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Higher benefit in patients treated in FIRST-line

Results

Efficacy

data after a median follow-up of 7 months (range, 0.4–14.6) of treatment initiation with LEN.

Outcome

Lenvatinib (n=75)

Best overall response (BOR), n (%)*

CR

PR

SD

PD

NE

23 (31)

0

23 (31)

38 (51)

4 (5)

10 (13)

Median time to BOR, mo (range)

3 (0.4 - 1.7)

BOR according to Treatment Line, n (%)*

1L PR / SD / PD

2L+ PR / SD / PD

10 (42) / 12 (50) / 0 (0)

13 (25) / 26 (51) / 4 (8)

Median PFS, mo (95% CI)

10 (NA)

Median OS, mo (95% CI)

NE (NA)

*Measured according to RECIST v1.1.

The inferior overall response rates and PFS from this real-life study in

patients that were sicker and

more heavily pre-treated

than in the previous phase 2 and phase 3 trials, suggest that Lenvatinib

treatment should be initiated

when patients are still in good general condition with a limited

tumour burden to take full advantage of its efficacy

.

Berdelou A, et al. Thyroid. 2017