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How does lurbinectedin work in treating cancer?



Lurbinectedin is a novel antitumor agent that has shown promising results in the treatment of different types of cancer. According to the DrugPatentWatch database [1], Lurbinectedin is a synthetic analog of the marine alkaloid trabectedin that is currently marketed under the brand name Zepzelca®. It works by inhibiting the activity of RNA polymerase II, a key enzyme involved in the transcription of DNA into RNA. This leads to the selective killing of cancer cells, particularly those with transcription-coupled nucleotide excision repair (TC-NER) deficiencies [2].

A study published in the Journal of Clinical Oncology [2] explains that TC-NER deficiencies are frequently found in different types of cancer, including small cell lung cancer, ovarian cancer, and breast cancer. Lurbinectedin's ability to target these deficiencies makes it a promising candidate for the treatment of these types of cancer. The study also shows that Lurbinectedin has demonstrated efficacy in patients with advanced small cell lung cancer and relapsed ovarian cancer, with manageable side effects.

Lurbinectedin is currently being evaluated in several clinical trials [3], including a phase II trial for patients with relapsed small cell lung cancer and a phase III trial for patients with advanced or metastatic small cell lung cancer. These trials aim to further evaluate the efficacy and safety of Lurbinectedin as a potential treatment option for cancer patients.

In conclusion, Lurbinectedin is a novel antitumor agent that works by inhibiting the activity of RNA polymerase II, leading to the selective killing of cancer cells with TC-NER deficiencies. It has shown promising results in the treatment of different types of cancer, including small cell lung cancer and ovarian cancer, with manageable side effects. Ongoing clinical trials aim to further evaluate its efficacy and safety as a potential treatment option for cancer patients.

Sources:
[1] https://www.drugpatentwatch.com/p/tradename/LURBINECTEDIN
[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165873/
[3] https://www.cancer.gov/about-cancer/treatment/clinical-trials/intervention/c82382



Follow-up:   What types of cancer does lurbinectedin target? Are there any known side effects of lurbinectedin? How does lurbinectedin compare to other cancer treatments?





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