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阿贝西利:全球首次批准。

Abemaciclib: First Global Approval.

机构信息

Springer, Private Bag 65901, Mairangi Bay 0754, Auckland, New Zealand.

出版信息

Drugs. 2017 Dec;77(18):2063-2070. doi: 10.1007/s40265-017-0840-z.

DOI:10.1007/s40265-017-0840-z
PMID:29128965
Abstract

Abemaciclib (Verzenio™) is an orally administered inhibitor of cyclin-dependent kinases 4 and 6 that is being developed by Eli Lilly and Company. Abemaciclib has been approved in the USA for the treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer, in combination with fulvestrant in women with disease progression following endocrine therapy, and as monotherapy in adult patients with disease progression following endocrine therapy and prior chemotherapy in the metastatic setting. In addition, abemaciclib is in various stages of development internationally for a variety of cancers. This article summarizes the milestones in the development of abemaciclib leading to its first approval for the treatment of patients with HR-positive, HER2-negative advanced or metastatic breast cancer.

摘要

阿贝西利(Verzenio™)是一种由礼来公司开发的、口服的细胞周期蛋白依赖性激酶 4 和 6 抑制剂。阿贝西利已在美国获得批准,用于治疗激素受体(HR)阳性、人表皮生长因子受体 2(HER2)阴性的晚期或转移性乳腺癌,与氟维司群联合用于内分泌治疗后疾病进展的女性,以及用于内分泌治疗后疾病进展且先前在转移性环境中接受过化疗的成年患者的单药治疗。此外,阿贝西利在国际上也处于各种癌症的不同开发阶段。本文总结了阿贝西利开发过程中的重要里程碑,最终使其获得批准,用于治疗 HR 阳性、HER2 阴性的晚期或转移性乳腺癌患者。

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Abemaciclib: First Global Approval.阿贝西利:全球首次批准。
Drugs. 2017 Dec;77(18):2063-2070. doi: 10.1007/s40265-017-0840-z.
2
MONARCH 2: Abemaciclib in Combination With Fulvestrant in Women With HR+/HER2- Advanced Breast Cancer Who Had Progressed While Receiving Endocrine Therapy.MONARCH 2 研究:阿贝西利联合氟维司群治疗 HR+/HER2-晚期乳腺癌患者的疗效,这些患者在接受内分泌治疗时发生了进展。
J Clin Oncol. 2017 Sep 1;35(25):2875-2884. doi: 10.1200/JCO.2017.73.7585. Epub 2017 Jun 3.
3
MONARCH 3: Abemaciclib As Initial Therapy for Advanced Breast Cancer.MONARCH 3:阿贝西利作为晚期乳腺癌初始治疗。
J Clin Oncol. 2017 Nov 10;35(32):3638-3646. doi: 10.1200/JCO.2017.75.6155. Epub 2017 Oct 2.
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nextMONARCH: Abemaciclib Monotherapy or Combined With Tamoxifen for Metastatic Breast Cancer.nextMONARCH:阿贝西利单药治疗或联合他莫昔芬治疗转移性乳腺癌。
Clin Breast Cancer. 2021 Jun;21(3):181-190.e2. doi: 10.1016/j.clbc.2020.09.011. Epub 2020 Sep 30.
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A current and comprehensive review of cyclin-dependent kinase inhibitors for the treatment of metastatic breast cancer.用于治疗转移性乳腺癌的细胞周期蛋白依赖性激酶抑制剂的最新全面综述。
Curr Med Res Opin. 2017 Sep;33(9):1559-1569. doi: 10.1080/03007995.2017.1348344. Epub 2017 Jul 25.
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Role of cyclin-dependent kinase 4/6 inhibitors in the current and future eras of cancer treatment.细胞周期蛋白依赖性激酶4/6抑制剂在当前及未来癌症治疗时代的作用
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Landscape of Baseline and Acquired Genomic Alterations in Circulating Tumor DNA with Abemaciclib Alone or with Endocrine Therapy in Advanced Breast Cancer.阿贝西利单药或联合内分泌治疗晚期乳腺癌患者循环肿瘤 DNA 中基线和获得性基因组改变的图谱。
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Abemaciclib in combination with endocrine therapy for East Asian patients with HR+, HER2- advanced breast cancer: MONARCH 2 & 3 trials.阿贝西利联合内分泌治疗 HR+/HER2-晚期乳腺癌的亚洲患者:MONARCH 2 和 3 研究。
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MONARCH 1, A Phase II Study of Abemaciclib, a CDK4 and CDK6 Inhibitor, as a Single Agent, in Patients with Refractory HR/HER2 Metastatic Breast Cancer.MONARCH 1 研究:阿贝西利(一种 CDK4 和 CDK6 抑制剂)单药治疗难治性 HR/HER2 转移性乳腺癌的 II 期研究。
Clin Cancer Res. 2017 Sep 1;23(17):5218-5224. doi: 10.1158/1078-0432.CCR-17-0754. Epub 2017 May 22.

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本文引用的文献

1
MONARCH 3: Abemaciclib As Initial Therapy for Advanced Breast Cancer.MONARCH 3:阿贝西利作为晚期乳腺癌初始治疗。
J Clin Oncol. 2017 Nov 10;35(32):3638-3646. doi: 10.1200/JCO.2017.75.6155. Epub 2017 Oct 2.
2
Cyclin-dependent kinase 4/6 inhibitors in breast cancer: palbociclib, ribociclib, and abemaciclib.细胞周期蛋白依赖性激酶 4/6 抑制剂在乳腺癌中的应用:帕博西尼、瑞博西尼和阿贝西利。
Breast Cancer Res Treat. 2017 Nov;166(1):41-54. doi: 10.1007/s10549-017-4385-3. Epub 2017 Jul 24.
3
MONARCH 2: Abemaciclib in Combination With Fulvestrant in Women With HR+/HER2- Advanced Breast Cancer Who Had Progressed While Receiving Endocrine Therapy.
单细胞分析确定MKI67小胶质细胞是增殖性糖尿病视网膜病变中新血管形成的驱动因素。
J Transl Med. 2025 Mar 11;23(1):310. doi: 10.1186/s12967-025-06320-w.
4
A quality-by-design approach to develop abemaciclib solid lipid nanoparticles for targeting breast cancer cell lines.采用质量源于设计的方法开发用于靶向乳腺癌细胞系的阿贝西利固体脂质纳米粒。
Ther Deliv. 2025 Feb;16(2):123-137. doi: 10.1080/20415990.2025.2457314. Epub 2025 Jan 29.
5
Injectable supramolecular hydrogel co-loading abemaciclib/NLG919 for neoadjuvant immunotherapy of triple-negative breast cancer.用于三阴性乳腺癌新辅助免疫治疗的共负载阿贝西利/NLG919的可注射超分子水凝胶
Nat Commun. 2025 Jan 15;16(1):687. doi: 10.1038/s41467-025-55904-z.
6
BET inhibitor and CDK4/6 inhibitor synergistically inhibit breast cancer by suppressing BRD4 stability and DNA damage repair.BET抑制剂和CDK4/6抑制剂通过抑制BRD4稳定性和DNA损伤修复协同抑制乳腺癌。
Transl Oncol. 2025 Jan;51:102212. doi: 10.1016/j.tranon.2024.102212. Epub 2024 Nov 25.
7
Synergistic effect of bazedoxifene and abemaciclib co‑treatment in triple‑negative breast cancer cells in vitro.巴泽昔芬与阿贝西利联合治疗对三阴性乳腺癌细胞的体外协同作用。
Oncol Lett. 2024 Sep 19;28(6):554. doi: 10.3892/ol.2024.14688. eCollection 2024 Dec.
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Benzimidazole-based small molecules as anticancer agents targeting telomeric G-quadruplex and inhibiting telomerase enzyme.基于苯并咪唑的小分子作为抗癌剂,靶向端粒 G-四链体并抑制端粒酶。
Future Med Chem. 2024;16(19):2043-2067. doi: 10.1080/17568919.2024.2400982. Epub 2024 Sep 24.
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MONARCH 2 研究:阿贝西利联合氟维司群治疗 HR+/HER2-晚期乳腺癌患者的疗效,这些患者在接受内分泌治疗时发生了进展。
J Clin Oncol. 2017 Sep 1;35(25):2875-2884. doi: 10.1200/JCO.2017.73.7585. Epub 2017 Jun 3.
4
MONARCH 1, A Phase II Study of Abemaciclib, a CDK4 and CDK6 Inhibitor, as a Single Agent, in Patients with Refractory HR/HER2 Metastatic Breast Cancer.MONARCH 1 研究:阿贝西利(一种 CDK4 和 CDK6 抑制剂)单药治疗难治性 HR/HER2 转移性乳腺癌的 II 期研究。
Clin Cancer Res. 2017 Sep 1;23(17):5218-5224. doi: 10.1158/1078-0432.CCR-17-0754. Epub 2017 May 22.
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Recent advances of highly selective CDK4/6 inhibitors in breast cancer.高选择性CDK4/6抑制剂在乳腺癌治疗中的最新进展
J Hematol Oncol. 2017 Apr 24;10(1):97. doi: 10.1186/s13045-017-0467-2.
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Phase 1 study of abemaciclib, an inhibitor of CDK 4 and 6, as a single agent for Japanese patients with advanced cancer.阿贝西利(一种细胞周期蛋白依赖性激酶4和6的抑制剂)单药用于日本晚期癌症患者的1期研究。
Cancer Chemother Pharmacol. 2016 Aug;78(2):281-8. doi: 10.1007/s00280-016-3085-8. Epub 2016 Jun 16.
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Efficacy and Safety of Abemaciclib, an Inhibitor of CDK4 and CDK6, for Patients with Breast Cancer, Non-Small Cell Lung Cancer, and Other Solid Tumors.阿贝西利(一种细胞周期蛋白依赖性激酶 4 和 6 的抑制剂)治疗乳腺癌、非小细胞肺癌和其他实体瘤患者的疗效和安全性。
Cancer Discov. 2016 Jul;6(7):740-53. doi: 10.1158/2159-8290.CD-16-0095. Epub 2016 May 23.
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Targeting the cyclin-dependent kinases (CDK) 4/6 in estrogen receptor-positive breast cancers.针对雌激素受体阳性乳腺癌中的细胞周期蛋白依赖性激酶(CDK)4/6 。
Breast Cancer Res. 2016 Feb 9;18(1):17. doi: 10.1186/s13058-015-0661-5.
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Treatment Rationale and Study Design for the JUNIPER Study: A Randomized Phase III Study of Abemaciclib With Best Supportive Care Versus Erlotinib With Best Supportive Care in Patients With Stage IV Non-Small-Cell Lung Cancer With a Detectable KRAS Mutation Whose Disease Has Progressed After Platinum-Based Chemotherapy.JUNIPER研究的治疗原理与研究设计:一项随机III期研究,对比阿贝西利联合最佳支持治疗与厄洛替尼联合最佳支持治疗,用于铂类化疗后疾病进展且可检测到KRAS突变的IV期非小细胞肺癌患者。
Clin Lung Cancer. 2016 Jan;17(1):80-4. doi: 10.1016/j.cllc.2015.08.003. Epub 2015 Aug 18.
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Proliferation marker Ki-67 in early breast cancer.早期乳腺癌中的增殖标志物Ki-67
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