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Protein-bound paclitaxel

Cancer drug


Cancer drug

FieldValue
Verifiedfieldschanged
verifiedrevid443693471
typecombo
component1Paclitaxel
class1Mitotic inhibitor
component2Albumin
class2Delivery vehicle
tradenameAbraxane, others
Drugs.com
MedlinePlusa619008
DailyMedIDPaclitaxel
pregnancy_AUD
routes_of_administrationIntravenous
ATC_prefixL01
ATC_suffixCD01
legal_AUS4
legal_CARx-only
legal_CA_comment
legal_UKPOM
legal_USRx-only
legal_EURx-only
legal_statusRx-only
ChemSpiderID_Ref
ChemSpiderIDnone
CAS_number_Ref
CAS_number33069-62-4
UNII_Ref
UNIIP88XT4IS4D
DrugBank_Ref
DrugBankDB01229
KEGGD00491

| Drugs.com =

Protein-bound paclitaxel, also known as nanoparticle albumin–bound paclitaxel or nab-paclitaxel, is an injectable formulation of paclitaxel used to treat breast cancer, lung cancer and pancreatic cancer, among others. Paclitaxel kills cancer cells by preventing the normal breakdown of microtubules during cell division. In this formulation, paclitaxel is bonded to albumin as a delivery vehicle. It is manufactured and sold in the United States by Celgene under the trade name Abraxane where it is designated as an orphan drug as first-line treatment, in combination with gemcitabine, for the orphan disease "metastatic adenocarcinoma of the pancreas".

This treatment was approved in the United States in 2005, and the European Union in 2008, for breast cancer cases where cancer did not respond to other chemotherapy or has relapsed. In 2012, the FDA widened the approved uses to include treatment for NSCLC. In 2013, the FDA approved protein-bound paclitaxel for use in treating advanced pancreatic cancer as a less toxic (although less effective) alternative to FOLFIRINOX.

Society and culture

Abraxane is registered on the Australian Register of Therapeutic Goods for the treatment of metastatic carcinoma of the breast after failure of anthracycline therapy. Abraxane is also included on the Schedule of the Australian Pharmaceutical Benefits Scheme although the manufacturer was unable to convince the independent Pharmaceutical Benefits Advisory Committee that the drug warranted a higher price than existing comparator drugs. Protein-bound paclitaxel was developed by VivoRx which became Abraxis BioScience as the first in its class of drugs to use the nanoparticle albumin bound (nab) technology platform.

In 2010, Abraxis was acquired by Celgene, which now markets Abraxane. Total revenue from the sales of Abraxane for 2009 were $314.5 million. In 2013, Abraxane was FDA approved for the treatment of pancreatic cancer. In 2014, Abraxane's sales were $848 million, 31 percent year-over-year increase. In 2019 Bristol Meyers Squibb acquired Celgene for $74 billion dollars, and thus acquired Abraxis Bioscience and the rights to manufacture and market Abraxane.

The UK's National Institute for Health and Care Excellence (NICE) announced in 2015, that it would not support the routine use of protein-bound paclitaxel in advanced pancreatic cancer on the NHS. However, this decision was changed in September 2017. It has continued to be reimbursed in England since then, despite questionable real world effectiveness.

References

References

  1. (7 July 2016). "Product monograph brand safety updates".
  2. (2011-02-02). "Definition of "protein-bound paclitaxel"". [[National Cancer Institute]] Dictionary of Cancer Terms.
  3. "Nab-paclitaxel (Abraxane)".
  4. (2006). "Paclitaxel Albumin-stabilized Nanoparticle Formulation". [[National Cancer Institute]] Drug Information.
  5. (September 6, 2013). "Abraxane".
  6. (August 27, 2020). "The Inside Story Of Biotech's Barnum And His Covid Cures".
  7. (2006). "FDA Approval for Nanoparticle Paclitaxel". [[National Cancer Institute]] Drug Information.
  8. (9 March 2020). "Abraxane EPAR".
  9. (2012-10-12). "FDA approves Celgene's Abraxane for lung cancer". Reuters.
  10. (October 11, 2012). "Paclitaxel (Abraxane)". U.S. [[Food and Drug Administration]].
  11. (September 7, 2013). "F.D.A. Approves a Drug for Late-Stage Pancreatic Cancer". [[New York Times]].
  12. (June 6, 2008). "Resolution 9190". Therapeutic Goods Administration (Tga).
  13. (May 2009). "Assessing the safety and cost-effectiveness of early nanodrugs". Journal of Law and Medicine.
  14. (November 2008). "PBAC, Public Summary Document".
  15. "Celgene: A Global Biopharmaceutical Company Committed to Improving the Lives of Patients Worldwide with Innovative and Life-Changing Treatments".
  16. "Celgene Completes Acquisition of Abraxis".
  17. (2010). "Abraxis Reports Phase III Success with Abraxane in First-Line NSCLC".
  18. "FDA approves Abraxane for late-stage pancreatic cancer".
  19. "Celgene Corporation Announces 2015 and Long-Term Financial Outlook and Preliminary 2014 Results (NASDAQ:CELG)".
  20. Kansteiner, Fraiser. (2022-11-09). "Bristol Myers' subsidiary behind cancer blockbuster Abraxane slapped with FDA warning letter".
  21. (September 2015). "NHS England stop access to Abraxane - Pancreatic Cancer UK".
  22. (2017-09-06). "Overview {{!}} Paclitaxel as albumin-bound nanoparticles with gemcitabine for untreated metastatic pancreatic cancer {{!}} Guidance {{!}} NICE".
  23. (August 2022). "Real-World Assessment of Cancer Drugs Using Local Data Uploaded to the Systemic Anti-Cancer Therapy Dataset in England". Clinical Oncology.
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