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Effect of Eribulin on Patients with Metastatic Breast Cancer: Multicenter Retrospective Observational Study in Taiwan

Abstract

Purpose: The aim of this study was to confirm the therapeutic role of eribulin on Taiwanese women with metastatic breast cancer.

Methods: This retrospective study examined 449 females who received eribulin between March 2014 and June 2017 at 14 hospitals in Taiwan for treatment of locally advanced or metastatic breast cancer.

Results: The survival rate at 24 months was 57.2% (95% CI 51.0-62.9%) and the median time to treatment failure (TTF) was 3.91 months (95% CI 3.45-3.94). A total of 175 patients (40.1%) received eribulin for fewer than 90 days and the others received it for 90 days or more. Eight patients (1.83%) had complete remission, 82 (18.8%) had partial remission, 202 (46.3%) had stable disease, and 144 (33.0%) had progressive disease (PD). Patients' tumors with the luminal A subtype had a significantly better objective response rate. Kaplan-Meier analysis indicated that hormone receptor positivity, luminal A subtype, receipt of eribulin as the 1st to 3rd line therapy, and metastasis to fewer than 4 organs were significantly associated with longer TTF. Stepwise multivariate analysis showed that only receipt of eribulin as the 1st to 3rd line therapy was significantly associated with TTF (HR 1.49, p < 0.001). All toxicities were manageable and only 18 patients (4.1%) discontinued treatment due to adverse events.

Conclusions: Eribulin appears to have better efficacy and cause fewer adverse events, especially neutropenia, in Taiwanese women than Western women.

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References
1.
Gamucci T, Michelotti A, Pizzuti L, Mentuccia L, Landucci E, Sperduti I . Eribulin mesylate in pretreated breast cancer patients: a multicenter retrospective observational study. J Cancer. 2014; 5(5):320-7. PMC: 3982178. DOI: 10.7150/jca.8748. View

2.
Cortes J, OShaughnessy J, Loesch D, Blum J, Vahdat L, Petrakova K . Eribulin monotherapy versus treatment of physician's choice in patients with metastatic breast cancer (EMBRACE): a phase 3 open-label randomised study. Lancet. 2011; 377(9769):914-23. DOI: 10.1016/S0140-6736(11)60070-6. View

3.
Swami U, Chaudhary I, Ghalib M, Goel S . Eribulin -- a review of preclinical and clinical studies. Crit Rev Oncol Hematol. 2011; 81(2):163-84. PMC: 3954568. DOI: 10.1016/j.critrevonc.2011.03.002. View

4.
Colozza M, de Azambuja E, Personeni N, Lebrun F, Piccart M, Cardoso F . Achievements in systemic therapies in the pregenomic era in metastatic breast cancer. Oncologist. 2007; 12(3):253-70. DOI: 10.1634/theoncologist.12-3-253. View

5.
Li J, Ren J, Sun W . Systematic review of ixabepilone for treating metastatic breast cancer. Breast Cancer. 2016; 24(2):171-179. DOI: 10.1007/s12282-016-0717-0. View