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Eribulin drug review
Nishitha Shetty1, Sudeep Gupta1
1Department of Medical Oncology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.
Abstract:
Eribulin is an anticancer drug approved for treatment of metastatic breast cancer. This drug is a synthetic derivative from Japanese marine sponge Halichondria okadai. It acts by interfering with the microtubular growth ultimately leading to apoptosis after prolonged mitotic blockage. In patients with metastatic breast cancer refractory to anthracyclines and taxanes, eribulin is one of the life-saving options. Neutropenia, neuropathy and QT prolongation are the most frequent adverse events associated with this drug. Phase I/II trials are also underway in refractory lung, ovarian, pancreatic, bladder, and soft tissue tumors. Larger prospective studies will define the role of this drug in a wide variety of tumors, and the future looks very promising.
Insights
Eribulin mesylate is a life-saving anticancer drug derived from a marine sponge, effective for metastatic breast cancer resistant to other treatments. Ongoing trials explore its potential in various other refractory tumors.
Area of Science:
- Oncology
- Pharmacology
- Marine Biotechnology
Background:
- Eribulin mesylate is a synthetic macrocyclic ketone analog of halichondrin B, originally isolated from the marine sponge Halichondria okadai.
- It is approved for patients with metastatic breast cancer who have progressed on anthracyclines and taxanes.
- Eribulin functions as a microtubule dynamics inhibitor, leading to prolonged mitotic arrest and apoptosis.
Purpose of the Study:
- To review the efficacy and safety of eribulin mesylate in metastatic breast cancer.
- To discuss its mechanism of action and potential applications in other malignancies.
Main Methods:
- Review of clinical trial data and scientific literature on eribulin mesylate.
- Analysis of its pharmacokinetic and pharmacodynamic properties.
- Evaluation of its role in various cancer types.
Main Results:
- Eribulin demonstrates significant efficacy in heavily pre-treated metastatic breast cancer patients.
- Common adverse events include neutropenia, neuropathy, and QT prolongation.
- Phase I/II trials are investigating eribulin in lung, ovarian, pancreatic, bladder, and soft tissue tumors.
Conclusions:
- Eribulin mesylate is a valuable therapeutic option for refractory metastatic breast cancer.
- Its potential utility in a broader range of solid tumors is under active investigation.
- Further prospective studies are crucial to establish its role in diverse oncological settings.
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