superiority. The transposability of the results of this study to the French population is not guaranteed. The frequency of serious adverse events, grade ≥ 3 adverse events and deaths is higher in the lenvatinib group than in the sorafenib group. It is not possible to identify those patients who may not be given sorafenib but who would be eligible for lenvatinib. Consequently, LENVIMA has no role in the care pathway in adult patients with advanced or unresectable HCC who have received no prior systemic therapy.
 
Clinical Benefit
| Insufficient | 
														
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