Code Preferred Term Synonyms Definition Drug Class C2688 ABI-007 Paclitaxel Albumin-Stabilized Nanoparticle Formulation|ABI 007|ABI-007|Abraxane|Albumin-Stabilized Nanoparticle Paclitaxel|Albumin-bound Paclitaxel|Nanoparticle Albumin-bound Paclitaxel|Nanoparticle Paclitaxel|nab-paclitaxel|nanoparticle paclitaxel|paclitaxel albumin-stabilized nanoparticle formulation|protein-bound paclitaxel A Cremophor EL-free, albumin-stabilized nanoparticle formulation of the natural taxane paclitaxel with antineoplastic activity. Paclitaxel binds to and stabilizes microtubules, preventing their depolymerization and so inhibiting cellular motility, mitosis, and replication. This formulation solubilizes paclitaxel without the use of the solvent Cremophor, thereby permitting the administration of larger doses of paclitaxel while avoiding the toxic effects associated with Cremophor. Drugs Approved to Treat Breast Cancer C63427 AC-T_Regimen AC-T Regimen|AC-T|AC-T regimen|AC-Taxol Regimen|AC-Taxol regimen A chemotherapy regimen consisting of doxorubucin hydrochloride (Adriamycin) and cyclophosphamide, followed by paclitaxel (Taxol), administered on either a dose-dense or sequential schedule and used as an adjuvant treatment for breast cancer. Drug Combinations Used in Breast Cancer C63415 AC_Regimen AC Regimen|AC|AC regimen|Adriamycin-Cytoxan Regimen|CA Regimen A regimen consisting of cyclophosphamide and doxorubicin used in the adjuvant setting for the treatment of breast cancer; also used for the treatment of recurrent and metastatic breast cancer. Drug Combinations Used in Breast Cancer C1607 Anastrozole Anastrozole|2,2'-[5-(1H-1,2,4-Triazol-1-ylmethyl)-1,3-phenylene]di(2-methylpropionitrile)|ANASTROZOLE|Alpha,alpha,alpha', alpha'-tetramethyl-5-(1H-1,2,4-triazol-1-ylmethyl)-1,3-benzenediacetonitrile|Anastrazole|Arimidex|ICI D1033|ICI-D1033|ZD-1033|anastrozole A nonsteroidal inhibitor of estrogen synthesis that resembles paclitaxel in chemical structure. As a third-generation aromatase inhibitor, anastrozole selectively binds to and reversibly inhibits aromatase, a cytochrome P-450 enzyme complex found in many tissues including those of the premenopausal ovary, liver, and breast; aromatase catalyzes the aromatization of androstenedione and testosterone into estrone and estradiol, the final step in estrogen biosynthesis. In estrogen-dependent breast cancers, ananstrozole may inhibit tumor growth. (NCI04) Drugs Approved to Treat Breast Cancer C1794 Capecitabine Capecitabine|5'-Deoxy-5-fluoro-N-[(pentyloxy)carbonyl]-cytidine|CAPECITABINE|Ro 09-1978/000|Xeloda|capecitabine A fluoropyrimidine carbamate belonging to the class of antineoplastic agents called antimetabolites. As a prodrug, capecitabine is selectively activated by tumor cells to its cytotoxic moiety, 5-fluorouracil (5-FU); subsequently, 5-FU is metabolized to two active metabolites, 5-fluoro-2-deoxyuridine monophosphate (FdUMP) and 5-fluorouridine triphosphate (FUTP) by both tumor cells and normal cells. FdUMP inhibits DNA synthesis and cell division by reducing normal thymidine production, while FUTP inhibits RNA and protein synthesis by competing with uridine triphosphate for incorporation into the RNA strand. (NCI04) Drugs Approved to Treat Breast Cancer C405 Cyclophosphamide Cyclophosphamide|(-)-Cyclophosphamide|1-bis(2-chloroethyl)-amino-1-oxo-2-aza-5-oxaphosphoridin monohydrate|2-[bis(2-chloroethyl)amino]tetrahydro-2H-1,3,2-oxazaphosphorine 2-oxide monohydrate|2-[bis(b-chloroethyl)amino]-1-oxa-3-aza-2-phosphacyclohexane-2-oxide monohydrate|2-[di(chloroethyl)amino]-1-oxa-3-aza-2-phosphacyclohexane 2-oxide monohydrate|2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate|Bis(2-chloroethyl)phosphoramide cyclic propanolamide ester monohydrate|CP monohydrate|CTX|CYCLO-cell|CYCLOPHOSPHAMIDE|Carloxan|Ciclofosfamida|Ciclofosfamide|Cicloxal|Clafen|Claphene|Cycloblastin|Cycloblastine|Cyclophospham|Cyclophosphamid monohydrate|Cyclophosphamidum|Cyclophosphan|Cyclophosphane|Cyclophosphanum|Cyclostin|Cyclostine|Cytophosphan|Cytophosphane|Cytoxan|Fosfaseron|Genoxal|Genuxal|Ledoxina|Mitoxan|N,N-bis(2-chloroethyl)-N',O-propylenephosphoric acid ester diamide monohydrate|N,N-bis(2-chloroethyl)-N'-(3-hydroxypropyl)phosphorodiamidic acid intramolecular ester monohydrate|N,N-bis(2-chloroethyl)tetrahydro-2H-1,3,2-oxazaphosphorin-2-amine 2-oxide monohydrate|N,N-bis(b-chloroethyl)-N',O-trimethylenephosphoric acid ester diamide monohydrate|N,N-bis(beta-chloroethyl)-N',O-propylenephosphoric acid ester diamide monohydrate|N,N-bis(beta-chloroethyl)-N',O-trimethylenephosphoric acid ester diamide monohydrate|Neosar|Revimmune|Syklofosfamid|WR- 138719|bis(2-chloroethyl)phosphamide cyclic propanolamide ester monohydrate|cyclophosphamide A synthetic alkylating agent chemically related to the nitrogen mustards with antineoplastic and immunosuppressive activities. In the liver, cyclophosphamide is converted to the active metabolites aldophosphamide and phosphoramide mustard, which bind to DNA, thereby inhibiting DNA replication and initiating cell death. Drugs Approved to Treat Breast Cancer C9533 Cyclophosphamide_Doxorubicin_Fluorouracil CAF Regimen|CAF|CAF regimen|CAFFI|CDF|CTX/DOX/5-FU|Cyclophosphamide-Adriamycin-Fluorouracil Regimen|Cyclophosphamide/Doxorubicin/Fluorouracil|FAC A chemotherapy regimen consisting of cyclophosphamide, doxorubicin hdrochloride (Adriamycin), and fluorouracil, which may be used in the adjuvant setting for the treatment of nonmetastatic breast cancer or alone for the treatment of metastatic breast cancer. Drug Combinations Used in Breast Cancer C9595 Cyclophosphamide_Epirubicin_Fluorouracil FEC Regimen|CEF|CEF Regimen|CTX/EPI/5-FU|Cyclophosphamide/Epirubicin/Fluorouracil|FEC|FEC 100|FEC regimen|Fluorouracil-Epirubicin-Cytoxan Regimen A regimen consisting of fluorouracil, epirubicin and cyclophosphamide used in the adjuvant setting and also for the treatment of recurrent and metastatic breast cancer. Drug Combinations Used in Breast Cancer C9874 Cyclophosphamide_Fluorouracil_Methotrexate CMF Regimen|CMF|CMF regimen|CTX/5-FU/MTX|Cyclophosphamide/Fluorouracil/Methotrexate|Cytoxan-Methotrexate-Fluorouracil Regimen A chemotherapy regimen consisting of cyclophosphamide, methotrexate, and fluorouracil, which may be used in the adjuvant setting for the treatment of nonmetastatic breast cancer or alone for the treatment of metastatic breast cancer. Drug Combinations Used in Breast Cancer C1526 Docetaxel Docetaxel|DOCETAXEL|Docecad|N-Debenzoyl-N-(tert-butoxycarbonyl)-10-deacetyltaxol|RP56976|Taxotere|Taxotere Injection Concentrate|[2aR-[2a alphaa,4beta,4a beta,6beta,9alpha,(alphaR*,betaS*),-11alpha,12alpha,12a alpha,12b alpha]]-beta-[[(1,1-dimethylethoxy)carbonyl]-amino]-alpha-hydroxybenzemepropanoic Acid 12b-(Acetyloxy)-12(benzyloxy)-2a,3,4,4a,5,6,8,10,11,12,12a,12b-dodecahydeo-4,-6,11-trihydroxy-4a,8,13,13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca[3,4]benz[1,2-b]oxet-9-yl Ester|docetaxel A semi-synthetic, second-generation taxane derived from a compound found in the European yew tree, Taxus baccata. Docetaxel displays potent and broad antineoplastic properties; it binds to and stabilizes tubulin, thereby inhibiting microtubule disassembly which results in cell- cycle arrest at the G2/M phase and cell death. This agent also inhibits pro-angiogenic factors such as vascular endothelial growth factor (VEGF) and displays immunomodulatory and pro-inflammatory properties by inducing various mediators of the inflammatory response. Docetaxel has been studied for use as a radiation-sensitizing agent. (NCI04) Drugs Approved to Treat Breast Cancer C1326 Doxorubicin_Hydrochloride Doxorubicin Hydrochloride|14-Hydroxydaunorubicin Hydrochloride|3-Hydroxyacetyldaunorubicin Hydrochloride|5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8, 9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-, hydrochloride, (8S-cis)- (9CI)|5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8,9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-,hydrochloride, (8S-cis)-(9CI)|ADM|ADRIAMYCIN, HYDROCHLORIDE|Adriacin|Adriamycin|Adriamycin Hydrochloride|Adriamycin PFS|Adriamycin RDF|Adriamycin hydrochloride|Adriamycine|Adriblastina|Adriblastine|Adrimedac|Chloridrato de Doxorrubicina|DOX|DOXO-CELL|DOXORUBICIN HYDROCHLORIDE|Doxolem|Doxorubicin hydrochloride|Doxorubicin.HCl|Doxorubin|FI 106|FI-106|Farmiblastina|L-Lyxo-hexopyranoside, 3b-glycol-1,2,3,4,6,11-hexahydro-3,5,12-trihydroxy-10-methoxy-6,11-dioxo-1a-naphthacenyl 3-amino-2,3,6-trideoxy-alpha-, hydrochloride|Rubex|doxorubicin hydrochloride|hydroxydaunorubicin The hydrochloride salt of doxorubicin, an anthracycline antibiotic with antineoplastic activity. Doxorubicin, isolated from the bacterium Streptomyces peucetius var. caesius, is the hydroxylated congener of daunorubicin. Doxorubicin intercalates between base pairs in the DNA helix, thereby preventing DNA replication and ultimately inhibiting protein synthesis. Additionally, doxorubicin inhibits topoisomerase II which results in an increased and stabilized cleavable enzyme-DNA linked complex during DNA replication and subsequently prevents the ligation of the nucleotide strand after double-strand breakage. Doxorubicin also forms oxygen free radicals resulting in cytotoxicity secondary to lipid peroxidation of cell membrane lipids; the formation of oxygen free radicals also contributes to the toxicity of the anthracycline antibiotics, namely the cardiac and cutaneous vascular effects. Drugs Approved to Treat Breast Cancer C26644 E7389 Eribulin Mesylate|2-(3-Amino-2-hydroxypropyl)hexacosahydro-3-methoxy-26-methyl-20,27-bis(methylene)11,15-18,21-24,28-triepoxy-7,9-ethano-12,15-methano-9H,15H-furo(3,2-i)furo(2',3'-5,6)pyrano(4,3-b)(1,4)dioxacyclopentacosin-5-(4H)-one|B1939 Mesylate|E7389|ER-086526|ERIBULIN MESYLATE|Halaven|Halichondrin B Analog|eribulin mesylate The mesylate salt of a synthetic analogue of halichondrin B, a substance derived from a marine sponge (Lissodendoryx sp.) with antineoplastic activity. Eribulin binds to the vinca domain of tubulin and inhibits the polymerization of tubulin and the assembly of microtubules, resulting in inhibition of mitotic spindle assembly, induction of cell cycle arrest at G2/M phase, and, potentially, tumor regression. Drugs Approved to Treat Breast Cancer C474 Epirubicin Epirubicin Hydrochloride|(8S-cis)-10-((3-Amino-2,3,6-trideoxy-beta-L-arabino-hexopyranosyl)oxy)-7,8,9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-5,12-naphthacenedione Hydrochloride|3-Glycoloyl-1,2,3,4,6,11-hexahydro-3,5,12-trihydroxy-10-methoxy-6,11-dioxo-1-naphthacenyl-3-amino-2,3,6-trideoxy-alpha-L-arabino-hexopyranoside Hydrochloride|EPIRUBICIN HYDROCHLORIDE|Ellence|IMI-28|Pharmorubicin PFS|epirubicin hydrochloride The hydrochloride salt of the 4'-epi-isomer of the anthracycline antineoplastic antibiotic doxorubicin. Epirubicin intercalates into DNA and inhibits topoisomerase II, thereby inhibiting DNA replication and ultimately, interfering with RNA and protein synthesis. This agent also produces toxic free-radical intermediates and interacts with cell membrane lipids causing lipid peroxidation. Drugs Approved to Treat Breast Cancer C48387 Everolimus Everolimus|(1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-Dihydroxy-12-((1R)-2-((1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxycyclohexyl)-1-methylethyl)-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo(30.3.1.04,9)hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentaone|42-O-(2-Hydroxy)ethyl Rapamycin|Afinitor|Certican|EVEROLIMUS|RAD 001|RAD001|Votubia|Zortress|everolimus A derivative of the natural macrocyclic lactone sirolimus with immunosuppressant and anti-angiogenic properties. In cells, everolimus binds to the immunophilin FK Binding Protein-12 (FKBP-12) to generate an immunosuppressive complex that binds to and inhibits the activation of the mammalian Target of Rapamycin (mTOR), a key regulatory kinase. Inhibition of mTOR activation results in the inhibition of T lymphocyte activation and proliferation associated with antigen and cytokine (IL-2, IL-4, and IL-15) stimulation and the inhibition of antibody production. (NCI05) Drugs Approved to Treat Breast Cancer C1097 Exemestane Exemestane|6-Methyleneandrosta-1,4-diene-3,17-dione|Aromasin|EXEMESTANE|FCE-24304|exemestane A synthetic androgen analogue. Exemestane binds irreversibly to and inhibits the enzyme aromatase, thereby blocking the conversion of cholesterol to pregnenolone and the peripheral aromatization of androgenic precursors into estrogens. (NCI04) Drugs Approved to Treat Breast Cancer C505 Fluorouracil Fluorouracil|2,4-Dioxo-5-fluoropyrimidine|5-FU|5-Fluoro-2,4(1H, 3H)-pyrimidinedione|5-Fluoro-2,4(1H,3H)-pyrimidinedione|5-Fluorouracil|5-Fluracil|5-Fu|5-fluorouracil|AccuSite|Adrucil|Carac|FLUOROURACIL|Fluoro Uracil|Fluouracil|Flurablastin|Fluracedyl|Fluracil|Fluril|Fluroblastin|Ribofluor|Ro 2-9757|Ro-2-9757|fluorouracil An antimetabolite fluoropyrimidine analog of the nucleoside pyrimidine with antineoplastic activity. Fluorouracil and its metabolites possess a number of different mechanisms of action. In vivo, fluoruracil is converted to the active metabolite 5-fluoroxyuridine monophosphate (F-UMP); replacing uracil, F-UMP incorporates into RNA and inhibits RNA processing, thereby inhibiting cell growth. Another active metabolite, 5-5-fluoro-2'-deoxyuridine-5'-O-monophosphate (F-dUMP), inhibits thymidylate synthase, resulting in the depletion of thymidine triphosphate (TTP), one of the four nucleotide triphosphates used in the in vivo synthesis of DNA. Other fluorouracil metabolites incorporate into both RNA and DNA; incorporation into RNA results in major effects on both RNA processing and functions. Drugs Approved to Treat Breast Cancer C1379 Fulvestrant Fulvestrant|7a-[9-[(4,4,5,5,5,-Pentafluoropentyl)sulphinyl]nonyl]-estra-1,3,5(10)-triene-3,17b-diol|FULVESTRANT|Faslodex|Faslodex(ICI 182,780)|ICI 182,780|ICI 182780|ZD9238|fulvestrant A synthetic estrogen receptor antagonist. Unlike tamoxifen (which has partial agonist effects) and the aromatase inhibitors (which reduce the estrogen available to tumor cells), fulvestrant binds competitively to estrogen receptors in breast cancer cells, resulting in estrogen receptor deformation and decreased estrogen binding. In vitro studies indicate that fulvestrant reversibly inhibits the growth of tamoxifen-resistant, estrogen-sensitive, human breast cancer cell lines. (NCI04) Drugs Approved to Treat Breast Cancer C961 Gemcitabine Gemcitabine Hydrochloride|1-(2-Oxo-4-amino-1,2-dihydropyrimidin-1-yl)-2-deoxy-2,2-difluororibose, hydrochloride|2'Deoxy-2',2'-Difluorocytidine, Hydrochloride|Difluorodeoxycytidine Hydrochloride|GEMCITABINE HYDROCHLORIDE|Gemzar|LY-188011|LY188011|dFdCyd|gemcitabine hydrochloride The hydrochloride salt of an analogue of the antimetabolite nucleoside deoxycytidine with antineoplastic activity. Gemcitabine is converted intracellularly to the active metabolites difluorodeoxycytidine di- and triphosphate (dFdCDP, dFdCTP). dFdCDP inhibits ribonucleotide reductase, thereby decreasing the deoxynucleotide pool available for DNA synthesis; dFdCTP is incorporated into DNA, resulting in DNA strand termination and apoptosis. Drugs Approved to Treat Breast Cancer C1417 Goserelin_Acetate Goserelin Acetate|D-Ser(bu(t))(6)azgly(10)-LHRH Acetate|GOSERELIN ACETATE|ZDX|Zoladex The acetate salt of a synthetic decapeptide analog of luteinizing hormone-releasing hormone (LHRH). Continuous, prolonged administration of goserelin in males results in inhibition of pituitary gonadotropin secretion, leading to a significant decline in testosterone production; in females, prolonged administration results in a decrease in estradiol production. (NCI04) Drugs Approved to Treat Breast Cancer C37452 Ixabepilone Ixabepilone|(1S,3S,7S,10R,11S,12S,16R)-7,11-Dihydroxy-8,8,10,12,16-pentamethyl-3-[(1E)-1-methyl-2-(2-methyl-4-thiazolyl)ethenyl]-17-oxa-4-azabicyclo[14.1.0]heptadecane-5,9-dione|Azaepothilone B|BMS 247550|BMS-247550|BMS247550|Epothilone|Epothilone-B BMS 247550|IXABEPILONE|Ixempra|ixabepilone An orally bioavailable semisynthetic analogue of epothilone B with antineoplastic activity. Ixabepilone binds to tubulin and promotes tubulin polymerization and microtubule stabilization, thereby arresting cells in the G2-M phase of the cell cycle and inducing tumor cell apoptosis. This agent demonstrates antineoplastic activity against taxane-resistant cell lines. Drugs Approved to Treat Breast Cancer C66878 Lapatinib_Ditosylate Lapatinib Ditosylate|LAPATINIB DITOSYLATE|Tykerb|lapatinib ditosylate The ditosylate salt of lapatinib, a synthetic, orally-active quinazoline with potential antineoplastic activity. Lapatinib reversibly blocks phosphorylation of the epidermal growth factor receptor (EGFR), ErbB2, and the Erk-1 and-2 and AKT kinases; it also inhibits cyclin D protein levels in human tumor cell lines and xenografts. EGFR and ErbB2 have been implicated in the growth of various tumor types. Drugs Approved to Treat Breast Cancer C1527 Letrozole Letrozole|4,4'-(1H-1,2,4triazol-1-ylmethylene)dibenzonitrile|CGS 20267|Femara|LETROZOLE|letrozole A nonsteroidal inhibitor of estrogen synthesis with antineoplastic activity. As a third-generation aromatase inhibitor, letrozole selectively and reversibly inhibits aromatase, which may result in growth inhibition of estrogen-dependent breast cancer cells. Aromatase, a cytochrome P-450 enzyme localized to the endoplasmic reticulum of the cell and found in many tissues including those of the premenopausal ovary, liver, and breast, catalyzes the aromatization of androstenedione and testosterone into estrone and estradiol, the final step in estrogen biosynthesis. Drugs Approved to Treat Breast Cancer C1156 Megestrol_Acetate Megestrol Acetate|(9beta,10alpha)-17-(Acetyloxy)-6-methylpregna-4,6-diene-3,20-dione|17 Alpha-acetoxy-6-methylpregna-4,6-diene-3,20-dione|17-Hydroxy-6-methylpregna-4,6-diene-3,20-dione Acetate|17-Hydroxy-6-methylpregna-4,6-diene-3,20-dione acetate|17.alpha.-Acetoxy-6-methylpregna-4,6-diene-3,20-dione|6-Dehydro-6-methyl-17 alpha-acetoxyprogesterone|6-Dehydro-6-methyl-17.alpha.-acetoxyprogesterone|6-Methyl-6-dehydro-17.alpha.-acetoxyprogesterone|6-Methyl-delta-4,6-pregnadien-17 alpha-ol-3,20-dione Acetate|BDH 1298|BDH-1298|MEGESTROL ACETATE|Maygace|Megace|Megestat|Megestil|Niagestin|Ovaban|Pallace|SC-10363 The acetate salt form of megestrol, a synthetic derivative of the naturally occurring female sex hormone progesterone with potential anti-estrogenic and antineoplastic activity. Mimicking the action of progesterone, megestrol acetate binds to and activates nuclear progesterone receptors in the reproductive system, and causes the ligand-receptor complex to be translocated to the nucleus where it binds to and promotes expression of target genes. This leads to an alteration in protein synthesis, which modulates cell growth of reproductive tissues. Due to the negative feedback mechanism seen with progesterone, megestrol also blocks luteinizing hormone (LH) release from the pituitary gland, thereby leading to an inhibition of ovulation and an alteration in the cervical mucus and endometrium. Furthermore, without stimulation of LH, estrogen release from the ovaries is stopped, hence impedes the growth of estrogen-sensitive tumor cells. Drugs Approved to Treat Breast Cancer C642 Methotrexate Methotrexate|4-Amino-10-methylfolic Acid|4-Amino-4-deoxy-10-methylpteroyl-L-glutamic Acid|Abitrexate|Alpha-Methopterin|Amethopterin|Brimexate|CL 14377|CL-14377|Emtexate|Emthexat|Emthexate|Farmitrexat|Fauldexato|Folex|Folex PFS|Lantarel|Ledertrexate|Lumexon|METHOTREXATE|MTX|Maxtrex|Medsatrexate|Metex|Methoblastin|Methotrexate LPF|Methotrexate Methylaminopterin|Methotrexatum|Metotrexato|Metrotex|Mexate|Mexate-AQ|N-[4-[[(2,4-Diamino-6-pteridinyl)methyl]methylamino]benzoyl]-L-glutamic Acid|Novatrex|Rheumatrex|Texate|Tremetex|Trexeron|Trixilem|WR-19039|amethopterin|methotrexate An antimetabolite and antifolate agent with antineoplastic and immunosuppressant activities. Methotrexate binds to and inhibits the enzyme dihydrofolate reductase, resulting in inhibition of purine nucleotide and thymidylate synthesis and, subsequently, inhibition of DNA and RNA syntheses. Methotrexate also exhibits potent immunosuppressant activity although the mechanism(s) of actions is unclear. Drugs Approved to Treat Breast Cancer C49176 PD-0332991 Palbociclib|6-Acetyl-8-cyclopentyl-5-methyl-2-((5-(piperazin-1-yl)pyridin-2-yl)amino)-8h-pyrido(2,3-d)pyrimidin-7-one|Ibrance|PALBOCICLIB|PD-0332991|PD-332991 An orally available cyclin-dependent kinase (CDK) inhibitor with potential antineoplastic activity. Palbociclib selectively inhibits cyclin-dependent kinase 4 (CDK4) and 6 (CDK6), thereby inhibiting retinoblastoma (Rb) protein phosphorylation early in the G1 phase leading to cell cycle arrest. This suppresses DNA replication and decreases tumor cell proliferation. CDK4 and 6 are serine/threonine kinases that are upregulated in many tumor cell types and play a key role in the regulation of cell cycle progression. Drugs Approved to Treat Breast Cancer C1411 Paclitaxel Paclitaxel|5Beta,20-epoxy-1,2alpha,4,7beta,10beta,13alpha-hexahydroxytax-11-en-9-one, 4,10-Diacetate 2-Benzoate 13-Ester with (2R,3S)-N-Benzoyl-3-phenylisoserine|Anzatax|Asotax|Bristaxol|PACLITAXEL|Praxel|Taxol|Taxol Konzentrat|[2aR-[2a Alpha,4beta,4a beta,6beta,9alpha(alphaR*,betaS*),-11alpha,12alpha,12a alpha,12b alpha]]-beta-(benzoylamino)-alpha-hydroxybenzene-propanoic acid 6,12b-bis(acetyloxy)-12-(benzoyloxy)-1a,33,4,-41,5,6,9,10,11,12,12a,12b-dodecahydro-4,11-dihydroxy-41,8,-12,13-tetramethyl-5-oxo-7,11-methano-1H-cyclodeca[3,4]benz[1,2-b]oxet-9-yl Ester|paclitaxel A compound extracted from the Pacific yew tree Taxus brevifolia with antineoplastic activity. Paclitaxel binds to tubulin and inhibits the disassembly of microtubules, thereby resulting in the inhibition of cell division. This agent also induces apoptosis by binding to and blocking the function of the apoptosis inhibitor protein Bcl-2 (B-cell Leukemia 2). (NCI04) Drugs Approved to Treat Breast Cancer C1345 Pamidronate_Disodium Pamidronate Disodium|Aminomux|Aredia|GCP-23339A|PAMIDRONATE DISODIUM The disodium salt of the synthetic bisphosphonate pamidronate. Although its mechanism of action is not completely understood, pamidronate appears to adsorb to calcium phosphate crystals in bone, blocking their dissolution by inhibiting osteoclast-mediated bone resorption. This agent does not inhibit bone mineralization and formation. Drugs Approved to Treat Breast Cancer C38692 Pertuzumab Pertuzumab|2C4|2C4 Antibody|Immunoglobulin G1, Anti-(Human V (Receptor)) (Human-Mouse Monoclonal 2C4 Heavy Chain), Disulfide with Human-Mouse Monoclonal 2C4 Kappa-Chain, Dimer|MoAb 2C4|Monoclonal Antibody 2C4|PERTUZUMAB|Perjeta|RO4368451|pertuzumab|rhuMAb2C4 A humanized recombinant monoclonal antibody directed against the extracellular dimerization domain of the HER-2 tyrosine kinase receptor. Binding of the antibody to the dimerization domain of the HER-2 tyrosine kinase receptor protein directly inhibits the ability of the HER-2 tyrosine kinase receptor protein (the most common pairing partner) to dimerize with other HER tyrosine kinase receptor proteins; inhibiting receptor protein dimerization prevents the activation of HER signaling pathways, resulting in tumor cell apoptosis. (NCI04) Drugs Approved to Treat Breast Cancer C1762 Raloxifene_Hydrochloride Raloxifene Hydrochloride|(6-Hydroxy-2-(4-hydroxyphenyl)benzo(b)thien-3-yl)(4-(2-(1-piperidinyl)ethoxy)phenyl)methanone Hydrochloride|Evista|Keoxifene Hydrochloride|LY-156758|Optruma|RALOXIFENE HYDROCHLORIDE|Raloxifene HCl|Raloxifene hydrochloride|Raloxifene.HCl|raloxifene hydrochloride The hydrochloride salt form of raloxifene, a selective benzothiophene estrogen receptor modulator (SERM) with lipid lowering effects and activity against osteoporosis. Raloxifene hydrochloride specifically binds to estrogen receptors in responsive tissue, including liver, bone, breast, and endometrium. The resulting ligand-receptor complex is translocated to the nucleus where, depending on the tissue type, it promotes or suppresses the transcription of estrogen-regulated genes, thereby exerting its agonistic or antagonistic effects. This agent functions as an estrogen agonist in lipid metabolism, thereby decreasing total and LDL cholesterol levels. In tissue like bone, it decreases bone resorption and bone turnover and increases bone mineral density. Raloxifene hydrochloride acts as an estrogen antagonist in uterine and breast tissue. This agent also exerts an anti-proliferative effect on estrogen-sensitive breast cancer. Drugs Approved to Prevent Breast Cancer C63435 TAC_Regimen TAC Regimen|TAC|TAC regimen|Taxotere-Adriamycin-Cytoxan Regimen A regimen consisting of docetaxel, doxorubicin and cyclophosphamide used in the adjuvant setting for the treatment of breast cancer. Drug Combinations Used in Breast Cancer C855 Tamoxifen Tamoxifen Citrate|(Z)-2-[4-(1,2-Diphenyl-1-butenyl)phenoxy]-N,N-dimethylethanamine 2-Hydroxy-1,2,3-propanetricarboxylate|(Z)-2-[4-(1,2-diphenyl-1-butenyl)phenoxy]-N,N-dimethylethanamine citrate|1-p-beta-dimethylamino-ethoxyphenyl-trans-1,2-diphenylbut-1-ene Citrate|Apo-Tamox|Clonoxifen|Dignotamoxi|Ebefen|Emblon|Estroxyn|Fentamox|Gen-Tamoxifen|Genox|ICI 46,474|ICI-46474|Jenoxifen|Kessar|Ledertam|Lesporene|Nolgen|Noltam|Nolvadex|Nolvadex-D|Nourytam|Novo-Tamoxifen|Novofen|Noxitem|Oestrifen|Oncotam|PMS-Tamoxifen|Soltamox|TAM|TAMOXIFEN CITRATE|Tamax|Tamaxin|Tamifen|Tamizam|Tamofen|Tamoxasta|Tamoxifen citrate|Tamoxifeni Citras|Zemide|tamoxifen citrate The citrate salt of an antineoplastic nonsteroidal selective estrogen receptor modulator (SERM). Tamoxifen competitively inhibits the binding of estradiol to estrogen receptors, thereby preventing the receptor from binding to the estrogen-response element on DNA. The result is a reduction in DNA synthesis and cellular response to estrogen. In addition, tamoxifen up-regulates the production of transforming growth factor B (TGFb), a factor that inhibits tumor cell growth, and down-regulates insulin-like growth factor 1 (IGF-1), a factor that stimulates breast cancer cell growth. Tamoxifen also down-regulates protein kinase C (PKC) expression in a dose-dependant manner, inhibiting signal transduction and producing an antiproliferative effect in tumors such as malignant glioma and other cancers that overexpress PKC. Drugs Approved to Prevent Breast Cancer C875 Thiotepa Thiotepa|1,1',1"-phosphinothioylidynetrisaziridine|1,1',1''-Phosphinothioyldynetrisaziridine|1,1',1''-Phosphinothioylidynetrisaziridine|Girostan|N,N', N''-Triethylenethiophosphoramide|N,N',N''-triethylenethiophosphoramide|Oncotiotepa|STEPA|TESPA|THIOTEPA|TIO TEF|TSPA|Tepadina|Tespamin|Tespamine|Thio-Tepa|Thiofosfamide|Thiofozil|Thiophosphamide|Thiophosphoramide|Thioplex|Thiotef|Tifosyl|Tio-tef|Triethylene Thiophosphoramide|Triethylene thiophosphoramide|Triethylenethiophosphoramide|Tris(1-aziridinyl)phosphine sulfide|WR 45312|thiotepa|triethylenethiophosphoramide|tris(1-aziridinyl)phosphine sulfide A polyfunctional, organophosphorus alkylating agent and a stable derivative of N,N',N''-triethylenephosphoramide (TEPA), with antineoplastic activity. Upon administration, thiotepa is converted into highly reactive ethylenimine groups, which covalently bind to nucleophilic groups in DNA and demonstrate a preference for the N7 position of guanine bases. This induces crosslinking of alkylated guanine bases in double-stranded DNA, interferes with both DNA replication and cell division, and results in both the induction of apoptosis and the inhibition of cell growth. Drugs Approved to Treat Breast Cancer C1256 Toremifene Toremifene|(Z)-2-[4-(4-Chloro-1,2-diphenyl-1-butenyl)phenoxy]-N,N-dimethylethanamine|(Z)-4-Chloro-1,2-diphenyl-1[4-[2-(N,N-dimethylamino)ethoxy]phenyl]-1-butene|Farestone|TOREMIFENE|toremifene A nonsteroidal triphenylethylene antiestrogen. Chemically related to tamoxifen, toremifene is a selective estrogen receptor modulator (SERM). This agent binds competitively to estrogen receptors, thereby interfering with estrogen activity. Toremifene also has intrinsic estrogenic properties, which are manifested according to tissue type or species. (NCI04) Drugs Approved to Treat Breast Cancer C1647 Trastuzumab Trastuzumab|ABP 980|Anti-ERB-2|Anti-HER2/c-erbB2 Monoclonal Antibody|Anti-c-ERB-2|Anti-c-erbB2 Monoclonal Antibody|Anti-erbB-2|Anti-erbB2 Monoclonal Antibody|Anti-p185-HER2|HER2 Monoclonal Antibody|Herceptin|Herceptin Biosimilar PF-05280014|Herceptin Trastuzumab Biosimilar PF-05280014|Immunoglobulin G 1 (Human-Mouse Monoclonal RhuMab HER2gamma1-Chain Antihuman p185(Sup c-erbB2) Receptor), Disulfide with Human-Mouse Monoclonal RhuMab HER2 Light Chain, Dimer|MoAb HER2|Monoclonal Antibody HER2|Monoclonal Antibody c-erb-2|PF-05280014|RO0452317|TRASTUZUMAB|Trastuzumab Biosimilar ABP 980|Trastuzumab Biosimilar PF-05280014|c-erb-2 Monoclonal Antibody|rhuMAb HER2|trastuzumab A recombinant humanized monoclonal antibody directed against the human epidermal growth factor receptor 2 (HER2). After binding to HER2 on the tumor cell surface, trastuzumab induces an antibody-dependent cell-mediated cytotoxicity against tumor cells that overexpress HER2. HER2 is overexpressed by many adenocarcinomas, particularly breast adenocarcinomas. (NCI04) Drugs Approved to Treat Breast Cancer C82492 Trastuzumab-MCC-DM1_Conjugate Trastuzumab Emtansine|Ado Trastuzumab Emtansine|Immunoglobulin G1, Anti-(Human p185neu Receptor) (Human-Mouse Monoclonal RhuMab HER2 Gamma1-Chain), Disulfide with Human-Mouse Monoclonal RhuMab HER2 Light Chain, Dimer, Tetraamide with N2'-(3-((1-((4-carboxycyclohexyl)methyl)-2,5-dioxo-3-pyrrolidinyl)thio)-1-oxopropyl)-N2'-deacetylMaytansine|Kadcyla|PRO132365|RO5304020|T-DM1|TRASTUZUMAB EMTANSINE|Trastuzumab-DM1|Trastuzumab-MCC-DM1|Trastuzumab-MCC-DM1 Antibody-Drug Conjugate|Trastuzumab-MCC-DM1 Immunoconjugate An antibody-drug conjugate (ADC) consisting of the recombinant anti-epidermal growth factor receptor 2 (HER2) monoclonal antibody trastuzumab conjugated to the maytansinoid DM1 via a nonreducible thioether linkage (MCC) with potential antineoplastic activity. The trastuzumab moiety of this ADC binds to HER2 on tumor cell surfaces; upon internalization, the DM1 moiety is released and binds to tubulin, thereby disrupting microtubule assembly/disassembly dynamics and inhibiting cell division and the proliferation of cancer cells that overexpress HER2. Linkage of antibody and drug through a nonreducible linker has been reported to contribute to the improved efficacy and reduced toxicity of this ADC compared to similar ADCs constructed with reducible linkers. Drugs Approved to Treat Breast Cancer C931 Vinblastine_Sulfate Vinblastine Sulfate|29060 LE|29060-LE|Exal|VINBLASTINE SULFATE|VINCALEUKOBLASTINE|Velban|Velbe|Velsar|vinblastine sulfate The sulfate salt of vinblastine, a natural alkaloid isolated from the plant Catharanthus roseus (Madagascar periwinkle) with antineoplastic properties. Vinblastine disrupts microtubule formation and function during mitosis and interferes with glutamic acid metabolism. (NCI04) Drugs Approved to Treat Breast Cancer