lenvatinib

Kisplyx, Lenvima · ATC code L01XE29

Brand names: Kisplyx, Lenvima, Lenvatinib Accord, Lenvatinib Rcc Sandoz, Lenvatinib Rcc Teva B.V, Lenvatinib Rcc Teva B.V., Lenvatinib Sandoz, Lenvatinib Stada®, Lenvatinib Teva, Lenvatinib Viatris, Lenvatinib Hexal, Lenvatinib Ratiopharm, Lenvatinib-Rcc Ratiopharm, Syltezib

Key facts
Active substance
lenvatinib
Drug class
ALK inhibitor
ATC code
L01XE29
Authorisation
centrally authorised across the EU (EMA)
Dosage forms
Kisplyx 4 mg hard capsules / Kisplyx 10 mg hard capsules · LENVIMA 4 mg hard capsules / LENVIMA 10 mg hard capsules
Marketing authorisation holder
Eisai GmbH
Information as of
2026-10-27

Key facts

Lenvatinib is a multikinase inhibitor. As Kisplyx it is used in advanced renal cell carcinoma; as Lenvima in thyroid, hepatocellular and endometrial carcinoma.

What it is used for

  • Kisplyx: advanced renal cell carcinoma – first-line with pembrolizumab, or with everolimus after one prior VEGF-targeted therapy
  • Lenvima: progressive, radioactive-iodine-refractory differentiated thyroid carcinoma (monotherapy)
  • Lenvima: advanced or unresectable hepatocellular carcinoma with no prior systemic therapy (monotherapy)
  • Lenvima: advanced or recurrent endometrial carcinoma after platinum-containing therapy, with pembrolizumab

Dosing

  • Kisplyx with pembrolizumab: 20 mg once daily
  • Kisplyx with everolimus: 18 mg once daily plus everolimus 5 mg daily
  • Lenvima in thyroid carcinoma: 24 mg once daily; reduction steps 20 mg, 14 mg, 10 mg
  • Lenvima in HCC: 8 mg daily (< 60 kg) or 12 mg daily (≥ 60 kg)
  • Lenvima in endometrial carcinoma: see full text for dosing
  • Skip a missed dose if it cannot be taken within 12 hours; modify dose by toxicity

Contraindications

  • Hypersensitivity to the active substance or any excipient
  • Breast-feeding

Important warnings

  • Hypertension, usually early; control blood pressure before starting; serious complications including aortic dissection reported
  • Proteinuria and renal failure; treat gastrointestinal toxicity actively
  • Arterial thromboembolism, cardiac failure, haemorrhage, hepatic failure, PRES
  • Severe reactions require interruption and resumption at a reduced dose

Side effects

  • Very frequent: hypertension, diarrhoea, decreased appetite, weight loss, fatigue, nausea, proteinuria, stomatitis
  • Also frequent: vomiting, dysphonia, headache, palmar-plantar erythrodysaesthesia, hypothyroidism (with pembrolizumab)
  • Serious: renal failure, arterial thromboembolism, cardiac failure, intracranial tumour haemorrhage, hepatic failure

Interactions

  • No significant interaction expected with CYP3A4/P-gp substrates
  • Unknown whether hormonal contraceptives are less effective – add a barrier method

Pregnancy and breastfeeding

  • Highly effective contraception during and for at least one month after treatment; use in pregnancy only if clearly necessary
  • Breast-feeding is contraindicated

Summary of the official product information, written with AI (Claude, Anthropic) on 2026-10-28. Every number was checked automatically against the original text. Not reviewed by a physician – the full official text is authoritative.

Full official text →

Common questions – ask Medelix

For patients

Package leaflet, verbatim

Package leaflet for patients →

Authorisation and brand names by country

Medicines with exactly this active-substance composition, as listed in the national registers – alphabetical and without ranking. Whether a product is currently available is not shown here.

EU – centrally authorised (all member states)

  • KisplyxEisai GmbH · EMEA/H/C/004224
  • LenvimaEisai GmbH · EMEA/H/C/003727

Source: European Medicines Agency (EMA), product information

Austria

  • Lenvatinib AccordAccord Healthcare B.V. · 1 register entry
  • Lenvatinib Rcc SandozSandoz Gmbh · 1 register entry
  • Lenvatinib Rcc Teva B.VRatiopharm Arzneimittel Vertriebs-Gmbh · 1 register entry
  • Lenvatinib Rcc Teva B.V.Ratiopharm Arzneimittel Vertriebs-Gmbh · 1 register entry
  • Lenvatinib SandozSandoz Gmbh · 1 register entry
  • Lenvatinib Stada®Stadapharm Gmbh · 1 register entry
  • Lenvatinib TevaRatiopharm Arzneimittel Vertriebs-Gmbh · 1 register entry
  • Lenvatinib ViatrisViatris Limited · 1 register entry

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Germany

  • Lenvatinib AccordAccord Healthcare B.V. · 1 register entry
  • Lenvatinib HexalHexal Ag · 2 register entries
  • Lenvatinib RatiopharmRatiopharm Gmbh · 1 register entry
  • Lenvatinib-Rcc RatiopharmRatiopharm Gmbh · 1 register entry
  • SyltezibAccord Healthcare B.V. · 1 register entry

Source: EMA – Article 57 product data (EU/EEA), as of 2026-10-28

Brand names in 27 more European countries
Belgium
Ixedafin, Lenvatinib Accord, Pelipton
Bulgaria
Ленватиниб Виатрис
Croatia
Lenvatinib Remedica
Cyprus
Lenvatinib Remedica
Czechia
Lenvatinib Accord, Lenvatinib Sandoz, Lenvatinib Teva, Lenvatinib Viatris, Syltezib
Denmark
Lenvatinib Accord, Lenvatinib Sandoz, Lenvatinib Stada, Lenvatinib Teva, Lenvatinib Viatris
Estonia
Lenvatinib Remedica, Lenvatinib Sandoz, Lenvatinib Stada
Finland
Ixedafin, Lenvatinib, Palarccio, Pelipton
France
Ixedafin, Lenvatinib Accord, Lenvatinib Biogaran, Lenvatinib Gnr, Lenvatinib Sandoz, Lenvatinib Teva, Lenvatinib Viatris, Pelipton
Greece
Kynvalib, Lenvatinib Elpen, Lenvatinib Sandoz, Lenvatinib Teva
Hungary
Lenvatinib Stada
Iceland
Kisplyx, Lenvima
Ireland
Lenvatinib Accord, Lenvatinib Stada, Lenvatinib Viatris
Italy
Lenvatinib Accord, Lenvatinib Sandoz, Lenvatinib Teva
Latvia
Lenvatinib Sandoz, Lenvatinib Stada
Liechtenstein
Kisplyx, Lenvima
Lithuania
Lenvatinib Sandoz, Lenvatinib Stada
Luxembourg
Ixedafin, Lenvatinib Olpha, Pelipton, Xyvora
Malta
Lenvatinib Remedica, Lenvatinib Stada
Netherlands
Lenvatinib, Palarccio, Syltezib, Xyvora
Norway
Kisplyx, Lenvatinib Accord, Lenvatinib Sandoz, Lenvatinib Stada, Lenvatinib Teva, Lenvatinib Viatris, Lenvima, Palarccio
Portugal
Lenvatinib Accord, Lenvatinib Sandoz, Lenvatinib Viatris
Romania
Lenvatinib Stada
Slovakia
Lenvatinib Pharmevid
Slovenia
10, Lenvatinib Sandoz
Spain
Lenvatinib Accord, Lenvatinib Sandoz, Lenvatinib Stada
Sweden
Lenvatinib Accord, Lenvatinib Avansor, Lenvatinib Mylan, Lenvatinib Sandoz, Lenvatinib Stada, Lenvatinib Viatris, Palarccio

EMA – Article 57 product data (EU/EEA), 2026-10-28

Medelix receives no money from pharmaceutical companies. Brand names are listed alphabetically and without ranking.

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Medelix answers clinical questions from guidelines, studies and product information – every claim with its source.

Sources

  1. European Medicines Agency. Kisplyx – EPAR, Product Information. 2026-10-27. https://www.ema.europa.eu/en/documents/product-information/kisplyx-epar-product-information_en.pdf
  2. European Medicines Agency. Lenvima – EPAR, Product Information. 2026-10-27. https://www.ema.europa.eu/en/documents/product-information/lenvima-epar-product-information_en.pdf
  3. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  4. EMA – Article 57 product data (EU/EEA), 2026-10-28. https://www.ema.europa.eu/en/human-regulatory-overview/post-authorisation/data-medicines-iso-idmp-standards-post-authorisation/public-data-article-57-database
  5. Wikidata (CC0): ATC L01XE.

Editorial: Medelix editorial team · last updated 2026-10-27 · How these pages are made · Report an error

Source: European Medicines Agency (EMA), product information. Not advertising, not a treatment recommendation. For questions about your own treatment, ask your doctor or pharmacist.