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Clinical and experimental aspects of tirbanibulin treatments
Annabel Shen1, Rebecca A Simonette1, Peter L Rady1
1Department of Dermatology, The University of Texas McGovern Medical School, 6431 Fannin St, Houston, TX, 77070, USA.
Abstract:
Tirbanibulin is a topical medication approved in 2020 as a 5 day topical treatment for actinic keratosis, a precancerous skin lesion characterized by the hyperproliferation of atypical keratinocytes. Tirbanibulin exerts its effects through dual mechanisms: microtubule inhibition, which disrupts cell division, and Src kinase inhibition, which interferes with cancer-associated signaling pathways. Although its primary use is in AK, these mechanisms suggested potential therapeutic applications in a broader range of epithelial cancers. In this literature review, we explored tirbanibulin's application in not only actinic keratosis, but also in squamous cell carcinoma and basal cell carcinoma. We addressed the relevant findings obtained in recent papers to evaluate tirbanibulin's safety, efficacy, side effects, real-life clinical experiences, and its potential in anti-aging and skin lightening therapies on patients. In summary, we highlighted the preclinical and clinical evidence on the use of tirbanibulin as an effective and safe treatment option beyond AK. Graphical Abstract.
Insights
Tirbanibulin, a topical medication, shows promise beyond actinic keratosis (AK) treatment. This review highlights its potential efficacy and safety in managing squamous cell carcinoma and basal cell carcinoma.
Area of Science:
- Dermatology
- Oncology
- Pharmacology
Background:
- Tirbanibulin is a topical medication approved for actinic keratosis (AK), a precancerous skin condition.
- It functions via dual mechanisms: microtubule inhibition and Src kinase inhibition.
- These mechanisms suggest potential applications in other epithelial cancers.
Purpose of the Study:
- To review tirbanibulin's applications beyond AK, specifically in squamous cell carcinoma (SCC) and basal cell carcinoma (BCC).
- To evaluate tirbanibulin's safety, efficacy, side effects, and clinical experiences in various dermatological conditions.
- To explore its potential in anti-aging and skin lightening therapies.
Main Methods:
- Literature review of recent preclinical and clinical studies on tirbanibulin.
- Analysis of tirbanibulin's mechanisms of action, including microtubule and Src kinase inhibition.
- Evaluation of reported safety, efficacy, and side effect profiles.
Main Results:
- Tirbanibulin demonstrates potential therapeutic applications in squamous cell carcinoma and basal cell carcinoma.
- Evidence suggests tirbanibulin is a safe and effective treatment option for conditions beyond AK.
- Clinical experiences and safety data are being gathered for broader applications.
Conclusions:
- Tirbanibulin offers a promising treatment option for various epithelial cancers, extending beyond its initial indication for AK.
- Further research and clinical trials are warranted to fully establish its efficacy and safety in broader dermatological and oncological applications.
- Tirbanibulin's dual mechanism of action supports its versatile therapeutic potential in skin cancer and potentially in cosmetic dermatology.
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