Trabectedin (Yondelis®) as a Therapeutic Option in Gynecological Cancers: A Focus on its Mechanisms of Action, Clinical Activity and Genomic Predictors of Drug Response.

Abstract:

:The use of predictive biomarkers provides potential individualized cancer therapeutic options to prevent therapy failure as well as serious toxicities. Several recent studies showed that predictive and prognostic biomarkers are a notable personalized strategy to improve patients' care in several cancers. Trabectedin (Yondelis®) is a cytotoxic agent, derived from a marine organism, harbouring a significant antitumor activity against several cancers such as soft tissue sarcoma, ovarian, and breast cancers. Recently and with the advent of molecular genetic testing, BRCA mutational status was found as an important predictor of response to this anticancer drug, especially in gynecological cancers. The aim of this updated review is to discuss the mechanisms of action of trabectedin against the wellknown cancer hallmarks described until today. The current advances were also examined related to genomic biomarkers that can be used in the future to predict the efficacy of this potent anticancer natural molecule in various gynecological cancers.

journal_name

Curr Drug Targets

journal_title

Current drug targets

authors

Souid S,Aissaoui D,Srairi-Abid N,Essafi-Benkhadir K

doi

10.2174/1389450121666200128161733

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

996-1007

issue

10

eissn

1389-4501

issn

1873-5592

pii

CDT-EPUB-104007

journal_volume

21

pub_type

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