4.4 Article

The LEAP program: lenvatinib plus pembrolizumab for the treatment of advanced solid tumors

Journal

FUTURE ONCOLOGY
Volume 17, Issue 6, Pages 637-647

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/fon-2020-0937

Keywords

combination therapy; LEAP program; lenvatinib; pembrolizumab; solid tumors

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Funding

  1. Merck Sharp Dohme Corp.
  2. Bristol Myers Squibb
  3. Eisai Inc
  4. Merck Sharp Dohme
  5. Eisai Inc., Woodcliff Lake, NJ, USA

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The combination therapy of lenvatinib plus pembrolizumab demonstrates robust antitumor activity and durable responses across diverse tumor types with a manageable safety profile, making it a potentially important new regimen for several solid cancers that currently have limited therapeutic options.
Tumor progression and immune evasion result from multiple oncogenic and immunosuppressive signals within the tumor microenvironment. The combined blockade of VEGF and inhibitory immune checkpoint signaling has been shown to enhance immune activation and tumor destruction in preclinical models. The LEAP clinical trial program is evaluating the safety and efficacy of lenvatinib (a multikinase inhibitor) plus pembrolizumab (a PD-1 inhibitor) across several solid tumor types. Preliminary results from ongoing trials demonstrate robust antitumor activity and durable responses across diverse tumor types with a manageable safety profile. Thus, lenvatinib plus pembrolizumab is anticipated to be an important potential new regimen for several solid cancers that currently have limited therapeutic options.

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