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Published on: August 10, 2017
Clinical development of histone deacetylase inhibitor romidepsin
1Department of Medicinal Chemistry, School of Pharmacy, Shandong University, Ji'nan, Shandong, China.
Abstract:
Histone deactylase inhibitors have emerged as a promising epigenetic therapy for neoplasic indications. The US Food and Drug Administration granted approval to romidepsin for treatment of cutaneous T cell lymphoma (CTCL) in 2009. Phase I/II trials of romidepsin as monotherapy or hybird therapy have demonstrated substantial efficacy profoundly in CTCL and peripheral T-cell lymphoma and marginally in other hematogological malignancies and solid tumors, with a tolerable safety and toxicity profile. The current status of the clinical evaluation of romidepsin is detailed in the present contribution.
Insights
Histone deacetylase inhibitors, like romidepsin, show promise for cancer treatment. Romidepsin is approved for cutaneous T-cell lymphoma (CTCL) and demonstrates efficacy in various blood cancers.
Area of Science:
- Oncology
- Epigenetics
- Pharmacology
Background:
- Histone deacetylase inhibitors (HDACi) represent a significant advancement in epigenetic cancer therapy.
- Romidepsin received US FDA approval in 2009 for treating cutaneous T-cell lymphoma (CTCL).
Purpose of the Study:
- To detail the current clinical evaluation status of romidepsin.
- To summarize its efficacy and safety profile across various hematological malignancies and solid tumors.
Main Methods:
- Review of Phase I/II clinical trials data.
- Analysis of romidepsin's performance as monotherapy and combination therapy.
Main Results:
- Romidepsin demonstrated substantial efficacy in CTCL and peripheral T-cell lymphoma.
- Marginal efficacy was observed in other hematological malignancies and solid tumors.
- The drug exhibited a tolerable safety and toxicity profile.
Conclusions:
- Romidepsin is an effective epigenetic therapy for specific lymphomas.
- Its clinical utility extends beyond CTCL, warranting further investigation in other cancers.
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