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Eribulin mesylate in the treatment of metastatic breast cancer

机译:Eribulin甲磺酸盐治疗转移性乳腺癌

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The treatment of metastatic breast cancer (MBC) has become increasingly challenging as the primary goals of therapy include prolonging life without added toxicity. While multiple agents are approved for the therapy of MBC, there is no standard approach for therapy beyond the second-line. Eribulin mesylate, an analog of the marine sponge halichondrin B, is a non-taxane microtubule dynamics inhibitor with a mechanism of action distinct from other tubulin-targeted drugs. Based on a significant extension in overall survival seen in a Phase III clinical trial, eribulin was approved for third-line therapy in MBC patients following anthracycline and taxane failure. Eribulin has a manageable toxicity profile and a low incidence of peripheral neuropathy. In this review, we discuss the natural source of eribulin, pharmacology, mode of action, preclinical and clinical data, and patient-focused perspectives.
机译:随着治疗的主要目标包括延长毒性,治疗转移性乳腺癌(MBC)的治疗变得越来越具有挑战性。虽然多个药剂被批准用于MBC的治疗,但没有标准方法以超出二线的治疗方法。叶绿素甲磺酸盐,船只海绵卤氏素素B的类似物是非紫杉烷微管动态抑制剂,其具有与其他小管蛋白靶向药物不同的作用机制。基于在III期临床试验中出现的总体生存率的显着延伸,Eribulin在蒽环素和紫杉烷失败后批准了MBC患者的第三线治疗。 Eribulin具有可管理的毒性曲线和低发生的周围神经病变。在本综述中,我们讨论了Eribulin,药理学,作用方式,临床前和临床数据的自然来源,并以患者为重点的观点。

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