Tucidinostat (Epidaza (in China), not yet branded in other markets)

Other Medications

US Experimental ES Not available Oral 3 Clinical Trials
HDAC1 HDAC2 HDAC3 HDAC10

Description

Tucidinostat (also known as chidamide) is a selective histone deacetylase (HDAC) inhibitor that has shown promise in treating microsatellite stable (MSS) colorectal cancer when combined with immunotherapy and anti-angiogenic agents. This epigenetic modifier is being used in combination regimens specifically for MSS/proficient mismatch repair (pMMR) colorectal cancer patients, a population that typically responds poorly to immunotherapy alone. The drug works to enhance immune response in tumors that are traditionally considered "cold" to immunotherapy.

Mechanism of Action

Tucidinostat selectively inhibits class I and IIb histone deacetylases, particularly HDAC1, HDAC2, HDAC3, and HDAC10. This inhibition leads to increased acetylation of histones and non-histone proteins, resulting in enhanced tumor antigen presentation, increased T-cell infiltration, and improved sensitivity to PD-1/PD-L1 inhibitors in microsatellite stable colorectal cancers.

Molecular Targets

Side Effects

Thrombocytopenia Neutropenia Fatigue Nausea Vomiting Diarrhea Decreased appetite QT prolongation

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

Clinical Trials

NCT06497985 Phase 3
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