Panobinostat (Farydak)

Other Medications · Approved since 2015

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 3 Clinical Trials
HDAC1 HDAC2 HDAC3 HDAC6 HDAC8 HDAC10 HDAC11

Description

Panobinostat is a pan-histone deacetylase (HDAC) inhibitor that has been explored in combination therapy regimens for metastatic colorectal cancer. This epigenetic modifier is FDA-approved for multiple myeloma but has been studied off-label in colorectal cancer, particularly in combination with fluorouracil-based chemotherapy and immunotherapy agents. The drug works to restore normal gene expression patterns that are disrupted in cancer cells through chromatin remodeling.

Mechanism of Action

Panobinostat inhibits multiple classes of histone deacetylase enzymes (Class I, II, and IV HDACs), leading to increased acetylation of histone and non-histone proteins. This epigenetic modification results in chromatin relaxation, reactivation of tumor suppressor genes, cell cycle arrest, and enhanced apoptosis in cancer cells. The HDAC inhibition also enhances the antitumor activity of other therapeutic agents by increasing DNA damage and improving immune recognition of tumor cells.

Molecular Targets

Side Effects

Diarrhea Fatigue Nausea Peripheral edema Decreased appetite Fever Vomiting Thrombocytopenia

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