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Published on: August 10, 2017
[Histone deacetylase inhibitors: new synergistic third-line option in multiple myeloma]
Abstract:
Despite advances in drug therapy of the orphan disease multiple myeloma, patients relapse or become refractory to first-line therapy, and the disease remains incurable. Therefore, histone deacetylase inhibitors have emerged as a new class of anti-myeloma drugs, with synergistic results on progression free survival when given in combination to current first-line therapy. Histone deacetylase inhibitors influence gene expression of target genes. Based on results of an extensive multicenter phase III trial, panobinostat was approved by the FDA in February 2015 as the first histone deacetylase inhibitor for the treatment of multiple myeloma. In Europe, panobinostat received marketing authorization by August 2015.
Insights
Histone deacetylase inhibitors, like panobinostat, improve progression-free survival in multiple myeloma patients when combined with standard therapy. This marks a significant advance for treating this incurable orphan disease.
Area of Science:
- Oncology
- Pharmacology
Background:
- Multiple myeloma remains an incurable orphan disease with frequent relapses.
- Current therapies face challenges with patient relapse and refractoriness.
Purpose of the Study:
- To evaluate the efficacy of histone deacetylase inhibitors as a novel therapeutic class for multiple myeloma.
- To assess the synergistic effects of panobinostat in combination with first-line therapy.
Main Methods:
- Conducted an extensive multicenter phase III clinical trial.
- Investigated the impact of histone deacetylase inhibitors on gene expression.
Main Results:
- Panobinostat demonstrated synergistic effects on progression-free survival.
- The drug was approved by the FDA and received marketing authorization in Europe.
Conclusions:
- Histone deacetylase inhibitors represent a promising new class of anti-myeloma drugs.
- Panobinostat is the first approved histone deacetylase inhibitor for multiple myeloma treatment.
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