Vorinosta (Zolinza)

Other · Approved since 2006

US Off-label Oral 7 Clinical Trials
HDAC1 HDAC2 HDAC3 HDAC6

Description

Vorinostat is a histone deacetylase (HDAC) inhibitor that has been evaluated in colorectal cancer as combination therapy with other agents including immunotherapy and hydroxychloroquine. This oral medication was originally approved for cutaneous T-cell lymphoma but has shown potential activity in solid tumors including CRC through its epigenetic modulation properties. In colorectal cancer, vorinostat is primarily used in combination regimens rather than as monotherapy, with trials comparing vorinostat plus hydroxychloroquine against standard treatments like regorafenib.

Mechanism of Action

Vorinostat inhibits histone deacetylases (HDACs), enzymes that remove acetyl groups from histone proteins, leading to chromatin condensation and gene silencing. By blocking HDAC activity, vorinostat promotes histone acetylation, resulting in chromatin relaxation and reactivation of tumor suppressor genes that are silenced in cancer cells. This epigenetic mechanism can enhance the effectiveness of other therapies and potentially overcome resistance mechanisms in colorectal cancer.

Molecular Targets

Side Effects

Diarrhea Fatigue Nausea Thrombocytopenia Anorexia Weight loss Muscle spasms Alopecia

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

Clinical Trials

NCT04357873 Phase 2
Completed
Efficacy of Immunotherapy Plus a Drug in Patients With Progressive Advanced Mucosal Cancer of Different Locations
France
NCT02316340 Phase 2
Archived
Vorinostat Plus Hydroxychloroquine Versus Regorafenib in Colorectal Cancer
United States
NCT01249443 Phase 1
Archived
Paclitaxel and Carboplatin in Treating Patients With Metastatic or Recurrent Solid Tumors and HIV Infection
United States
NCT01023737 Phase 1
Archived
Hydroxychloroquine + Vorinostat in Advanced Solid Tumors
United States
NCT00942266 Phase 2
Archived
Vorinostat, Fluorouracil, and Leucovorin Calcium in Treating Patients With Metastatic Colorectal Cancer That Has Not Responded to Previous Treatment
United States
NCT00138177 Phase 1
Completed
Suberoylanilide Hydroxamic Acid, Fluorouracil, Leucovorin, and Oxaliplatin in Treating Patients With Progressive Metastatic or Unresectable Colorectal Cancer or Other Solid Tumors
United States
View all 7 clinical trials →