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CDK4/6 Inhibition as a therapeutic strategy in breast cancer: palbociclib, ribociclib, and abemaciclib
1Division of Hematology Oncology, Department of Medicine, Columbia University Medical Center, New York, NY.
Abstract:
With 40,920 American women expected to die from breast cancer in 2018 and global health estimates that more than 508,000 women died in 2011 from this disease, the identification of novel therapeutic strategies for the treatment of breast cancer cannot be ignored. A breakthrough class of cancer drugs that has emerged in recent years and has had an impact in the treatment of breast cancer are the cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors, with palbociclib the first in class to have received regulatory approval for breast cancer. In this article we will compare and contrast three CDK4/6 inhibitors - palbociclib, ribociclib and abemaciclib - that have received regulatory approval for the treatment of metastatic breast cancer. Ribociclib and abemaciclib developed after the success of palbociclib represent examples of "me-too" therapies increasingly being deployed in oncology.
Insights
New breast cancer drugs, cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors, offer new treatment options. This review compares palbociclib, ribociclib, and abemaciclib for metastatic breast cancer.
Area of Science:
- Oncology
- Pharmacology
Background:
- Breast cancer remains a significant global health concern, necessitating novel therapeutic strategies.
- Cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors represent a promising new class of cancer drugs impacting breast cancer treatment.
Purpose of the Study:
- To compare and contrast three approved CDK4/6 inhibitors: palbociclib, ribociclib, and abemaciclib.
- To discuss the role of these agents in the management of metastatic breast cancer.
Main Methods:
- Review of regulatory-approved CDK4/6 inhibitors for metastatic breast cancer.
- Comparative analysis of palbociclib, ribociclib, and abemaciclib.
Main Results:
- Palbociclib was the first CDK4/6 inhibitor approved for breast cancer.
- Ribociclib and abemaciclib are subsequent "me-too" therapies approved for metastatic breast cancer.
- These agents are increasingly utilized in oncological practice.
Conclusions:
- CDK4/6 inhibitors are an important advancement in breast cancer therapy.
- The comparison of palbociclib, ribociclib, and abemaciclib provides insights into their clinical application.
- The emergence of these targeted therapies highlights the evolving landscape of cancer treatment.
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