Cyclin-dependent Kinases 4/6 Inhibitors in Neuroendocrine Neoplasms: from Bench to Bedside

Maria João de Sousa1,2, Lorenzo Gervaso2,3, Monica Isabel Meneses-Medina2,4

  • 1Medical Oncology Department, Instituto Português de Oncologia de Coimbra Francisco Gentil EPE, IPO Coimbra, Coimbra, Portugal.

Abstract

Insights

Cyclin-dependent kinase (CDK) 4/6 inhibitors show promise in neuroendocrine neoplasms (NENs). While antitumor effects are still under investigation, trilaciclib demonstrates significant myeloprotective benefits in small cell lung cancer (SCLC).

Area of Science:

  • Oncology
  • Cell Biology
  • Pharmacology

Background:

  • Cyclin-dependent kinases (CDKs) are critical regulators of cell division.
  • CDK4/6 inhibitors like palbociclib, ribociclib, and abemaciclib have shown antitumor activity.
  • Trilaciclib, a CDK4/6 inhibitor, exhibits myeloprotective effects in chemotherapy.

Purpose of the Study:

  • To review current evidence on CDK4/6 inhibitors in neuroendocrine neoplasms (NENs).

Main Methods:

  • Review of preclinical data and clinical trials involving CDK4/6 inhibitors in NENs.
  • Examination of trilaciclib's role in mitigating chemotherapy-induced myelosuppression.

Main Results:

  • Preclinical studies suggest CDK4/6 inhibitors have antitumor potential in neuroendocrine tumors (NETs).
  • Limited clinical trials in NETs have not yet demonstrated significant improvements in progression-free survival or objective response.
  • Trilaciclib effectively reduces chemotherapy-induced myelosuppression in small cell lung cancer (SCLC).

Conclusions:

  • CDK4/6 inhibitors remain investigational for antitumor therapy in NENs.
  • Trilaciclib is approved for routine use in extensive-stage SCLC to manage myelotoxicity.

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