Cited by 107Sarcoma Diagnosis and TreatmentCancer therapeutics and mechanismsSynthesis and pharmacology of benzodiazepine derivatives

Trabectedin: A Review of its Use in the Management of Soft Tissue Sarcoma and Ovarian Cancer

Carter, Natalie J, Keam, Susan J·2007·Drugs

Abstract

Trabectedin (Yondelis); ET-743) is an antineoplastic agent that was originally derived from the Caribbean marine tunicate Ecteinascidia turbinata and is now produced synthetically. It binds to the minor groove of DNA, disrupting the cell cycle and inhibiting cell proliferation. Intravenous trabectedin administered once every 3 weeks is approved as monotherapy in Europe for use in patients with advanced soft tissue sarcoma (STS) after failure of standard therapy with anthracyclines or ifosfamide, or who are unsuited to receive these agents. It also has orphan drug status in STS in the US and in ovarian cancer in the US and Europe, and is under investigation as combination therapy in patients with recurrent ovarian cancer. In clinical trials, trabectedin showed efficacy in the treatment of patients with advanced or metastatic STS, especially those with leiomyosarcoma or liposarcoma, as well as in women with platinum-sensitive advanced or recurrent ovarian cancer. In addition, its tolerability profile was generally manageable. The introduction of trabectedin expands the currently limited range of effective treatment options for patients with advanced or metastatic STS; trabectedin also has the potential to be a beneficial treatment for advanced or recurrent ovarian cancer.

Integrity signals

Registry

Crossref · 10.2165/00003495-200767150-00009

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57 of 57 references verified0 citation errors · 0 not checkable

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  • Trabectedin blocks DNA and transcription interacting effect by binding to the minor groove of DNA covalently and interacting with transcription factors such as SP-1 directly.

    “It was claimed to block the substantial DNA and transcription interacting effect as the chemical structure binds to the minor groove of DNA covalently and interact with transcription factors (e.g., SP-1) directly [223].”

    From Marine Natural Products: A Source of Novel Anticancer Drugs (2019) · cites this paper as [223]

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Authors
Carter, N. J., & Keam, S. J.
Affiliations
Wolters Kluwer Health (NZ)
Corresponding author
Carter, Natalie J
Venue
Drugs
Published
2007
Volume
67
Issue
15
Pages
2257-2276
ISSN
0012-6667 (ISSN-L)
OpenAlex
W1981744051
Cited by
107
References
57
Citations by year
2025: 3 · 2024: 5 · 2023: 2 · 2022: 11 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 1 · 2017: 1 · 2016: 5 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 4
FWCI
10.83
Type
journal article
Language
en
Open access
closed
Locations
  • Drugs (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cancer therapeutics and mechanisms
  • Physical Sciences › Chemistry › Organic Chemistry › Synthesis and pharmacology of benzodiazepine derivatives
Keywords
trabectedin, Ecteinascidia turbinata, marine natural products, soft tissue sarcoma, ovarian cancer, DNA minor groove binding, nucleotide excision repair, G2/M cell cycle arrest, drug resistance, pharmacokinetics, pharmacodynamics, combination chemotherapy, liposarcoma, leiomyosarcoma, platinum-sensitive ovarian cancer
MeSH terms
Trabectedin, Animals, Dioxoles, Female, Humans, Ovarian Neoplasms, Sarcoma, Randomized Controlled Trials as Topic, Antineoplastic Agents, Alkylating, Tetrahydroisoquinolines

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