Table 2 Comparison of dose-adjusted mean trough concentrations of lenvatinib between genotypes of ABC transporters and CYP3A4/5.

From: Influence of CYP3A4/5 and ABC transporter polymorphisms on lenvatinib plasma trough concentrations in Japanese patients with thyroid cancer

Genotype

n

Dose-adjusted C0 (ng/mL/mg)

P value

Median

Minimum - Maximum

ABCB1 1236C > T

   C/C

8

4.37

(1.67–10.4)

0.303a

   C/T

22

5.87

(1.40–12.6)

   T/T

10

5.85

(3.24–11.0)

ABCB1 2677G > T/A

   G/G

9

5.08

(3.09–12.6)

0.755a

   G/T + G/A

19

5.67

(1.40–11.0)

   T/T + T/A + A/A

12

5.62

(2.06–11.0)

ABCB1 3435C > T

   C/C

14

4.90

(1.40–12.6)

0.724a

   C/T

21

5.52

(2.06–11.0)

   T/T

5

6.02

(4.24–7.46)

ABCG2 421C > A

   C/C

20

4.73

(1.40–12.6)

0.063b

   C/A + A/A

20

6.34

(1.67–10.4)

ABCC2 −24C > T

   C/C

24

5.03

(1.40–12.6)

0.036b

   C/T + T/T

16

6.57

(4.06–11.0)

   CYP3A4 20230G > A(*1G)

   *1/*1

24

6.34

(1.40–12.6)

0.018b

   *1/*1G + *1G/*1G

16

4.77

(1.67–7.52)

CYP3A5 6986 A > G(*3)

   *1/*1 + *1/*3

14

4.77

(1.67–10.4)

0.063b

   *3/*3

26

6.22

(1.40–12.6)

 

Sex

   Female

27

5.67

(1.67–12.6)

0.252b

   Male

13

5.08

(1.40–10.4)

 

Correlation coefficient (r)

 

   Age (years)

0.061

0.817

   Body weight (kg)

−0.220

0.414

Laboratory test values at lenvatinib initiation

   Aspartate transaminase

0.273

0.098

   Alanine transaminase

0.151

0.388

   Serum albumin

0.189

0.249

   Total bilirubin

0.336

0.037

   Serum creatinine

−0.151

0.357

  1. aKruskal Wallis, bMann-Whitney.
  2. The dose-adjusted C0 of lenvatinib for each patient was calculated using the average of several C0 values at the steady-state.