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Synonyms: PM 01183 | PM-01183 | PM01183 | Zepzelca®
lurbinectedin is an approved drug (FDA (2020))
Compound class:
Synthetic organic
Comment: Lurbinectedin (PM01183) is an investigational anti-tumour agent [3] with potential activity against a wide range of tumours. Structurally it is a synthetic tetrahydroisoquinoline that is related to the marine ecteinascidins (e.g. trabectedin). Like trabectedin, lurbinectedin binds to the minor groove of DNA. Stable lurbinectedin-DNA adducts induce DNA double- and single-strand breaks which cause cell cycle arrest and ultimately, apoptotic cell death.
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Summary of Clinical Use ![]() |
| First-in-human results of lurbinectedin in patients with advanced solid tumours were reported in 2014 [1], and since then it has progressed to Phase 3 evaluations. Click here to link to ClinicalTrials.gov's full list of lurbinectedin/PM01183 studies. In the EU lurbinectedin has orphan drug authorisation for ovarian cancer (granted in 2012) and small cell lung cancer (SCLC, 2019). A new drug application (NDA) was submitted to the FDA in late 2019, and accelerated approval/priority review for use as a second-line therapy in patients with SCLC who have progressed after prior platinum-containing therapy was authorised in February 2020. This converted to full FDA approval for this SCLC indication in June 2020. In October 2025 the FDA approved the combination of lurbinectedin and the anti-PD-L1 immune checkpoint inhibitor atezolizumab to treat extensive-stage SCLC. |
| Clinical Trials | |||||
| Clinical Trial ID | Title | Type | Source | Comment | References |
| NCT02421588 | Clinical Trial of Lurbinectedin (PM01183) in Platinum Resistant Ovarian Cancer Patients | Phase 3 Interventional | PharmaMar | ||
| NCT00877474 | Phase I, Multicenter, Open-label, Dose-escalating, Clinical and Pharmacokinetic Study of PM01183 in Patients With Advanced Solid Tumors | Phase 1 Interventional | PharmaMar | 1 | |
| NCT02566993 | Clinical Trial of Lurbinectedin (PM01183)/Doxorubicin (DOX) Versus Cyclophosphamide (CTX), Doxorubicin (DOX) and Vincristine (VCR) (CAV) or Topotecan as Treatment in Patients With Small-Cell Lung Cancer | Phase 3 Interventional | PharmaMar | 2 | |