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Romidepsin: a novel histone deacetylase inhibitor for cancer.
- Source :
-
Expert opinion on investigational drugs [Expert Opin Investig Drugs] 2011 Aug; Vol. 20 (8), pp. 1151-8. Date of Electronic Publication: 2011 Jun 24. - Publication Year :
- 2011
-
Abstract
- Introduction: Romidepsin is a novel histone deacetylase (HDAC) inhibitor, with a recent approval for treatment of cutaneous T-cell lymphoma (CTCL). HDAC inhibitors represent a novel approach to anti-tumor therapy. In contrast to traditional cytotoxic chemotherapy, HDAC inhibitors target underlying epigenetic changes leading to malignant transformation. Further study of romidepsin and similar agents in solid and hematologic malignancies is ongoing.<br />Areas Covered: This review discusses the development of romidepsin, its mechanism of action, pivotal clinical trials, drug toxicity and its recent approval for CTCL treatment. Key clinical trials covered include Phase I/II testing of romidepsin in solid and hematologic malignancies. In addition, the Phase II trial in CTCL leading to FDA approval of romidepsin is reviewed in detail. Literature search was performed using PubMed; keywords and concepts used included romidepsin, T-cell lymphoma and HDAC inhibitors.<br />Expert Opinion: Romidepsin is a potent HDAC inhibitor with demonstrable activity in T-cell lymphoma. In contrast to vorinostat, romidepsin is approved as second-line therapy. Current approval only includes CTCL; promising results have been demonstrated in Phase II testing of peripheral T-cell lymphoma subtypes. Future directions include expanded indications in T-cell lymphomas as well as novel combinations with other HDAC inhibitors and other therapeutic agents.
- Subjects :
- Animals
Clinical Trials, Phase I as Topic
Clinical Trials, Phase II as Topic
Depsipeptides adverse effects
Histone Deacetylase Inhibitors adverse effects
Humans
Depsipeptides pharmacology
Depsipeptides therapeutic use
Histone Deacetylase Inhibitors pharmacology
Histone Deacetylase Inhibitors therapeutic use
Neoplasms drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1744-7658
- Volume :
- 20
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Expert opinion on investigational drugs
- Publication Type :
- Academic Journal
- Accession number :
- 21699444
- Full Text :
- https://doi.org/10.1517/13543784.2011.594437