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Combination of Lurbinectedin plus Irinotecan: Preclinical and Early Clinical Results in Relapsed Small Cell Lung Cancer Patients - PubMed

5 days ago
  • #Irinotecan
  • #Lurbinectedin
  • #SCLC
  • Novel treatment approaches are needed for relapsed small cell lung cancer (SCLC).
  • Lurbinectedin combined with irinotecan showed synergistic antitumor effects in preclinical models.
  • The combination impaired S-phase entry, enhanced DNA damage, and induced apoptosis.
  • A phase I/II trial recommended a dose of lurbinectedin 2.0 mg/m² and irinotecan 75 mg/m².
  • In 21 relapsed SCLC patients, the combination showed a 61.9% overall response rate.
  • Median progression-free survival was 7.2 months, and median overall survival was 12.3 months.
  • Common toxicities included myelosuppression, fatigue, gastrointestinal disorders, and decreased appetite.
  • Early clinical data indicate promising antitumor activity and a predictable safety profile.
  • Further development of this combination for relapsed SCLC is ongoing.