Title:Trabectedin (Yondelis®) as a Therapeutic Option in Gynecological Cancers: A Focus on its Mechanisms of Action, Clinical Activity and Genomic Predictors of Drug Response
Volume: 21
Issue: 10
Author(s): Soumaya Souid*, Dorra Aissaoui, Najet Srairi-Abid and Khadija Essafi-Benkhadir
Affiliation:
- Universite de Tunis El Manar, Institut Pasteur de Tunis, LR16IPT04 Epidemiologie Moleculaire et Pathologie Experimentale appliquee aux Maladies infectieuses, 1002, Tunis,Tunisia
Keywords:
Trabectedin, gynecological cancers, ovarian cancer, uterine leiomyosarcoma, predictive biomarkers.
Abstract: The use of predictive biomarkers provides potential individualized cancer therapeutic options
to prevent therapy failure as well as serious toxicities. Several recent studies showed that predictive
and prognostic biomarkers are a notable personalized strategy to improve patients’ care in several
cancers. Trabectedin (Yondelis®) is a cytotoxic agent, derived from a marine organism, harbouring a
significant antitumor activity against several cancers such as soft tissue sarcoma, ovarian, and breast
cancers. Recently and with the advent of molecular genetic testing, BRCA mutational status was found
as an important predictor of response to this anticancer drug, especially in gynecological cancers. The
aim of this updated review is to discuss the mechanisms of action of trabectedin against the wellknown
cancer hallmarks described until today. The current advances were also examined related to
genomic biomarkers that can be used in the future to predict the efficacy of this potent anticancer natural
molecule in various gynecological cancers.