Tucidinosta (Epidaza (approved in China), Not yet branded in other markets)

Kinase Inhibitor

US Experimental Oral 3 Clinical Trials
HDAC1 HDAC2 HDAC3 HDAC10

Description

Tucidinostat (also known as chidamide) is a selective histone deacetylase (HDAC) inhibitor that has been studied in combination therapy for microsatellite stable (MSS) colorectal cancer. This epigenetic modulator is used alongside PD-1/PD-L1 inhibitors and anti-angiogenic agents to enhance immune response in MSS colorectal tumors, which typically show poor response to immunotherapy alone. The drug works by modifying chromatin structure to potentially increase tumor immunogenicity and improve outcomes in this challenging patient population.

Mechanism of Action

Tucidinostat selectively inhibits class I histone deacetylases (HDAC1, HDAC2, HDAC3) and class IIb HDAC10, leading to increased histone acetylation and altered gene expression patterns. This epigenetic modification can enhance tumor antigen presentation, increase immune cell infiltration, and potentially overcome immune resistance mechanisms commonly seen in MSS colorectal cancers.

Molecular Targets

Side Effects

Thrombocytopenia Neutropenia Fatigue Nausea Diarrhea Decreased appetite Elevated liver enzymes QT prolongation

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

Clinical Trials

NCT06497985 med_phase_prefix3
Recruiting
A Study of Tucidinostat in Combination With Sintilimab and Bevacizumab in MSS/pMMR Colorectal Cancer Patients
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