Addressing delivery and resistance issues of CDK4/6 inhibitors as cancer therapeutics
Kshitiz Luthra1, Nalla Usha Kumari1, Sri Pada Datta Chigurupati1
1Department of Pharmaceutics, National Institute of Pharmaceutical Education and Research, Hyderabad, Telangana, India.
Abstract:
Cancer treatment is limited by poor specificity, efficacy, toxicity and resistance associated with conventional treatment options involving surgery, chemotherapy, and radiation therapy. The introduction of newer targeted agents, such as cyclin-dependent kinases-4 and -6 (CDK4/6) inhibitors, in the treatment of hormone receptor-positive breast cancer has improved breast cancer treatment. However, the high dose, frequent administration, and acquired resistance of these newer anti-cancer molecules significantly limits their therapeutic application. In this review, we explore the current landscape of nanoformulations and advanced formulation strategies, including lipid and polymeric-based systems, salt forms, and inclusion complexes, for improving the efficacy of CDK4/6 inhibitors and circumventing resistance mechanisms. Overall, these novel formulation strategies represent a promising frontier for improving the clinical potential of CDK4/6 inhibitor therapy.
Insights
Novel nanoformulations enhance cyclin-dependent kinases-4 and -6 (CDK4/6) inhibitors for breast cancer treatment. These advanced strategies aim to improve efficacy and overcome resistance, offering a promising future for targeted cancer therapy.
Area of Science:
- Oncology
- Nanomedicine
- Pharmacology
Background:
- Conventional cancer therapies face limitations in specificity, efficacy, and resistance.
- Cyclin-dependent kinases-4 and -6 (CDK4/6) inhibitors have improved hormone receptor-positive breast cancer treatment.
- Challenges remain with CDK4/6 inhibitors, including high dosage, frequent administration, and acquired resistance.
Purpose of the Study:
- To review advanced formulation strategies for CDK4/6 inhibitors.
- To explore nanoformulations for enhancing CDK4/6 inhibitor efficacy.
- To address resistance mechanisms associated with CDK4/6 inhibitor therapy.
Main Methods:
- Review of current literature on nanoformulations and advanced drug delivery systems.
- Analysis of lipid and polymeric-based systems, salt forms, and inclusion complexes.
- Investigation of strategies to circumvent resistance to CDK4/6 inhibitors.
Main Results:
- Nanoformulations and advanced strategies show potential for improving CDK4/6 inhibitor delivery.
- These approaches can enhance anti-cancer efficacy and overcome resistance mechanisms.
- Novel formulations offer a promising route to optimize therapeutic applications.
Conclusions:
- Advanced formulation strategies, particularly nanoformulations, are crucial for maximizing the potential of CDK4/6 inhibitors.
- These innovations represent a significant step forward in overcoming limitations of current targeted cancer therapies.
- Further development of these strategies could lead to improved clinical outcomes for breast cancer patients.
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