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DRUG CLASS:

DNMT inhibitor

3d
An immunostimulant nanomedicine enhances radioimmunotherapy by remodeling the tumor immunosuppressive landscape after radiotherapy. (PubMed, Acta Pharm Sin B)
Decitabine (DAC)-loaded ferritin (Ft) were crosslinked via an azobenzene linker, and meanwhile encapsulated with all-trans retinoic acid (ATRA) to construct a Ft@DAC@ATRA nanoassembly (denoted as FD@ATRA), which dissociated into monodispersive Ft@DAC units in hypoxia TME...FD@ATRA treatment reshaped the tumor immune landscape post-RT with an increase of 16.8% in tumor-infiltrating IFN-γ +CD8+ T cells. Moreover, FD@ATRA-enhanced RT remained effective in large, treatment-resistant tumors, and the inhibition rate of FD@ATRA-enhanced RT on distant tumors improved by 47% compared to the RT group alone, providing an effective therapeutic approach to improve the clinical outcomes of radioimmunotherapy.
Journal
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CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma)
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decitabine
4d
DAXX promotes SUMOylation of chromatin-trapped DNMT1. (PubMed, J Biochem)
We also demonstrated that DAXX loss increased decitabine sensitivity in the myeloid leukemia (AML) cell line THP-1. Together, these findings show that DAXX promotes SUMOylation of DNMT1 trapped on DNA under both covalent and non-covalent trapping conditions.
Journal
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DNMT1 (DNA methyltransferase 1) • DAXX (Death-domain associated protein)
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decitabine
4d
RELION: Characteristics and Outcomes of Acute Myeloid Leukemia (AML) Patients Treated With Oral-Azacitidine Maintenance Therapy in France (clinicaltrials.gov)
P=N/A, N=112, Completed, Bristol-Myers Squibb | Active, not recruiting --> Completed | Trial completion date: Oct 2024 --> Jan 2026 | Trial primary completion date: Oct 2024 --> Jan 2026
Trial completion • Trial completion date • Trial primary completion date
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Onureg (azacitidine oral)
6d
T-LGLL: Oral Azacitidine for the Treatment of Relapsed or Refractory T-cell Large Granular Lymphocytic Leukemia (clinicaltrials.gov)
P1/2, N=11, Active, not recruiting, Jonathan Brammer | Trial completion date: Jan 2026 --> Jun 2026 | Trial primary completion date: Jan 2026 --> Jun 2026
Trial completion date • Trial primary completion date • IO biomarker
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CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • IL15 (Interleukin 15)
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STAT3 mutation
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Onureg (azacitidine oral)
9d
Cladribine Plus Low Dose Cytarabine (LDAC) Alternating With Decitabine in Patients With Acute Myeloid Leukemia (AML) or High-Risk Myelodysplastic Syndrome (MDS) (clinicaltrials.gov)
P2, N=160, Recruiting, M.D. Anderson Cancer Center | Trial completion date: Feb 2026 --> Feb 2028 | Trial primary completion date: Feb 2026 --> Feb 2028
Trial completion date • Trial primary completion date
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cytarabine • decitabine • cladribine • Depocyte (liposomal cytarabine)
10d
Pembrolizumab and epigenetic modification with azacitidine reshapes the tumor microenvironment of platinum-resistant epithelial ovarian cancer: a phase 2 non-randomized clinical trial. (PubMed, Commun Med (Lond))
Our findings highlight the potential of epigenetic modulators to re-shape the tumor microenvironment of PROC toward a more inflammed phenotype and may point to approaches to augment immunotherapy response.
Clinical • P2 data • Journal • PD(L)-1 Biomarker • IO biomarker • Platinum resistant
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CD8 (cluster of differentiation 8) • MUC16 (Mucin 16, Cell Surface Associated)
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Keytruda (pembrolizumab) • Onureg (azacitidine oral)
10d
A Clinical Trial of Cidabenamine Plus Azacitidine to Prevent Post-Transplant Progression in High-Risk Peripheral T-Cell Lymphoma (clinicaltrials.gov)
P2/3, N=40, Recruiting, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
New P2/3 trial
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azacitidine
11d
New P1/2 trial
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PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • ER (Estrogen receptor) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • CTAG1B (Cancer/testis antigen 1B)
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HER-2 positive • ER positive • EGFR mutation • BRAF mutation • HER-2 negative • ER positive + HER-2 negative • HER-2 negative + ER positive
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cyclophosphamide • decitabine • Proleukin (aldesleukin)
11d
A Study of ASTX727 in People With Malignant Peripheral Nerve Sheath Tumors (MPNST) (clinicaltrials.gov)
P2, N=25, Recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Apr 2026 --> Apr 2027 | Trial primary completion date: Apr 2026 --> Apr 2027
Trial completion date • Trial primary completion date
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SUZ12 (SUZ12 Polycomb Repressive Complex 2 Subunit)
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EZH2 mutation
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Inqovi (decitabine/cedazuridine)
13d
ASTX727-03: Phase 1-2 Study of Low Dose ASTX727 (ASTX727 LD) in Lower Risk MDS (clinicaltrials.gov)
P1/2, N=160, Completed, Taiho Oncology, Inc. | Active, not recruiting --> Completed
Trial completion
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Inqovi (decitabine/cedazuridine)
14d
Olaparib and ASTX727 in BRCA1/2- and Homologous Recombination Deficient (HRD)-Mutated Tumors (clinicaltrials.gov)
P1, N=18, Recruiting, Pamela Munster | Trial completion date: Feb 2027 --> Jan 2028 | Trial primary completion date: Jan 2026 --> Jan 2028
Trial completion date • Trial primary completion date
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • BRCA (Breast cancer early onset) • CHEK2 (Checkpoint kinase 2)
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PALB2 mutation • CHEK2 mutation
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Lynparza (olaparib) • Inqovi (decitabine/cedazuridine)
14d
Hypermethylation-mediated silencing of RASD1 drives multiple myeloma pathogenesis. (PubMed, Blood Res)
RASD1 is frequently silenced in MM through promoter hypermethylation. This epigenetic inactivation is associated with adverse clinical features and enhanced cell survival, supporting a tumor suppressor role for RASD1 in MM pathogenesis.
Journal
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RASD1 (Ras Related Dexamethasone Induced 1)
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decitabine