Eribulin in Cancer Treatment.
Halichondrin B is a complex, natural, polyether macrolide derived from marine sponges. Eribulin is a structurally-simplified, synthetic, macrocyclic ketone analogue of Halichondrin B. Eribulin was approved by United States Food and Drug Administration in 2010 as a third-line therapy for metastatic breast cancer patients who have previously been treated with an anthracycline and a taxane. It has a unique microtubule dynamics inhibitory action. Phase III studies have either been completed or are currently ongoing in breast cancer, soft tissue sarcoma, and non-small cell lung cancer. Phase I and II studies in multiple cancers and various combinations are currently ongoing. This article reviews the available information on eribulin with respect to its clinical pharmacology, pharmacokinetics, pharmacodynamics, mechanism of action, metabolism, preclinical studies, and with special focus on clinical trials.
University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA. umangtalking@gmail.com.
Umang
U
Swami
Department of Medical Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, 1695 Eastchester Road, Bronx, NY 10461, USA. umshah@montefiore.org.
Umang
U
Shah
Department of Medical Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, 1695 Eastchester Road, Bronx, NY 10461, USA. sgoel@montefiore.org.
Sanjay
S
Goel
D000818:Animals; D002986:Clinical Trials as Topic; D005663:Furans / Q000493:pharmacokinetics / Q000494:pharmacology* / Q000627:therapeutic use*; D006801:Humans; D007659:Ketones / Q000493:pharmacokinetics / Q000494:pharmacology* / Q000627:therapeutic use*; D009369:Neoplasms / Q000188:drug therapy*; D016032:Randomized Controlled Trials as Topic; D000095662:Polyether Polyketides
D005663:Furans; D007659:Ketones; C490954:eribulin; D000095662:Polyether Polyketides
E7389; EMBRACE; Halaven™; Halichondrin B; NSC 707389; breast cancer; eribulin; microtubule inhibitor