PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITY

Although metastatic breast cancer remains an incurable disease, significant achievements have been made in this area over the recent years, allowing to convert breast cancer into a chronically controlled disease characterized by a torpid course. Patients with hormone-sensitive HER2-negative cancer a...

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Main Author: E. V. Artamonova
Format: Article
Language:Russian
Published: ABV-press 2018-04-01
Series:Опухоли женской репродуктивной системы
Subjects:
Online Access:https://ojrs.abvpress.ru/ojrs/article/view/578
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author E. V. Artamonova
author_facet E. V. Artamonova
author_sort E. V. Artamonova
collection DOAJ
description Although metastatic breast cancer remains an incurable disease, significant achievements have been made in this area over the recent years, allowing to convert breast cancer into a chronically controlled disease characterized by a torpid course. Patients with hormone-sensitive HER2-negative cancer are more likely to achieve this relatively favorable clinical outcome. It became possible with the development and implementation of highly effective combination treatment regimens that include recently developed inhibitors of cyclin-dependent kinases (CDK) 4 and 6. This article presents an overview of randomized clinical trials assessing the efficacy and safety of CDK4/6 inhibitors. It is shown that neutropenia is class-specific undesirable effect and characterizes all 3 drugs (palbociclib, ribociclib, abemaciclib); ribociclib therapy, in addition, is associated with hepatoand cardiotoxicity (prolongation of QTc interval); abemaciclib, in addition to neutropenia, is characterized by diarrhea and thromboembolic events.
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spelling doaj.art-61bedc041cea4568be1ae89785a7b7b92023-03-13T08:44:36ZrusABV-pressОпухоли женской репродуктивной системы1994-40981999-86272018-04-01141526010.17650/1994-4098-2018-14-1-52-60563PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITYE. V. Artamonova0ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииAlthough metastatic breast cancer remains an incurable disease, significant achievements have been made in this area over the recent years, allowing to convert breast cancer into a chronically controlled disease characterized by a torpid course. Patients with hormone-sensitive HER2-negative cancer are more likely to achieve this relatively favorable clinical outcome. It became possible with the development and implementation of highly effective combination treatment regimens that include recently developed inhibitors of cyclin-dependent kinases (CDK) 4 and 6. This article presents an overview of randomized clinical trials assessing the efficacy and safety of CDK4/6 inhibitors. It is shown that neutropenia is class-specific undesirable effect and characterizes all 3 drugs (palbociclib, ribociclib, abemaciclib); ribociclib therapy, in addition, is associated with hepatoand cardiotoxicity (prolongation of QTc interval); abemaciclib, in addition to neutropenia, is characterized by diarrhea and thromboembolic events.https://ojrs.abvpress.ru/ojrs/article/view/578метастатический рак молочной железыгормонотерапияпалбоциклибрибоциклибабемациклиб
spellingShingle E. V. Artamonova
PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITY
Опухоли женской репродуктивной системы
метастатический рак молочной железы
гормонотерапия
палбоциклиб
рибоциклиб
абемациклиб
title PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITY
title_full PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITY
title_fullStr PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITY
title_full_unstemmed PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITY
title_short PRACTICAL ASPECTS OF ADMINISTERING CYCLIN-DEPENDENT KINASES INHIBITORS: EFFICACY AND TOLERABILITY
title_sort practical aspects of administering cyclin dependent kinases inhibitors efficacy and tolerability
topic метастатический рак молочной железы
гормонотерапия
палбоциклиб
рибоциклиб
абемациклиб
url https://ojrs.abvpress.ru/ojrs/article/view/578
work_keys_str_mv AT evartamonova practicalaspectsofadministeringcyclindependentkinasesinhibitorsefficacyandtolerability