Eribulin in Triple Negative Metastatic Breast Cancer: Critic Interpretation of Current Evidence and Projection for Future Scenarios.

Abstract:

:Triple negative breast cancer (TNBC) is characterized by distinctive biological features that confer an aggressive clinical behavior. In TNBC patients, the absence of well-defined driver pathways such as hormonal receptor expression or hyperactivation of the human epidermal growth factor receptor 2 (HER2) significantly reduce the spectrum of therapeutic options, which are currently mainly confined to chemotherapy. Thus far, median overall survival for patients with metastatic TNBC is about 9-12 months with conventional cytotoxic agents. However, the heterogeneity recently revealed at a gene expression level inside the TNBC family may help inform therapeutic decisions concerning the use of chemotherapy and hopefully lead the way to novel targeted options that include immunotherapy. Eribulin, a halichondrin class antineoplastic drug, is currently recommended for treatment of HER2 negative metastatic or recurrent breast cancer (BC) previously exposed to anthracyclines and taxanes, also for patients with a TNBC. It is currently indicated from the second line of treatment. In this review, we aim to analyze a wide range of cumulated evidence on eribulin use in TNBC including preclinical studies, intervention and observational clinical trials. Data from the real-world setting and the emerging evidence increasingly substantiating the rationale for combinations with new generation treatment strategies, e.g., PARP-inhibitors, immune checkpoint inhibitors, will be also discussed.

journal_name

J Cancer

journal_title

Journal of Cancer

authors

Pizzuti L,Krasniqi E,Barchiesi G,Mazzotta M,Barba M,Amodio A,Massimiani G,Pelle F,Kayal R,Vizza E,Grassadonia A,Tomao S,Venuti A,Gamucci T,Marchetti P,Natoli C,Sanguineti G,Ciliberto G,Vici P

doi

10.7150/jca.35109

subject

Has Abstract

pub_date

2019-10-12 00:00:00

pages

5903-5914

issue

24

issn

1837-9664

pii

jcav10p5903

journal_volume

10

pub_type

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