Chidamide (Epidaza, Tucidinostat)

Other Medications

US Experimental ES Not funded Oral 7 Clinical Trials
HDAC1 HDAC2 HDAC3 HDAC10

Description

Chidamide is a selective histone deacetylase (HDAC) inhibitor that belongs to the benzamide class of epigenetic modulators. In colorectal cancer treatment, it is being evaluated in combination regimens for microsatellite stable (MSS) and mismatch repair proficient (pMMR) tumors, which are typically less responsive to immunotherapy alone. The drug is used in combination with other agents including immunotherapies, targeted therapies like fruquintinib and regorafenib, and in neoadjuvant chemoimmunotherapy protocols for locally advanced disease.

Mechanism of Action

Chidamide selectively inhibits class I histone deacetylases (HDAC1, HDAC2, HDAC3) and class IIb HDAC10, leading to increased acetylation of histones and non-histone proteins. This epigenetic modulation results in reactivation of tumor suppressor genes, enhanced antigen presentation, and increased tumor immunogenicity, potentially making MSS colorectal tumors more susceptible to immunotherapy approaches.

Molecular Targets

Side Effects

Thrombocytopenia Neutropenia Fatigue Nausea Vomiting Diarrhea Decreased appetite QT interval prolongation

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT06930118 Phase 2
Recruiting
The Aim of This Study is to Assess the Efficacy and Safety of Chidamide, Regorafenib in Combination With Iparomlimab and Tuvonralimab for the Treatment of Advanced Colorectal Cancer in Third-line Therapy and Subsequent Lines.
China
NCT06709885 Phase 2
Recruiting
HDAC Inhibitor Combination With Chemoimmunotherapy in the Neoadjuvant Treatment of pMMR Locally Advanced Colon Cancer
China
NCT06685276 Phase 2
Recruiting
Safety and Efficacy of Fruquintinib Plus Chidamide and Sintilimab in the Third and Later Line Treatment of MSS/pMMR Metastatic Colorectal Cancer
China
NCT06858956 Not Applicable
Not yet recruiting
Real-World Study of Chidamide Combined With PD-(L)1 Inhibitors and Anti-Angiogenic Therapy for Advanced MSS-Type Colorectal Cancer
NCT06682247 Not Applicable
Not yet recruiting
A Real-world Study of Chidamide in Combination with PD-1/PD-L1 Antibodies and Anti-angiogenic Agents in Advanced MSS Colorectal Cancer
NCT06218888 Phase 2
Not yet recruiting
A Phase II Clinical Study of the Efficacy and Safety of Tislelizumab Combined With Fruquintinib and Chidamide in the Treatment of Unresectable or Advanced Microsatellite Stabilized (MSS/pMMR) Colorectal Cancer With Liver Metastases
View all 7 clinical trials →