RT Journal Article T1 Anthracyclines Strike Back: Rediscovering Non-Pegylated Liposomal Doxorubicin in Current Therapeutic Scenarios of Breast Cancer A1 Schettini, Francesco A1 Giuliano, Mario A1 Lambertini, Matteo A1 Bartsch, Rupert A1 Pinato, David James A1 Onesti, Concetta Elisa A1 Harbeck, Nadia A1 Lüftner, Diana A1 Rottey, Sylvie A1 van Dam, Peter A. A1 Zaman, Khalil A1 Mustacchi, Giorgio A1 Gligorov, Joseph A1 Awada, Ahmad A1 Campone, Mario A1 Wildiers, Hans A1 Gennari, Alessandra A1 Tjan-Heijnen, Vivianne C. G. A1 Cortes, Javier A1 Locci, Mariavittoria A1 Paris, Ida A1 Del Mastro, Lucia A1 De Placido, Sabino A1 Martín Jiménez, Miguel José A1 Jerusalem, Guy A1 Venturini, Sergio A1 Curigliano, Giuseppe A1 Generali, Daniele AB Anthracyclines are among the most active chemotherapies (CT) in breast cancer (BC). However, cardiotoxicity is a risk and peculiar side effect that has been limiting their use in clinical practice, especially after the introduction of taxanes. Non-pegylated liposomal doxorubicin (NPLD) has been developed to optimize the toxicity profile induced by anthracyclines, while maintaining its unquestionable therapeutic index, thanks to its delivering characteristics that increase its diffusion in tumor tissues and reduce it in normal tissues. This feature allows NPLD to be safely administered beyond the standard doxorubicin maximum cumulative dose of 450–480 mg/m2. Following three pivotal first-line phase III trials in HER2-negative metastatic BC (MBC), this drug was finally approved in combination with cyclophosphamide in this specific setting. Given the increasing complexity of the therapeutic scenario of HER2-negative MBC, we have carefully revised the most updated literature on the topic and dissected the potential role of NPLD in the evolving therapeutic algorithms. PB MPDI SN 2072-6694 YR 2021 FD 2021-09-01 LK https://hdl.handle.net/20.500.14352/4754 UL https://hdl.handle.net/20.500.14352/4754 LA eng DS Docta Complutense RD 23 abr 2025