Clinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective

Peng Yuan, Binghe Xu National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, People’s Republic of ChinaCorrespondence: Binghe XuNational Cancer Center, National Clinical Re...

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Autores principales: Yuan P, Xu B
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:93ca463d3c6d472ea7ed8d651f94b2a42021-12-02T16:23:31ZClinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective1179-1314https://doaj.org/article/93ca463d3c6d472ea7ed8d651f94b2a42021-02-01T00:00:00Zhttps://www.dovepress.com/clinical-utility-of-eribulin-mesylate-in-the-treatment-of-breast-cance-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Peng Yuan, Binghe Xu National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, People’s Republic of ChinaCorrespondence: Binghe XuNational Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, People’s Republic of ChinaTel +86 1087788826Email xubinghebm@163.comAbstract: Eribulin mesylate, a synthetic derivative of the anti-mitotic agent halichondrin B, has a unique tubulin-based mechanism of action that is distinct from other anti-microtubule agents including taxanes and vinca alkaloids. Consistent with this unique activity, eribulin has shown clinical efficacy in patients with metastatic breast cancer (MBC) that progressed following prior taxane and anthracycline therapy. The evidence presented in this review indicates that eribulin represents a treatment option for patients with HER2-negative metastatic breast cancer. Improved survival outcomes and better tolerability compared with vinorelbine supported the first approval of eribulin in China in 2019; eribulin was approved for women with locally advanced/metastatic HER2-negative breast cancer after treatment failure with at least two chemotherapy regimens, including an anthracycline and a taxane. Eribulin has also shown promising efficacy in patients with HER2-positive advanced breast cancer when used in combination with trastuzumab or pertuzumab, and subgroup analyses from the Phase III clinical trials support the continued evaluation of eribulin in patients with triple-negative disease. The unique non-mitotic effects of eribulin, including vascular remodeling, coupled with its clinical efficacy and safety profile, may permit the broader use of this agent in patients with MBC.Keywords: eribulin mesylate, breast cancer, ChinaYuan PXu BDove Medical Pressarticleeribulin mesylatebreast cancerchinaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 13, Pp 135-150 (2021)
institution DOAJ
collection DOAJ
language EN
topic eribulin mesylate
breast cancer
china
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle eribulin mesylate
breast cancer
china
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Yuan P
Xu B
Clinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective
description Peng Yuan, Binghe Xu National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, People’s Republic of ChinaCorrespondence: Binghe XuNational Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, People’s Republic of ChinaTel +86 1087788826Email xubinghebm@163.comAbstract: Eribulin mesylate, a synthetic derivative of the anti-mitotic agent halichondrin B, has a unique tubulin-based mechanism of action that is distinct from other anti-microtubule agents including taxanes and vinca alkaloids. Consistent with this unique activity, eribulin has shown clinical efficacy in patients with metastatic breast cancer (MBC) that progressed following prior taxane and anthracycline therapy. The evidence presented in this review indicates that eribulin represents a treatment option for patients with HER2-negative metastatic breast cancer. Improved survival outcomes and better tolerability compared with vinorelbine supported the first approval of eribulin in China in 2019; eribulin was approved for women with locally advanced/metastatic HER2-negative breast cancer after treatment failure with at least two chemotherapy regimens, including an anthracycline and a taxane. Eribulin has also shown promising efficacy in patients with HER2-positive advanced breast cancer when used in combination with trastuzumab or pertuzumab, and subgroup analyses from the Phase III clinical trials support the continued evaluation of eribulin in patients with triple-negative disease. The unique non-mitotic effects of eribulin, including vascular remodeling, coupled with its clinical efficacy and safety profile, may permit the broader use of this agent in patients with MBC.Keywords: eribulin mesylate, breast cancer, China
format article
author Yuan P
Xu B
author_facet Yuan P
Xu B
author_sort Yuan P
title Clinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective
title_short Clinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective
title_full Clinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective
title_fullStr Clinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective
title_full_unstemmed Clinical Utility of Eribulin Mesylate in the Treatment of Breast Cancer: A Chinese Perspective
title_sort clinical utility of eribulin mesylate in the treatment of breast cancer: a chinese perspective
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/93ca463d3c6d472ea7ed8d651f94b2a4
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