Romidepsi (Istodax)

Targeted Therapy · Approved since 2009

US Off-label IV 3 Clinical Trials
HDAC1 HDAC2 HDAC3

Description

Romidepsin is a histone deacetylase (HDAC) inhibitor that has been evaluated in microsatellite stable (MSS) colorectal cancer patients who have progressed after standard treatments. This epigenetic modifier was originally developed for hematologic malignancies and has been explored in solid tumors including colorectal cancer. It represents an approach to modulate gene expression patterns in cancer cells through chromatin remodeling.

Mechanism of Action

Romidepsin selectively inhibits class I histone deacetylases (HDAC1, HDAC2, and HDAC3), leading to hyperacetylation of histones and subsequent reactivation of silenced tumor suppressor genes. This epigenetic modification can restore normal cell cycle control and promote apoptosis in cancer cells.

Molecular Targets

Side Effects

Nausea Vomiting Fatigue Thrombocytopenia Neutropenia Anemia Anorexia Electrocardiographic T-wave changes

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

Clinical Trials

NCT02512172 Phase 1
Archived
A Study of Enhancing Response to MK-3475 in Advanced Colorectal Cancer
United States
NCT01638533 Phase 1
Archived
Romidepsin in Treating Patients With Lymphoma, Chronic Lymphocytic Leukemia, or Solid Tumors With Liver Dysfunction
United States, Canada
NCT00077337 Phase 2
Archived
FR901228 in Treating Patients With Previously Treated Unresectable Locally Advanced or Metastatic Colorectal Cancer
United States