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Cancer Nano-Therapies in the Clinic and Clinical Trials

The true measure of nanotechnology success in medicine and oncology lies in effectively translating research discoveries into the clinic for improved disease diagnosis and treatment. Although the use of nanotechnology for cancer diagnosis and treatment is largely still in the development phase, several nanocarrier-based drugs are already available, and many more nano-based therapeutics are undergoing clinical trials. Nanotechnology in oncology includes the use of precisely engineered materials to develop novel therapies and devices that may reduce toxicity as well as enhance the efficacy and delivery of treatments. Notably, Doxil® and Abraxane®, the most well known nano-based drugs, were approved by FDA several years ago and have been used successfully in clinical practice. A complete list of cancer nano-therapeutics approved by FDA and regulatory agencies of other countries is given below. Access a comprehensive list of the current U.S. clinical trials involving cancer nanotechnology.

Approved Cancer Drug Therapies Based on Nanotechnology (EMA: European Medicines Agency; FDA: US Food and Drug Administration; Adapted from Andreas Wicki, et al., J Control Release, 2015 and Francisco Rodriguez, et al., Biomolecules, 2022)

Approval (year)ProductCompanyNanoparticle materialDrug/MechanismIndication
EMA (2019)Hensify (NBTXR3)NanobiotixHafnium oxide nanoparticleRadiotherapyLocally advanced soft tissue sarcoma (STS)
EMA (2019)PazenirRatiopharm GmbHNanoparticle-bound albuminPaclitaxelMetastatic breast cancer, metastatic adenocarcinoma of the pancreas, non-small cell lung cancer
FDA (2017) EMA (2018)VyxeosCelator/Jazz PharmaLiposome  Cytarabine/DaunorubicinAcute myeloid leukemia
FDA (2015)OnivydeMerrimack PharmaLiposomeIrinotecanPancreatic cancer, colorectal cancer
EMA (2010, 2013)NanoThermMagForce Nanotechnologies AGIron oxide nanoparticlesThermal ablation with magnetic fieldGlioblastoma, prostate, and pancreatic cancer
FDA (2012)MarqiboTalon Therapeutics/ Spectrum PharmaceuticalsLiposomeVincristineAcute lymphoblastic leukemia
EMA (2009)MepactTakeda PharmaceuticalsLiposomeMifamurtide MTP-PEOsteosarcoma
South Korea (2007)Genexol-PMSamyang BiopharmaceuticalsPEG-PLA polymeric micellePaclitaxelBreast, lung, ovarian cancer
FDA (1994, 2006)OncasparEnzon-Sigma-tauPolymer protein conjugatePegaspargase/L-asparaginaseAcute lymphoblastic leukemia
FDA (2005)AbraxaneAbraxis/CelgeneNanoparticle-bound albuminPaclitaxelBreast and pancreatic cancer, non-small-cell lung cancer
FDA (1999)DepoCytPacira Pharmaceuticals LiposomeCytarabineNeoplastic meningitis
FDA (1996)DaunoXomeGilead SciencesLiposomeDaunorubicinKaposi’s sarcoma
FDA (1995, 1999, 2007), EMA (1996, 2000), Taiwan (1998)Doxil, Caelyx, Myocet, and Lipo-DoxJohnson and Johnson, Schering-Plough, Teva UK, and TTY BiopharmLiposomeDoxorubicinMetastatic breast cancer, ovarian cancer, Kaposi’s sarcoma, multiple myeloma

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