Eribulin in Metastatic Breast Cancer: Actual Clinical Practice
https://doi.org/10.24060/2076-3093-2023-13-1-77-86
Abstract
Breast cancer is the most common cancer in women, both in the Russian Federation and in the United States. Eribulin is a new microtubule inhibitor, used in the USA, Europe and other countries around the world to treat patients with advanced or metastatic breast cancer, resistant to other lines of therapy. Eribulin mesylate is a structurally simplified, synthetic analogue of halichondrin B, a substance derived from a marine sponge Halichondria okadai. The mechanism of action: eribulin inhibits the microtubule dynamics, binds to the plus ends of microtubules and inhibits microtubule growth in interphase cells, without affecting the shortening phase and tubulin sequesters into nonproductive aggregates, leading to G2/M cell-cycle block and eventual apoptotic cell death after prolonged mitotic blockage. A wide variety of patients with a number of comorbidities and lower functional status are treated in actual clinical practice. The reported data suggest that eribulin has demonstrated comparable results to the EMBRACE study for a wider and more diverse cohort of patients. Further studies of eribulin in actual clinical practice will certainly provide new opportunities for the treatment of metastatic breast cancer.
About the Authors
A. V. SultanbaevRussian Federation
Alexander V. Sultanbaev — Cand. Sci. (Med.), Anticancer Drug Therapy Unit
Ufa
K. V. Menshikov
Russian Federation
Konstantin V. Menshikov — Cand. Sci. (Med.), Assoc. Prof., Department of Oncology with Courses of Oncology and Pathological Anatomy for Advanced Professional Education, Chemotherapy Unit
Ufa
Sh. I. Musin
Russian Federation
Shamil I. Musin — Cand. Sci. (Med.), Surgery Unit No. 6
Ufa
I. A. Menshikova
Russian Federation
Irina A. Menshikova — Cand. Sci. (Med.), Assoc. Prof., Department of Biological Chemistry
Ufa
N. I. Sultanbaeva
Russian Federation
Nadezhda I. Sultanbaeva — Anticancer Drug Therapy Unit No. 1
Ufa
E. V. Popova
Russian Federation
Ekaterina V. Popova — Outpatient Antiсancer Drug Therapy Unit (Сhemotherapy)
Ufa
V. E. Askarov
Russian Federation
Vadim E. Askarov — Outpatient Antiсancer Drug Therapy Unit (Сhemotherapy)
Ufa
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Review
For citations:
Sultanbaev A.V., Menshikov K.V., Musin Sh.I., Menshikova I.A., Sultanbaeva N.I., Popova E.V., Askarov V.E. Eribulin in Metastatic Breast Cancer: Actual Clinical Practice. Creative surgery and oncology. 2023;13(1):77-86. (In Russ.) https://doi.org/10.24060/2076-3093-2023-13-1-77-86