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Eribulin

Published: July 26, 2026Updated: July 26, 2026

Eribulin is a microtubule inhibitor chemotherapy medication used to treat certain cancers by disrupting cell division. It is primarily indicated for metastatic breast cancer in patients who have received prior chemotherapy, as well as advanced liposarcoma. The drug works by blocking microtubule growth, leading to cell cycle arrest and cancer cell death.

Quick summary

Eribulin is an IV chemotherapy drug that inhibits microtubule function to treat metastatic breast cancer and advanced liposarcoma.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
L01XX41
RxNorm
1045453
Generic
Eribulin
Class
atc-l01
Brands
Halaven
Availability
rx
Lactation
unknown
Routes
—
Forms
injection
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose approximately 5 times the recommended dose may cause serious toxicity
Chronic overdose: Cumulative doses exceeding recommended treatment cycles may lead to severe myelosuppression and neurotoxicity
Immediate actions
Discontinue drug, initiate supportive care, monitor vital signs, manage infections
Antidote
No specific antidote exists(Supportive care is the primary treatment; no specific antidote has been proven effective)
Poison Control: 1-800-222-1222

Special Populations

11 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks to the fetus

Monitor

regular fetal monitoring and ultrasound assessments

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use near term due to risk of labor complications

Monitor

fetal monitoring and contraction assessment

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
N
Dose Adjustment

contraindicated

Key Recommendations

do not breastfeed during treatment and for at least 2 weeks after last dose

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly 65 and older
caution
FDA Category
N
Dose Adjustment

no specific dose adjustment required

Key Recommendations

use with caution and monitor for adverse reactions including neutropenia and peripheral neuropathy

Monitor

regular monitoring of blood counts and neurological assessment

Use with caution and monitor for adverse effects.

✗

pediatric_age

pediatric under 18
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not approved for use in pediatric patients; safety and efficacy not established

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

renal_impairment

moderate renal impairment
caution
FDA Category
N
Dose Adjustment

reduce starting dose to 1.1 mg/m2

Key Recommendations

use with caution in patients with moderate renal impairment; monitor renal function and adjust dose as needed

Monitor

regular monitoring of renal function and blood counts

Use with caution and monitor for adverse effects.

⚠

renal_impairment

severe renal impairment
caution
FDA Category
N
Dose Adjustment

reduce starting dose to 0.7-1.1 mg/m2

Key Recommendations

use with caution in patients with severe renal impairment; consider further dose reduction

Monitor

close monitoring of renal function and hematologic parameters

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild hepatic impairment
caution
FDA Category
N
Dose Adjustment

no initial dose adjustment needed

Key Recommendations

use with caution; monitor liver function tests

Monitor

regular monitoring of liver function tests

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate hepatic impairment
caution
FDA Category
N
Dose Adjustment

reduce starting dose to 1.1 mg/m2

Key Recommendations

use with caution in patients with moderate hepatic impairment due toChild-Pugh score; monitor closely

Monitor

close monitoring of liver function and hematologic parameters

Use with caution and monitor for adverse effects.

✗

hepatic_impairment

severe hepatic impairment
unsafe
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not recommended for use in patients with severe hepatic impairment

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:2010

FDA approval for metastatic breast cancer treatment

drug_classFDA
2023

Drug class

Value:Microtubule inhibitor

Mechanism of action classification

usageNCCN
2023

Common uses

Value:Metastatic breast cancer, soft tissue sarcoma

Approved therapeutic indications

pharmacologyFDA
2023

Mechanism

Value:Inhibits microtubule polymerization

Pharmacodynamic mechanism of action

Metastatic breast cancer in patients who have received at least two prior chemotherapy regimens for metastatic disease (including anthracyclines and taxanes); unresectable or advanced liposarcoma in patients who have received prior chemotherapy.

Eribulin inhibits the growth phase of microtubules without affecting the shortening phase, sequesters tubulin into nonproductive aggregates, and induces G2/M cell-cycle block leading to disruption of mitotic spindles and inhibition of cancer cell division.

Administered by intravenous infusion, typically on days 1 and 8 of a 21-day cycle. Common side effects include neutropenia, leukopenia, anemia, peripheral neuropathy, alopecia, nausea, and fatigue. Requires regular blood count monitoring due to risk of severe neutropenia. Contraindicated in pregnancy; both male and female patients should use effective contraception during treatment.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy