Patients received 12 mg/day (for bodyweight ≥ 60 kg) or 8 mg/day (for bodyweight < 60 kg) oral lenvatinib daily. The lenvatinib dose was interrupted and subsequently reduced to 8 mg and 4 mg/day or 4 mg every other day when grade 3 or greater adverse events according to the common terminology criteria for adverse events version 5.0 occurred. When lenvatinib treatment was discontinued due to adverse event or progressive disease, another systemic therapy such as sorafenib, regorafenib, cabozantinib, and ramucirumab, was administered if applicable.