Panobinosta (Farydak)

Targeted Therapy · Approved since 2015

US Off-label Oral 3 Clinical Trials
HDAC1 HDAC2 HDAC3 HDAC6 HDAC8 HDAC9 HDAC10

Description

Panobinostat is a pan-histone deacetylase (HDAC) inhibitor that has been evaluated in colorectal cancer treatment, particularly in combination with fluorouracil-based regimens for metastatic disease. This epigenetic modifier works by altering gene expression patterns in cancer cells and has been studied in patients with stage IV colorectal cancer who have not responded to previous fluoropyrimidine therapy. Panobinostat represents part of combination approaches that include immunotherapy agents like PDR001 and other targeted therapies for advanced colorectal cancer.

Mechanism of Action

Panobinostat inhibits multiple classes of histone deacetylases (HDACs), enzymes that remove acetyl groups from histone proteins and regulate gene transcription. By blocking HDAC activity, panobinostat increases histone acetylation, leading to chromatin relaxation and reactivation of tumor suppressor genes that are silenced in cancer cells. This epigenetic modification can restore normal cell cycle control and promote cancer cell death.

Molecular Targets

Side Effects

Thrombocytopenia Neutropenia Anemia Fatigue Nausea Vomiting Diarrhea Decreased appetite Peripheral edema Pyrexia Asthenia Hyponatremia

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

Clinical Trials

NCT05725200 Phase 2
Recruiting
Study to Investigate Outcome of Individualized Treatment in Patients With Metastatic Colorectal Cancer
Norway
NCT02890069 Phase 1
Archived
A Study of PDR001 in Combination With LCL161, Everolimus or Panobinostat
United States, Germany, Netherlands, South Korea, Spain, Taiwan, United Kingdom
NCT01238965 Phase 1
Archived
Panobinostat and Fluorouracil Followed By Leucovorin Calcium in Treating Patients With Stage IV Colorectal Cancer Who Did Not Respond to Previous Fluorouracil-Based Chemotherapy
United States