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. 2014 Mar 20;5(5):320-7.
doi: 10.7150/jca.8748. eCollection 2014.

Eribulin mesylate in pretreated breast cancer patients: a multicenter retrospective observational study

Teresa Gamucci  1 , Andrea Michelotti  2 , Laura Pizzuti  3 , Lucia Mentuccia  1 , Elisabetta Landucci  2 , Isabella Sperduti  4 , Luigi Di Lauro  3 , Alessandra Fabi  5 , Giuseppe Tonini  6 , Valentina Sini  7 , Nello Salesi  8 , Ilaria Ferrarini  2 , Angela Vaccaro  1 , Ida Pavese  9 , Enzo Veltri  8 , Luca Moscetti  10 , Paolo Marchetti  7 , Patrizia Vici  3
Affiliations

Eribulin mesylate in pretreated breast cancer patients: a multicenter retrospective observational study

Teresa Gamucci et al. J Cancer. .

Abstract

Background: Eribulin was recently approved in patients progressing after being treated with anthracyclines and taxanes and after two or more chemotherapy lines for advanced disease.

Objectives: This multicenter observational retrospective study was performed in order to evaluate activity and tolerability of eribulin in real-world patient population.

Methods: 133 advanced breast cancer patients pretreated with ≥ 2 chemotherapy lines for metastatic disease were retrospectively enrolled in the observational trial in 11 italian cancer centres.

Results: A median of 5 cycles of eribulin (range, 1-15) were administered. Twenty-eight partial responses were observed, for an overall response rate of 21.1% (95%CI,14.1-28.0). A stable disease was recorded in 57 patients (42.8%), and a clinical benefit (response or stable disease lasting ≥ six months) was observed in 51 patients (38.3%, 95%CI, 30.1-46.6). The subgroup analysis showed that a significant improvement in term of partial response and clinical benefit was achieved when eribulin was administered in HER-2 negative tumors (p=0.01 and p=0.004, respectively) and when it is given as third-line (p=0.09 and p=0.02, respectively). Toxicity was manageable; fatigue is the most common side effect observed, usually of low-grade, and clearly cumulative-dose related.

Conclusions: In this retrospective, observational analysis eribulin confirmed its efficacy and manageable tolerability even in real-world population and in heavily pretreated patients.

Keywords: advanced breast cancer; chemotherapy.; eribulin mesylate; heavily pretreated patients; real-world population.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interest exists.

Figures

Figure 1
Figure 1
Progression free survival (a) and overall survival (b).
Figure 1
Figure 1
Progression free survival (a) and overall survival (b).
See this image and copyright information in PMC

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References

    1. El Saghir NS, Tfayli A, Hatoum HA, Nachef Z, Dinh P, Awada A. Treatment of metastatic breast cancer: state-of-the-art, subtypes and perspectives. Crit Rev Oncol Hematol. 2011;80:433–49. - PubMed
    1. Moreno-Aspitia A, Perez EA. Treatment options for breast cancer resistant to anthracycline and taxane. Mayo Clin Proc. 2009;84:533–45. - PMC - PubMed
    1. Jordan MA, Kamath K, Manna T. et al. The primary antimitotic mechanism of action of the synthetic halichondrin E7389 is suppression of microtubule growth. Mol Cancer Ther. 2005;4:1086–95. - PubMed
    1. Smith JA, Wilson L, Azarenko O. et al. Eribulin binds at microtubule ends to a single site on tubulin to suppress dynamic instability. Biochemistry. 2010;49:1331–7. - PMC - PubMed
    1. Towle MJ, Salvato KA, Wels BF. et al. Eribulin induces irreversible mitotic blockade: implications of cell-based pharmacodynamics for in vivo efficacy under intermittent dosing conditions. Cancer Res. 2011;71:496–505. - PubMed