Pharmacotherapy for liposarcoma: current and emerging synthetic treatments

Future Oncol. 2021 Jul;17(20):2659-2670. doi: 10.2217/fon-2020-1092. Epub 2021 Apr 21.

Abstract

Liposarcomas are rare tumors arising from adipocytic tissue and accounting for approximately 15-20% of all soft tissue sarcomas. Liposarcoma can be further classified into histopathological subtypes with variable chemosensitivity according to subtype. Decisions regarding management should be made on an individual basis, but surgery for localized disease and systemic chemotherapy remain the mainstay of treatment. Currently, only doxorubicin and trabectedin have robust Phase III data to support their use in the management of advanced liposarcoma. However, in the subgroup analysis of a Phase III trial comparing eribulin with dacarbazine, there was a greater than 7-month improvement in median overall survival in those treated with eribulin. There are also promising results from emerging studies in novel and targeted agents for the treatment of liposarcoma.

Keywords: liposarcomas; novel therapeutic agents; radiotherapy; systemic chemotherapy; targeted therapies.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / adverse effects
  • Clinical Trials, Phase III as Topic
  • Dacarbazine / administration & dosage
  • Dacarbazine / adverse effects
  • Disease-Free Survival
  • Doxorubicin / administration & dosage
  • Doxorubicin / adverse effects
  • Furans / administration & dosage
  • Furans / adverse effects
  • Humans
  • Ketones / administration & dosage
  • Ketones / adverse effects
  • Liposarcoma / drug therapy*
  • Liposarcoma / mortality
  • Neoplasm Recurrence, Local / epidemiology*
  • Neoplasm Recurrence, Local / prevention & control
  • Progression-Free Survival

Substances

  • Antineoplastic Agents
  • Furans
  • Ketones
  • Dacarbazine
  • Doxorubicin
  • eribulin