Nab-paclitaxel: a flattering facelift

Crit Rev Oncol Hematol. 2014 Dec;92(3):166-80. doi: 10.1016/j.critrevonc.2014.06.001. Epub 2014 Jun 28.

Abstract

The application of nanotechnology in oncology has increased the efficacy and efficiency of some cytotoxic agents. The paradigm in this field is nab-paclitaxel, a soluble form of paclitaxel that is linked to albumin nanoparticles. The development of nanotechnology as a delivery system for paclitaxel has provided better pharmacokinetic and pharmacodynamic characteristics, neutralizing its hydrophobicity. This procedure significantly improves the treatment of metastatic breast cancer compared to conventional paclitaxel-based therapies, including other type of cancers such as metastatic pancreatic cancer, stage IIIB-IV non-small cell lung cancer (NSCLC) and metastatic melanoma. In these last cases, significant differences were found in primary end-points for patients treated with nab-paclitaxel-based chemotherapy compared to those treated with conventional treatments. The application of nanotechnology in cancer treatment may also improve the efficacy of other known drugs, as a result of improved pharmacokinetic and pharmacodynamic profiles, similarly to paclitaxel.

Keywords: Breast cancer; Nab-paclitaxel; Nanomedicine; Nanotechnology; Pancreatic cancer; SPARC.

Publication types

  • Review

MeSH terms

  • Albumins / pharmacology
  • Albumins / therapeutic use*
  • Animals
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use*
  • Biological Transport
  • Biomarkers
  • Clinical Trials as Topic
  • Drug Evaluation, Preclinical
  • Humans
  • Nanomedicine
  • Neoplasms / drug therapy*
  • Paclitaxel / pharmacology
  • Paclitaxel / therapeutic use*
  • Treatment Outcome

Substances

  • 130-nm albumin-bound paclitaxel
  • Albumins
  • Antineoplastic Agents
  • Biomarkers
  • Paclitaxel