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Lenvatinib

Phase 3

Carcinoma, Hepatocellular | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: May 14, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,273
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04246177Safety and Efficacy of Lenvatinib (E7080/MK-7902) With Pembrolizumab (MK-3475) in Combination With Transarterial Chemoembolization (TACE) in Participants With Incurable/Non-metastatic Hepatocellular Carcinoma (MK-7902-012/E7080-G000-318/LEAP-012)PHASE3 COMPLETED 479May 22, 2020Mar 26, 2026May 14, 2026205 United States, Australia +25
NCT03713593Safety and Efficacy of Lenvatinib (E7080/MK-7902) in Combination With Pembrolizumab (MK-3475) Versus Lenvatinib as First-line Therapy in Participants With Advanced Hepatocellular Carcinoma (MK-7902-002/E7080-G000-311/LEAP-002)PHASE3 COMPLETED 794Dec 31, 2018Sep 24, 2024Feb 5, 2026172 United States, Australia +19
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Study Endpoints
Primary Endpoints
Progression-free Survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Up to ~43 months

PFS is defined as the time from randomization to the first documented progressive disease or death due to any cause, whichever occurs first. Responses are according to RECIST 1.1 as assessed by blinded independent central review (BICR).

Overall Survival (OS)
Up to ~95 months

OS is defined as the time from randomization to death due to any cause.

Secondary Endpoints
PFS per Modified Response Evaluation Criteria in Solid Tumors (mRECIST)
Up to ~43 months
Objective Response Rate (ORR) per mRECIST
Up to ~95 months
Disease Control Rate (DCR) per mRECIST
Up to ~95 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Lenvatinib plus Pembrolizumab plus TACEEXPERIMENTALParticipants will receive a combination of lenvatinib, pembrolizumab, and TACE. Lenvatinib will be administered at a dose of 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight \<60 kg) orally once a day during each 21-day cycle until progressive disease or unacceptable toxicity (up to 2 years \[\~35 cycles\] or longer with Sponsor approval). Pembrolizumab will be administered via IV infusion at a dose of 400 mg once every 6 weeks (Q6W) for up to 2 years (\~17 doses). Participants will undergo TACE as a background procedure of chemotherapeutic and embolic agent(s).
Oral Placebo plus IV Placebo plus TACEACTIVE_COMPARATORParticipants will receive a combination of lenvatinib-matching oral placebo, pembrolizumab-matching IV placebo, and TACE. Lenvatinib-matching oral placebo will be administered once a day during each 21-day cycle for up to 2 years (\~35 cycles) or longer with Sponsor approval and pembrolizumab-matching IV placebo will be administered once every 6 weeks (Q6W) for up to 2 years (\~17 doses). Participants will undergo TACE as a background procedure of chemotherapeutic and embolic agent(s).
lenvatinib plus pembrolizumabEXPERIMENTALParticipants receive lenvatinib 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight \<60 kg) orally once a day (QD) plus pembrolizumab 200 mg by intravenous (IV) infusion on Day 1 of each 21-day cycle (Q3W). Pembrolizumab will be administered for up to 35 cycles (approximately 24 months). Lenvatinib will be administered until progressive disease or unacceptable toxicity.
lenvatinib plus placeboACTIVE_COMPARATORParticipants receive lenvatinib 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight \<60 kg) orally QD plus saline placebo by IV infusion on Day 1 Q3W. Saline placebo will be administered for up to 35 cycles (approximately 24 months). Lenvatinib will be administered until progressive disease or unacceptable toxicity.
Interventions
NameTypeDescription
LenvatinibDRUGAdministered at a dose of 12 mg (for participants with screening body weight ≥60 kg) or 8 mg (for participants with screening body weight \<60 kg) via oral capsules once a day during each 21-day cycle.
PembrolizumabBIOLOGICALAdministered via IV infusion at a dose of 400 mg once every 6 weeks (Q6W).
Oral PlaceboDRUGLenvatinib-matching placebo administered via oral capsules once a day during each 21-day cycle.
IV PlaceboDRUGPembrolizumab-matching placebo administered via IV infusion once every 6 weeks (Q6W).
TACEPROCEDUREConducted as a background procedure of chemotherapeutic and embolic agent(s).
saline placeboDRUGAdministered as an IV infusion on Day 1 Q3W
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites205

Inclusion Criteria: * Has a diagnosis of HCC confirmed by radiology, histology, or cytology * Has HCC localized to the liver and not amenable to curative treatment * Participants with Hepatitis C virus (HCV) are eligible if treatment was completed at least 1 month prior to starting study interventi...

Countries:United StatesAustraliaBrazilChileChinaColombiaDenmarkFranceGermanyHong KongHungaryIrelandIsraelItalyJapanNetherlandsNew ZealandNorwayPortugalPuerto RicoSouth KoreaSpainTaiwanThailandTurkey (Türkiye)UkraineUnited KingdomCanadaMexicoPolandRussia
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Recent Changes (Last 90 Days)
HIGHMay 26, 2026NCT04246177Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWMay 24, 2026NCT04246177studyFirstPostDate: changed