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Development of the pan-DAC inhibitor panobinostat (LBH589): successes and challenges
1Novartis Institutes for Biomedical Research, Cambridge, MA, USA. peter.atadja@novartis.com
Abstract:
The histone deacetylase (HDAC) inhibitors are emerging as a highly useful class of anticancer agents that inhibit the enzyme HDAC involved in the deacetylation of histone and non-histone cellular proteins. The HDAC inhibitor, panobinostat (LBH589, Novartis Pharmaceuticals), achieves potent inhibition of all HDAC enzymes implicated in cancer and has demonstrated potent anti-tumor activity in preclinical models and promising clinical efficacy in cancer patients. In this review we discuss the successes and challenges surrounding the development of panobinostat, focusing on its proposed mechanism of action, preclinical anti-tumor activity, and early clinical efficacy in hematologic and solid tumors.
Insights
Panobinostat, a histone deacetylase (HDAC) inhibitor, shows potent anti-tumor activity by inhibiting HDAC enzymes. This anticancer agent demonstrates promising clinical efficacy in various cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Histone deacetylase (HDAC) inhibitors are a promising class of anticancer agents.
- HDAC enzymes play a crucial role in cancer development through protein deacetylation.
- Panobinostat is a potent inhibitor of all HDAC enzymes implicated in cancer.
Purpose of the Study:
- To review the development of panobinostat, an HDAC inhibitor.
- To discuss its mechanism of action, preclinical anti-tumor activity, and clinical efficacy.
- To highlight the successes and challenges in panobinostat's therapeutic journey.
Main Methods:
- Review of preclinical studies on panobinostat's anti-tumor activity.
- Analysis of clinical trial data for panobinostat in hematologic and solid tumors.
- Examination of panobinostat's proposed molecular mechanism of action.
Main Results:
- Panobinostat demonstrates potent inhibition of all HDAC enzymes.
- Preclinical models show significant anti-tumor activity for panobinostat.
- Early clinical trials indicate promising efficacy in both hematologic and solid tumors.
Conclusions:
- Panobinostat is a potent HDAC inhibitor with demonstrated anti-tumor effects.
- The drug shows promise for treating various cancers, including hematologic and solid tumors.
- Further development is ongoing to address challenges and optimize its therapeutic use.
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