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DRUG:

Halaven (eribulin mesylate)

i
Other names: E7389, ER-086526, B1939 mesylate, B-1939, Halichondrin B analog, NSC-707389
Company:
Eisai, Knight Therap, Shenzhen Kexing Pharma
Drug class:
Microtubule inhibitor, CBP inhibitor, β-catenin inhibitor
Related drugs:
7d
New P2 trial • Combination therapy • Metastases
|
Loqtorzi (toripalimab-tpzi) • albumin-bound paclitaxel • Halaven (eribulin mesylate)
10d
A Phase III Study of ESG401 for Locally Advanced or Metastatic HR+/HER2- Breast Cancer (clinicaltrials.gov)
P3, N=378, Not yet recruiting, Shanghai Escugen Biotechnology Co., Ltd
New P3 trial • Metastases
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gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate • ESG401
12d
New P3 trial • Metastases
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gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate • izalontamab brengitecan (BL-B01D1)
18d
Combination therapy • Trial completion • Metastases
|
HER-2 positive • HR positive
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Prosigna™ Breast Cancer Prognostic Gene Signature Assay
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Herceptin (trastuzumab) • Ibrance (palbociclib) • tamoxifen • Kadcyla (ado-trastuzumab emtansine) • capecitabine • fulvestrant • Halaven (eribulin mesylate) • Herceptin Hylecta (trastuzumab/hyaluronidase-oysk)
20d
A Study of Camrelizumab in Combination With Chemotherapy Regimen Comparative Chemotherapy Regimen for Metastatic Triple-negative Breast Cancer (clinicaltrials.gov)
P3, N=1, Terminated, Suzhou Suncadia Biopharmaceuticals Co., Ltd. | N=104 --> 1 | Not yet recruiting --> Terminated; Sponsor R & D Strategy Adjustment]
Enrollment change • Trial termination • Combination therapy • Metastases
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gemcitabine • AiRuiKa (camrelizumab) • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate
24d
Trial completion date • Metastases
|
HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • HR positive • HER-2 expression
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gemcitabine • Enhertu (fam-trastuzumab deruxtecan-nxki) • capecitabine • albumin-bound paclitaxel • Halaven (eribulin mesylate)
26d
Pharmacological induction of chromatin remodeling drives chemosensitization in triple-negative breast cancer. (PubMed, Cell Rep Med)
These findings provide an epigenetic mechanism of action of eribulin, supporting its use early in the disease process for MET induction to prevent metastatic progression and chemoresistance. These findings warrant prospective clinical evaluation of the chemosensitizing effects of eribulin in the treatment-naive setting.
Journal
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ZEB1 (Zinc Finger E-box Binding Homeobox 1)
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Halaven (eribulin mesylate)
26d
Trastuzumab + Alpelisib +/- Fulvestrant vs Trastuzumab + CT in Patients With PIK3CA Mutated Previously Treated HER2+ Advanced BrEasT Cancer (ALPHABET) (clinicaltrials.gov)
P3, N=27, Active, not recruiting, Spanish Breast Cancer Research Group | Recruiting --> Active, not recruiting | N=300 --> 27 | Trial completion date: Sep 2026 --> Nov 2024 | Trial primary completion date: Jun 2026 --> Nov 2024
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • PGR (Progesterone receptor)
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ER positive • PIK3CA mutation • PGR expression
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Herceptin (trastuzumab) • capecitabine • Piqray (alpelisib) • fulvestrant • Halaven (eribulin mesylate) • vinorelbine tartrate • Navelbine oral (vinorelbine tartrate oral)
26d
New P2 trial
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dasatinib • carboplatin • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate
27d
New P2 trial
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carboplatin • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate
29d
Circulating tumour DNA dynamics during alternating chemotherapy and hormonal therapy in metastatic breast cancer: the ALERT study. (PubMed, Breast Cancer Res Treat)
P2; Changes in ctDNA can occur rapidly and reflect changes in patients' clinical tumour responses (NCT02681523).
Journal • Circulating tumor DNA • Metastases
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ER (Estrogen receptor)
|
ER positive
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Oncomine™ Breast cfDNA Assay
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Halaven (eribulin mesylate)
1m
New P3 trial
|
gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate • izalontamab brengitecan (BL-B01D1)
1m
Involvement of ferroptosis in eribulin-induced cytotoxicity in ovarian clear cell carcinoma. (PubMed, Eur J Pharmacol)
We found that eribulin-induced cell death was reduced by ferroptosis inhibitors; deferoxamine, an iron chelator and ferrostatin-1, a lipid peroxidation inhibitor...The combination of eribulin and ML210, a glutathione peroxidase 4-inhibiting ferroptosis inducer, had a synergistic effect on ferroptosis. Taken together, our findings show firstly that eribulin triggers ferroptosis in OCCC and this effect occurs via the suppression of the Nrf2-HO-1 signaling pathway, SOD activity and the promotion of lipid peroxidation. These findings suggest that eribulin-induced ferroptosis is associated with its anti-tumor effect and also could be a potential therapeutic target in OCCC.
Journal
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NFE2L2 (Nuclear Factor, Erythroid 2 Like 2) • HMOX1 (Heme Oxygenase 1) • GPX4 (Glutathione Peroxidase 4)
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HMOX1 expression
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Halaven (eribulin mesylate) • ML210
1m
ELVN-002 With Trastuzumab +/- Chemotherapy in HER2+ Solid Tumors, Colorectal and Breast Cancer (clinicaltrials.gov)
P1, N=255, Recruiting, Enliven Therapeutics | Not yet recruiting --> Recruiting
Enrollment open • Metastases
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Herceptin (trastuzumab) • paclitaxel • 5-fluorouracil • capecitabine • oxaliplatin • Halaven (eribulin mesylate) • leucovorin calcium • ELVN-002
1m
Anthracycline-based hepatic arterial infusion chemotherapy achieved 17 months of disease regression in a patient with breast cancer liver metastases resistant to multiple systemic chemotherapies. (PubMed, Int Cancer Conf J)
A 46-year-old woman with estrogen receptor-positive, human epidermal growth factor receptor 2-negative metastatic breast cancer who had multiple LMs and bone metastases underwent seven lines of systemic therapy (paclitaxel/bevacizumab for 38 months; letrozole, nivolumab/fulvestrant, eribulin, gemcitabine/vinorelbine, high-dose toremifene/abemaciclib, and capecitabine for 21 months in total). However, owing to its adverse effects and the continued progression of the LMs, systemic therapy was switched to HAIC (40 mg/body epirubicin on day 1, 4 mg/body mitomycin C on days 1 and 15, and 500 mg/body 5-fluorouracil on days 1, 8, and 15; 28-day courses)...Our findings identify a potential window for the use of traditional chemotherapeutic agents such as anthracyclines. Novel strategies to improve drug delivery are warranted in the future.
Journal
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor)
|
ER positive • HER-2 negative • EGFR positive
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Opdivo (nivolumab) • Avastin (bevacizumab) • gemcitabine • paclitaxel • 5-fluorouracil • capecitabine • Verzenio (abemaciclib) • fulvestrant • Halaven (eribulin mesylate) • letrozole • epirubicin • vinorelbine tartrate • mitomycin
1m
New P1 trial • Metastases
|
Herceptin (trastuzumab) • paclitaxel • 5-fluorouracil • capecitabine • oxaliplatin • Halaven (eribulin mesylate) • leucovorin calcium • ELVN-002
2ms
Neuropharmacokinetics of Eribulin Mesylate in Treating Patients With Primary or Metastatic Brain Tumors (clinicaltrials.gov)
P1, N=8, Completed, City of Hope Medical Center | Active, not recruiting --> Completed
Trial completion • Metastases
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Halaven (eribulin mesylate)
2ms
Eribulin and Radiation Therapy in Treating Patients With Retroperitoneal Liposarcoma That Can Be Removed by Surgery (clinicaltrials.gov)
P1, N=15, Active, not recruiting, OHSU Knight Cancer Institute | Phase classification: P1b --> P1
Phase classification • Surgery
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Halaven (eribulin mesylate)
2ms
New P2 trial • Metastases
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Tyvyt (sintilimab) • Halaven (eribulin mesylate)
2ms
A Study of TQB2930 for Injection Monotherapy or Combination Therapy in Patients With Recurrent/Metastatic Breast Cancer (clinicaltrials.gov)
P1/2, N=154, Recruiting, Chia Tai Tianqing Pharmaceutical Group Co., Ltd. | N=89 --> 154 | Trial completion date: Oct 2025 --> Oct 2027 | Trial primary completion date: Mar 2025 --> Dec 2026
Enrollment change • Trial completion date • Trial primary completion date • Combination therapy • Metastases
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gemcitabine • paclitaxel • capecitabine • fulvestrant • Halaven (eribulin mesylate) • vinorelbine tartrate • TQB3616 • TQB2930
2ms
Tucatinib+Trastuzumab+Eribulin in HER2+ MBC (clinicaltrials.gov)
P2, N=30, Recruiting, Criterium, Inc. | Trial completion date: May 2025 --> Aug 2027 | Trial primary completion date: Nov 2023 --> Jun 2027
Trial completion date • Trial primary completion date • Combination therapy • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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Herceptin (trastuzumab) • Halaven (eribulin mesylate) • Tukysa (tucatinib)
2ms
Sacituzumab Govitecan: A Review in Unresectable or Metastatic HR+/HER2- Breast Cancer. (PubMed, Target Oncol)
In the phase III TROPiCS-02 trial, intravenous sacituzumab govitecan demonstrated statistically significant and clinically meaningful improvements in progression-free survival and overall survival compared with physician's choice of chemotherapy (capecitabine, eribulin, gemcitabine or vinorelbine) in adults with metastatic HR+/HER2- breast cancer. Sacituzumab govitecan demonstrated an overall benefit in terms of health-related quality of life. Current evidence indicates that sacituzumab govitecan is an effective treatment option, with a generally manageable tolerability profile, for patients with pre-treated, unresectable locally advanced or metastatic HR+/HER2- breast cancer.
Review • Journal • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HR positive • HER-2 negative
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gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate • Trodelvy (sacituzumab govitecan-hziy)
2ms
BRIA-ABC: Study of the Bria-IMT Regimen and CPI vs Physicians' Choice in Advanced Metastatic Breast Cancer. (clinicaltrials.gov)
P3, N=404, Recruiting, BriaCell Therapeutics Corporation | Initiation date: Oct 2023 --> Feb 2024
Trial initiation date • Metastases
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ER (Estrogen receptor) • PGR (Progesterone receptor)
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HER-2 negative
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carboplatin • capecitabine • cyclophosphamide • Halaven (eribulin mesylate) • Zynyz (retifanlimab-dlwr) • Bria-IMT (SV-BR-1-GM)
2ms
New P3 trial
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carboplatin • capecitabine • albumin-bound paclitaxel • Halaven (eribulin mesylate) • sacituzumab tirumotecan (MK-2870)
3ms
New P3 trial
|
gemcitabine • capecitabine • Halaven (eribulin mesylate) • vinorelbine tartrate
3ms
Enrollment open • Metastases
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gemcitabine • paclitaxel • docetaxel • Halaven (eribulin mesylate) • Trodelvy (sacituzumab govitecan-hziy)
3ms
New P3 trial • Metastases
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Votrient (pazopanib) • Halaven (eribulin mesylate) • Yondelis (trabectedin) • cisplatin/vinblastine/SHAO-FA (INT230-6)
3ms
Atezolizumab With or Without Eribulin Mesylate in Treating Patients With Recurrent Locally Advanced or Metastatic Urothelial Cancer (clinicaltrials.gov)
P2; Trial completion date: Jan 2024 --> Jan 2025 | Trial primary completion date: Jan 2024 --> Jan 2025
Combination therapy • Trial completion date • Trial primary completion date • Metastases
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PD-L1 (Programmed death ligand 1) • CD4 (CD4 Molecule)
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VENTANA PD-L1 (SP142) Assay
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cisplatin • Tecentriq (atezolizumab) • Halaven (eribulin mesylate)
3ms
Eribulin Mesylate in Treating Patients With Locally Advanced or Metastatic Cancer of the Urothelium and Kidney Dysfunction (clinicaltrials.gov)
P1/2, N=132, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Dec 2023 --> Aug 2024 | Trial primary completion date: Dec 2023 --> Aug 2024
Trial completion date • Trial primary completion date • Metastases
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Halaven (eribulin mesylate)
3ms
Enrollment change • Metastases
|
gemcitabine • paclitaxel • docetaxel • Halaven (eribulin mesylate) • Trodelvy (sacituzumab govitecan-hziy)
3ms
New P3 trial • Combination therapy • Metastases
|
BRCA (Breast cancer early onset)
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gemcitabine • paclitaxel • AiTan (rivoceranib) • capecitabine • Halaven (eribulin mesylate) • AiRuiYi (fluzoparib) • Navelbine oral (vinorelbine tartrate oral)
3ms
Alteration of DNA methyltransferases by eribulin elicits broad DNA methylation changes with potential therapeutic implications for triple-negative breast cancer. (PubMed, Epigenomics)
Materials & MDA-MB 231 cells were treated with eribulin and paclitaxel, and the samples from 53 patients treated with neoadjuvant eribulin were compared with those from 14 patients who received the standard-of-care treatment using immunohistochemistry. Eribulin treatment caused significant DNA methylation changes in drug-tolerant persister TNBC cells, and it also elicited changes in the expression levels of epigenetic modifiers (DNMT1, TET1, DNMT3A/B) in vitro and in primary TNBC tumors. These findings provide new insights into eribulin's mechanism of action and potential biomarkers for predicting TNBC treatment response.
Journal • Epigenetic controller
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DNMT3A (DNA methyltransferase 1) • DNMT1 (DNA methyltransferase 1)
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paclitaxel • Halaven (eribulin mesylate)
3ms
A Case of Triple Negative Breast Cancer with Successful Control of Recurrent Disease Activity for More than Ten Years (PubMed, Gan To Kagaku Ryoho)
Postoperative adjuvant fluorouracil plus epirubicin HCl plus cyclophosphamide(FEC)plus paclitaxel(PTX)therapy was administered...Capecitabine was selected for treatment of the recurrent lesion...At this time, eribulin mesylate was selected, along with intensity-modulated radiation therapy(IMRT)...Subsequently, liver metastasis was detected, and the drug was switched to vinorelbine ditartrate(a drug with less non-hematological toxicity)...About half a year later, ie, in October 2021(11 years after the surgery), we detected an increase in the size of the liver metastasis and selected atezolizumab and nab-PTX for treatment. Applicable regimens of drug therapy are still available at present and drug therapy has been continued based on a discussion and mutual understanding of the adverse reactions, etc. with the patient. Few reports have been published concerning long-term survivors among TN breast cancer cases.
Journal • PD(L)-1 Biomarker • BRCA Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1) • ER (Estrogen receptor) • PGR (Progesterone receptor) • BRCA (Breast cancer early onset)
|
HER-2 negative
|
PD-L1 IHC 22C3 pharmDx • VENTANA PD-L1 (SP142) Assay
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Tecentriq (atezolizumab) • 5-fluorouracil • capecitabine • albumin-bound paclitaxel • cyclophosphamide • Halaven (eribulin mesylate) • epirubicin • vinorelbine tartrate
3ms
Clinical data • Journal • HEOR • Real-world evidence • Real-world • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
|
HR positive • HER-2 negative • EGFR positive
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Halaven (eribulin mesylate)
3ms
Phase 2 Study of the Liposomal Formulation of Eribulin (E7389-LF) in Combination with Nivolumab: Results from the Gastric Cancer Cohort. (PubMed, Clin Cancer Res)
Promising antitumor activity was observed with E7389-LF in combination with nivolumab in patients with GC, and no new safety signals were observed, compared with either monotherapy.
P2 data • Journal • Combination therapy • PD(L)-1 Biomarker
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CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma)
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CD8 positive
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Opdivo (nivolumab) • Halaven (eribulin mesylate) • eribulin liposomal (E7389-LF)
3ms
SMMART Adaptive Clinical Treatment (ACT) Trial (clinicaltrials.gov)
P1, N=0, Withdrawn, OHSU Knight Cancer Institute | N=25 --> 0 | Not yet recruiting --> Withdrawn
Enrollment change • Trial withdrawal
|
HER-2 (Human epidermal growth factor receptor 2) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
|
BRCA2 mutation • BRCA1 mutation • HR positive • HER-2 negative • EGFR positive
|
Avastin (bevacizumab) • Herceptin (trastuzumab) • Lynparza (olaparib) • Tecentriq (atezolizumab) • Ibrance (palbociclib) • Zelboraf (vemurafenib) • carboplatin • Rozlytrek (entrectinib) • Alecensa (alectinib) • Kadcyla (ado-trastuzumab emtansine) • Cotellic (cobimetinib) • capecitabine • Piqray (alpelisib) • Zejula (niraparib) • albumin-bound paclitaxel • fulvestrant • irinotecan • Halaven (eribulin mesylate) • letrozole • vinorelbine tartrate • Herzuma (trastuzumab-pkrb) • anastrozole • Erivedge (vismodegib) • Trazimera (trastuzumab-qyyp) • Phesgo (pertuzumab/trastuzumab/hyaluronidase-zzxf)
4ms
Phase II Study of Eribulin plus Pembrolizumab in Metastatic Soft Tissue Sarcomas: Clinical Outcomes and Biological Correlates. (PubMed, Clin Cancer Res)
The combination of eribulin and pembrolizumab demonstrated promising activity in LPS and angiosarcoma.
Clinical data • P2 data • Journal • Metastases
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PD-L1 (Programmed death ligand 1) • IL4 (Interleukin 4)
|
PD-L1 expression • IL4 elevation
|
Keytruda (pembrolizumab) • Halaven (eribulin mesylate)
4ms
SAFIR02_Breast - Efficacy of Genome Analysis as a Therapeutic Decision Tool for Patients With Metastatic Breast Cancer (clinicaltrials.gov)
P2, N=1460, Active, not recruiting, UNICANCER | Trial completion date: Dec 2023 --> Dec 2024
Trial completion date • IO biomarker • Metastases
|
Avastin (bevacizumab) • Lynparza (olaparib) • cisplatin • carboplatin • Imfinzi (durvalumab) • gemcitabine • paclitaxel • 5-fluorouracil • Koselugo (selumetinib) • capecitabine • cyclophosphamide • Halaven (eribulin mesylate) • Truqap (capivasertib) • fexagratinib (ABSK091) • epirubicin • Caprelsa (vandetanib) • vincristine • vinorelbine tartrate • bicalutamide • mitomycin • vistusertib (AZD2014) • vinblastine • sapitinib (AZD8931)
4ms
Doublet and Triplet Combinations of Eribulin, Fulvestrant, and Palbociclib in Preclinical Breast Cancer Models. (PubMed, Anticancer Res)
Results show complex synergistic interactions between eribulin, fulvestrant, and palbociclib, and point to a particularly robust synergy when combining all three drugs.
Preclinical • Journal
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ER (Estrogen receptor)
|
ER positive
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Ibrance (palbociclib) • fulvestrant • Halaven (eribulin mesylate)
4ms
Testing the Addition of Copanlisib to Eribulin for the Treatment of Advanced-Stage Triple Negative Breast Cancer (clinicaltrials.gov)
P1/2, N=106, Active, not recruiting, National Cancer Institute (NCI) | Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Dec 2023 --> Dec 2024
Trial completion date • Trial primary completion date • Combination therapy • Metastases
|
ER (Estrogen receptor) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • PGR (Progesterone receptor) • PTEN (Phosphatase and tensin homolog)
|
HER-2 amplification • HER-2 negative • PIK3CA mutation • PTEN mutation
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Halaven (eribulin mesylate) • Aliqopa (copanlisib)
4ms
EPOCH: Eribulin and Pembrolizumab in Ovarian/Uterine Carcinosarcoma (clinicaltrials.gov)
P2, N=30, Recruiting, Australia New Zealand Gynaecological Oncology Group
Trial completion date • Trial primary completion date • Combination therapy • IO biomarker
|
HMGA2 (High mobility group AT-hook 2)
|
HMGA2 expression
|
Keytruda (pembrolizumab) • Halaven (eribulin mesylate)
4ms
ORIENTA: Organoid-based Functional Precision Therapy for Advanced Breast Cancer (clinicaltrials.gov)
P2, N=252, Recruiting, Guangdong Provincial People's Hospital | Not yet recruiting --> Recruiting
Enrollment open • Metastases
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
HR positive • HER-2 negative • ER positive + PGR positive
|
gemcitabine • capecitabine • albumin-bound paclitaxel • Halaven (eribulin mesylate) • vinorelbine tartrate