Synthesis and Clinical Development of Palbociclib : An Overview

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Breast cancer is the second most commonly identified cancer in women in the United States after skin cancer. The past few years have seen a substantial increase in breast cancer awareness campaigns and active research in fields of diagnosis and targeted therapy. These factors have led to a better mechanistic understanding of the disease, detection at earlier stages, and a more personalized approach to treatment, ultimately causing a crucial increase in the survival rates after detection. However, with the advances in treatment, cases of patients developing primary resistance and acquired resistance are increasing. Most of the breast cancers which develop resistance to therapy are ER+ and are typically treated with tamoxifen and fulvestrant. These drugs either lower the levels of estrogen or inhibit the receptors for estrogen and prevent the tumor from spreading. Around one-third of women treated with these drugs develop resistance to them, lowering their chances of survival. This has directed the search for newer drug therapies to target advanced breast cancer and resistance. One of these efforts has resulted in the development of Palbociclib, a first in class inhibitor of cyclin dependent kinases 4 and 6 (CDK4 and CDK6), which was granted accelerated approval from the FDA for combination therapy in postmenopausal women with ER+, HER2- metastatic breast cancer. This review is focused on the various aspects of "Palbociclib" including its synthesis, molecular modeling studies, and efficacy and safety profile with data obtained from various clinical trials.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Medicinal chemistry (Shariqah (United Arab Emirates)) - 18(2022), 1 vom: 25., Seite 2-25

Sprache:

Englisch

Beteiligte Personen:

Konar, Debabrata [VerfasserIn]
Maru, Saurabh [VerfasserIn]
Kar, Subhabrata [VerfasserIn]
Kumar, Kapil [VerfasserIn]

Links:

Volltext

Themen:

Breast cancer
CDK4
CDK6
Carcinoma.
Clinical trial
EC 2.7.10.1
G9ZF61LE7G
Journal Article
Palbociclib
Piperazines
Protein Kinase Inhibitors
Pyridines
Receptor, ErbB-2
Receptors, Estrogen
Review

Anmerkungen:

Date Completed 19.01.2022

Date Revised 19.01.2022

published: Print

Citation Status MEDLINE

doi:

10.2174/1573406417666201204161243

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318464861