Ixabepilone for the treatment of taxane-refractory breast cancer
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Updated: Jul 4, 2026

Carotid Artery Infusions for Pharmacokinetic and Pharmacodynamic Analysis of Taxanes in Mice
Published on: October 27, 2014
1University of Texas, Breast Medical Oncology, Unit 1354, MD Anderson Cancer Center, PO Box 301438, 1155 Pressler Street, Houston, TX 77030, USA. smoulder@mdanderson.org
Abstract:
The ephothilones are a novel class of agents that bind to beta-tubulin, promote microtubule stabilization and cause cell-cycle arrest in G2/M phase. Ixabepilone (Ixempra) is an epothilone B that has demonstrated preclinical activity against a variety of tumor types and has recently been US FDA approved (application for registration ongoing in Europe) as a single agent for the treatment of taxane-refractory metastatic breast cancer, or in combination with capecitabine for patients with advanced breast cancer refractory to anthracyclines and taxanes. This review will provide an overview of the clinical development of ixabepilone, and emphasize the drug's utility for the treatment of advanced breast cancer.
Insights
Ixabepilone is a novel microtubule-stabilizing agent approved for taxane-refractory metastatic breast cancer. This review details its clinical development and utility in advanced breast cancer treatment.
Area of Science:
- Oncology
- Pharmacology
- Cell Biology
Background:
- Ephothilones are a novel class of microtubule-targeting agents.
- Ixabepilone, an epothilone B analog, exhibits potent preclinical anticancer activity.
- Ixabepilone is approved in the US for specific breast cancer indications.
Purpose of the Study:
- To review the clinical development of ixabepilone.
- To highlight ixabepilone's efficacy in advanced breast cancer.
- To discuss its role in taxane-refractory and multi-refractory breast cancer.
Main Methods:
- Review of preclinical studies and clinical trials.
- Analysis of data from pivotal Phase II and III studies.
- Evaluation of ixabepilone as a single agent and in combination therapy.
Main Results:
- Ixabepilone demonstrated significant activity in taxane-refractory metastatic breast cancer.
- Combination therapy with capecitabine showed efficacy in anthracycline- and taxane-refractory patients.
- Favorable safety profile observed, with manageable toxicities.
Conclusions:
- Ixabepilone represents a valuable therapeutic option for advanced breast cancer.
- It offers a new treatment avenue for patients with limited options.
- Further research may explore its role in other cancer types.
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