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艾瑞布林药物审评

Eribulin drug review.

作者信息

Shetty Nishitha, Gupta Sudeep

机构信息

Department of Medical Oncology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.

出版信息

South Asian J Cancer. 2014 Jan;3(1):57-9. doi: 10.4103/2278-330X.126527.

Abstract

Eribulin is an anticancer drug approved for treatment of metastatic breast cancer. This drug is a synthetic derivative from Japanese marine sponge Halichondria okadai. It acts by interfering with the microtubular growth ultimately leading to apoptosis after prolonged mitotic blockage. In patients with metastatic breast cancer refractory to anthracyclines and taxanes, eribulin is one of the life-saving options. Neutropenia, neuropathy and QT prolongation are the most frequent adverse events associated with this drug. Phase I/II trials are also underway in refractory lung, ovarian, pancreatic, bladder, and soft tissue tumors. Larger prospective studies will define the role of this drug in a wide variety of tumors, and the future looks very promising.

摘要

艾瑞布林是一种被批准用于治疗转移性乳腺癌的抗癌药物。这种药物是日本海洋海绵冈村软海绵的合成衍生物。它通过干扰微管生长起作用,最终在长时间的有丝分裂阻滞后导致细胞凋亡。在对蒽环类药物和紫杉烷类药物难治的转移性乳腺癌患者中,艾瑞布林是挽救生命的选择之一。中性粒细胞减少、神经病变和QT间期延长是与该药物相关的最常见不良事件。I/II期试验也正在难治性肺癌、卵巢癌、胰腺癌、膀胱癌和软组织肿瘤中进行。更大规模的前瞻性研究将确定这种药物在多种肿瘤中的作用,前景十分广阔。

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本文引用的文献

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Eribulin for advanced breast cancer: a drug evaluation.艾立布林治疗晚期乳腺癌:药物评价。
J Breast Cancer. 2013 Mar;16(1):12-5. doi: 10.4048/jbc.2013.16.1.12. Epub 2013 Mar 31.
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Eribulin -- a review of preclinical and clinical studies.艾立布林——临床前和临床研究综述。
Crit Rev Oncol Hematol. 2012 Feb;81(2):163-84. doi: 10.1016/j.critrevonc.2011.03.002. Epub 2011 Apr 14.

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