Eribulin in advanced breast cancer: safety, efficacy and new perspectives

被引:9
|
作者
Garrone, Ornella [1 ]
Miraglio, Emanuela [1 ]
Vandone, Anna Maria [1 ]
Vanella, Paola [1 ]
Lingua, Daniele [1 ]
Merlano, Marco C. [1 ]
机构
[1] Med Oncol AOS Croce & Carle Osped Insegnamento, Cuneo, Italy
关键词
chemotherapy; eribulin; mechanism of action; metastatic breast cancer; new treatment; HALICHONDRIN-B ANALOG; ADVANCED SOLID TUMORS; PHASE-I; LOCALLY RECURRENT; 1ST-LINE THERAPY; CONSORTIUM TRIAL; DOSE-ESCALATION; POOLED ANALYSIS; MESYLATE E7389; CHEMOTHERAPY;
D O I
10.2217/fon-2017-0283
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Eribulin is a synthetic analog of halichondrin B belonging to microtubule-targeted agents with a distinct mechanism of inhibition of microtubule dynamics. This molecule has multiple nonmitotic effects on tumor biology, exhibiting effects on epithelial-mesenchimal transition and tumor vasculature. We review here preclinical and clinical studies on eribulin. The mitotic and nonmitotic effects together with its favorable safety profile make eribulin a unique drug with high potential in the treatment of metastatic breast cancer. The new emphasis of eribulin mechanism of action on vascular remodeling, microenvironment modifications and reversal of epithelial-mesenchimal transition paves the way to rethinking the use of the drug in an immunological perspective.
引用
收藏
页码:2759 / 2769
页数:11
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