Preclinical and clinical development of palbociclib and future perspectives.

Autor: de Dueñas EM; Medical Oncology Department, Provincial Hospital of Castellón, Av. Doctor Clará, 19, 12002, Castellón de la Plana, Spain. eduardo.martinez@hospitalprovincial.es., Gavila-Gregori J; Medical Oncology Department, Valencian Institute of Oncology, Valencia, Spain., Olmos-Antón S; Medical Oncology Department, Provincial Hospital of Castellón, Av. Doctor Clará, 19, 12002, Castellón de la Plana, Spain., Santaballa-Bertrán A; La Fe University Hospital, Valencia, Spain., Lluch-Hernández A; Clinic University Hospital of Valencia, Valencia, Spain., Espinal-Domínguez EJ; Oncology Unit, Pfizer Inc., Madrid, Spain., Rivero-Silva M; Oncology Unit, Pfizer Inc., Madrid, Spain., Llombart-Cussac A; Medical Oncology Department, Arnau de Vilanova University Hospital, Valencia, Spain.
Jazyk: angličtina
Zdroj: Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico [Clin Transl Oncol] 2018 Sep; Vol. 20 (9), pp. 1136-1144. Date of Electronic Publication: 2018 Mar 21.
DOI: 10.1007/s12094-018-1850-3
Abstrakt: Cyclin-dependent kinases (CDKs) play a key role in cell cycle regulation, which makes them a clear therapeutic target to interfere with cell division and proliferation in cancer patients. Palbociclib, a specific inhibitor of CDK4/6 with outstanding clinical efficacy data and limited toxicity, has been recently approved for the treatment of hormone receptor (HR)-positive human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer, either in combination with an aromatase inhibitor or in combination with fulvestrant in women who have received prior endocrine therapy. This review describes the mechanism of action, preclinical experiences and clinical data of palbociclib, with a special focus on integrating this data with the positioning of palbociclib in the current clinical guidelines for advanced HR-positive/HER2-negative breast cancer. Aspects of the ongoing major studies are also presented, as well as future prospects in the development of palbociclib.
Databáze: MEDLINE