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DRUG:

Epidaza (chidamide)

i
Company:
Chipscreen, Eisai, GNT Biotech, HUYA Bioscience, Meiji Seika
Drug class:
PI3K inhibitor, AKT inhibitor, HDAC inhibitor, HDAC1 inhibitor, HDAC2 inhibitor, HDAC3 inhibitor, MAPK inhibitor, HDAC10 inhibitor
Related drugs:
5d
Rituximab-Chidamide combination chemotherapy enhances autophagy to overcome drug resistance in diffuse large B-cell lymphoma. (PubMed, Int Immunopharmacol)
These findings suggest that the BTG1/BECN1/ATG5 signaling axis plays a critical role in enhancing autophagy and reversing Rituximab resistance. The combination of Chidamide and Rituximab presents a promising therapeutic strategy, offering new insights into overcoming drug resistance in DLBCL.
Journal
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PTEN (Phosphatase and tensin homolog) • ATG5 (Autophagy Related 5) • BECN1 (Beclin 1) • MAPK8 (Mitogen-activated protein kinase 8) • HSPA8 (Heat Shock Protein Family A (Hsp70) Member 8)
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Rituxan (rituximab) • Epidaza (chidamide)
10d
New P2 trial
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Stivarga (regorafenib) • Epidaza (chidamide) • Qibeian (iparomlimab/tuvonralimab) • iparomlimab (QL1604)
12d
New P2 trial
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Venclexta (venetoclax) • cytarabine • azacitidine • Epidaza (chidamide) • aclarubicin
24d
New trial
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Rituxan (rituximab) • cytarabine • cyclophosphamide • etoposide IV • Epidaza (chidamide)
24d
A Double-blineded, Randomized, Multi-center Phase III Clinical Study of HZ-H08905 Versus Chidamide in Patients With Relapsed/Refractory PTCL (ChiCTR2500098784)
P3, N=140, Recruiting, Beijing Cancer Hospital/The First Affiliated Hospital of Zhejiang University School of Medicine; Hangzhou HealZen Therapeutics Co., Ltd
New P3 trial
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ALK (Anaplastic lymphoma kinase) • TNFRSF8 (TNF Receptor Superfamily Member 8)
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ALK positive • TNFRSF8 positive
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Epidaza (chidamide)
24d
New P2 trial
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • CD20 (Membrane Spanning 4-Domains A1) • BCL6 (B-cell CLL/lymphoma 6)
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CD20 positive • MYC rearrangement + BCL6 rearrangement
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Rituxan (rituximab) • Brukinsa (zanubrutinib) • Epidaza (chidamide)
24d
Cadonilimab in Combination with Chemotherapy and Chidamide as First-Line Treatment of Advanced Gastric Cancer (ChiCTR2500096832)
P2, N=42, Not yet recruiting, The First Affiliated Hospital of Soochow University; The First Affiliated Hospital of Soochow University
New P2 trial
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capecitabine • albumin-bound paclitaxel • oxaliplatin • Epidaza (chidamide) • Kaitanni (cadonilimab)
24d
Phase II Clinical Study of the Efficacy and Safety of Chidamide and Anlotinib in Combination with AG Regimen in Patients with Advanced or Recurrent Pancreatic Cancer (ChiCTR2500095869)
P2, N=223, Not yet recruiting, The Affiliated Hospital of Qingdao University; the Affiliated Hospital of Qingdao University
New P2 trial
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Focus V (anlotinib) • Epidaza (chidamide)
1m
PI3Kδ Inhibitor Parsaclisib Combined with Chidamide for the Treatment of Relapsed/Refractory Peripheral T-cell Lymphoma (clinicaltrials.gov)
P1/2, N=12, Terminated, Henan Cancer Hospital | N=28 --> 12 | Trial completion date: Jan 2027 --> Feb 2025 | Recruiting --> Terminated; The clinical development of parsaclisib was stopped by it's manufacturer.
Enrollment change • Trial completion date • Trial termination
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ALK (Anaplastic lymphoma kinase)
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ALK positive • ALK negative
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Epidaza (chidamide) • parsaclisib (INCB50465)
1m
New P2 trial
|
BCL2 (B-cell CLL/lymphoma 2)
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • Brukinsa (zanubrutinib) • Epidaza (chidamide)
1m
New P2 trial
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • Epidaza (chidamide)
1m
Glofitamab Combination With Chidamide in Patients With Recurrent/Refractory DLBCL (clinicaltrials.gov)
P2, N=22, Recruiting, Tianjin Medical University Cancer Institute and Hospital | Not yet recruiting --> Recruiting | Initiation date: Sep 2024 --> May 2025
Enrollment open • Trial initiation date
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Epidaza (chidamide) • Columvi (glofitamab-gxbm)
2ms
Effects of tucidinostat in adult T-cell leukemia/lymphoma in clinical practice. (PubMed, Int J Hematol)
Between October 2021 and July 2023, 24 patients aged 41 to 88 years (median, 73.4 years) who had undergone prior therapies, including intensive chemotherapy (79.2%) and mogamulizumab immunotherapy (79.2%), received tucidinostat. Treatment-related adverse events were mainly hematologic but were managed over the course of treatment. Our findings indicate that tucidinostat provides survival benefits in patients with relapsed/refractory ATL in clinical practice and highlight key clinical factors for better outcomes.
Journal
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IL2 (Interleukin 2)
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Epidaza (chidamide) • Poteligeo (mogamulizumab-kpkc)
2ms
Chidamide + Regorafenib in Hepatocellular Carcinoma (HCC) (clinicaltrials.gov)
P1/2, N=7, Terminated, Great Novel Therapeutics Biotech & Medicals Corporation | N=46 --> 7 | Trial completion date: Jan 2026 --> Jan 2025 | Recruiting --> Terminated; The overall profile does not support development for Hepatocellular Carcinoma
Enrollment change • Trial completion date • Trial termination
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Stivarga (regorafenib) • Epidaza (chidamide)
2ms
Real-World Study of Chidamide Combined With PD-(L)1 Inhibitors and Anti-Angiogenic Therapy for Advanced MSS-Type Colorectal Cancer (clinicaltrials.gov)
P=N/A, N=200, Not yet recruiting, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
New trial • Real-world evidence
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Avastin (bevacizumab) • Epidaza (chidamide)
2ms
Chidamide in Combination With PD-1 Inhibitor, Bevacizumab, and XELOX for Metastatic Colorectal Cancer (clinicaltrials.gov)
P2, N=130, Not yet recruiting, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
New P2 trial
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Avastin (bevacizumab) • capecitabine • oxaliplatin • Epidaza (chidamide)
2ms
Design and Synthesis of Novel Deazapurine DNMT 1 Inhibitors with In Vivo Efficacy in DLBCL. (PubMed, J Med Chem)
Compound 55 demonstrated good antitumor activity in vivo. Specifically, compound 55 combined with chidamide demonstrated a superior therapeutic effect over the first-line therapy RTX-CHOP in both the DEL and TP53 mutant DLBCL PDX tumor models.
Preclinical • Journal
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TP53 (Tumor protein P53) • DNMT1 (DNA methyltransferase 1)
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TP53 mutation
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Epidaza (chidamide)
2ms
New Double Epigenetic Regimen in the Treatment of Relapsed or Refractory Acute Myeloid Leukemia (clinicaltrials.gov)
P2, N=21, Active, not recruiting, The First Affiliated Hospital of Soochow University | Trial completion date: Aug 2025 --> Aug 2027 | Trial primary completion date: Dec 2024 --> Dec 2026
Trial completion date • Trial primary completion date
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cytarabine • azacitidine • Epidaza (chidamide)
2ms
Chidamide and Duvalisibon for the Treatment of Refractory/Relapsed Peripheral T-cell Lymphoma (clinicaltrials.gov)
P2, N=33, Recruiting, The First Affiliated Hospital of Xiamen University | Trial completion date: Dec 2025 --> Dec 2027 | Trial primary completion date: Dec 2024 --> Dec 2026
Trial completion date • Trial primary completion date
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Epidaza (chidamide)
2ms
Enrollment open • Real-world evidence
|
Epidaza (chidamide)
2ms
Chidamide Combined With Linperlisibon for the Treatment of Refractory/Relapsed Follicular Lymphoma (clinicaltrials.gov)
P2, N=33, Recruiting, The First Affiliated Hospital of Xiamen University | Trial completion date: Dec 2025 --> Dec 2027 | Trial primary completion date: Dec 2024 --> Dec 2027
Trial completion date • Trial primary completion date
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Epidaza (chidamide) • Itari (linperlisib)
2ms
Treatment of Chidamide and Venetoclax for Retinoic Acid and Arsenic Resistant Acute Promyelocytic Leukemia (clinicaltrials.gov)
P2, N=30, Recruiting, Shanghai Jiao Tong University School of Medicine | Trial primary completion date: Jan 2025 --> Jan 2026
Trial primary completion date
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RARA (Retinoic Acid Receptor Alpha) • PML (Promyelocytic Leukemia)
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Venclexta (venetoclax) • Epidaza (chidamide)
2ms
HDAC2-Mediated METTL3 Delactylation Promotes DNA Damage Repair and Chemotherapy Resistance in Triple-Negative Breast Cancer. (PubMed, Adv Sci (Weinh))
This study not only elucidates the biological function of lactylated METTL3 in tumor cells but also highlights its negative regulatory effect on cisplatin resistance. Additionally, it underscores the nonclassical functional mechanism of Tucidinostat as a HDAC inhibitor for improving the efficacy of cisplatin against TNBC.
Journal
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WT1 (WT1 Transcription Factor) • HDAC2 (Histone deacetylase 2) • METTL3 (Methyltransferase Like 3)
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cisplatin • Epidaza (chidamide)
2ms
Chidamide functions as a VISTA/PSGL-1 blocker for cancer immunotherapy. (PubMed, Cancer Immunol Immunother)
Here, by screening a library of marketed drugs, we identified Chidamide had a strong binding affinity toward VISTA (KD = 5 nM) and blocked VISTA/PSGL-1 under acidic conditions, thereby significantly enhancing the function of CD8+ T cells and inhibiting the tumor growth in immunocompetent murine CT26 tumor model. This study represents the first discovery of Chidamide as VISTA/PSGL-1 blocker for cancer immunotherapy.
Journal
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CD8 (cluster of differentiation 8)
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Epidaza (chidamide)
3ms
Comprehensive characterization of fatty acid oxidation in triple-negative breast cancer: Focus on biological roles and drug modulation. (PubMed, Eur J Pharmacol)
Co-treatment with an FAO inhibitor etomoxir enhanced the combined effects of chidamide with established chemotherapy drugs, as well as their efficacy as single agents in TNBC cells. In conclusion, FAO likely exerts pleiotropic biological effects in TNBC and modulating FAO may offer a promising strategy to improve therapeutic outcomes in TNBC.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • HRD (Homologous Recombination Deficiency)
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HRD
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Epidaza (chidamide) • etomoxir (MIQ-001)
3ms
Venetoclax in combination with chidamide and azacitidine for the treatment of relapsed/refractory B-cell acute lymphoblastic leukemia with the MLL-AF4 gene: a case report and literature review. (PubMed, Front Immunol)
Following two VCA courses, he received chimeric antigen receptor T-cell therapy, which led to complete metabolic remission and improved prognosis. This case underscores the potential of the VCA regimen as a bridging therapy for EMR in B-ALL with MLL-AF4, although further studies are warranted.
Review • Journal
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AFF1 (AF4/FMR2 Family Member 1)
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Venclexta (venetoclax) • azacitidine • Epidaza (chidamide)
3ms
Enrollment change
|
Epidaza (chidamide)
3ms
Upregulation of CD19 by low-dose chidamide promotes CAR T cells functionality in B-cell non-Hodgkin lymphoma. (PubMed, Discov Oncol)
In vivo experiments showed that infusion of CD19 CAR T cells after chidamide bridging intervention can enhance the therapeutic effect of B-NHL and prolong the overall survival of mice. This study provides a new direction and theoretical foundation for CD19 CAR T cell therapy in B-NHL.
Journal • IO biomarker
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CD19 (CD19 Molecule) • IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • IL2 (Interleukin 2)
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Epidaza (chidamide)
3ms
New P2 trial
|
pazopanib • Epidaza (chidamide) • Ariely (adebrelimab)
3ms
New trial • Real-world evidence
|
Epidaza (chidamide)
3ms
New P3 trial
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Epidaza (chidamide) • XNW5004
4ms
CHiR Therapy for Elderly DLBCL Intolerant to Chemo (clinicaltrials.gov)
P2, N=30, Recruiting, First Affiliated Hospital of Ningbo University
New P2 trial
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lenalidomide • Brukinsa (zanubrutinib) • Epidaza (chidamide)
4ms
Chidamide Plus Golidocitinib in Relapsed/Refractory Peripheral T-Cell Lymphoma (clinicaltrials.gov)
P1/2, N=45, Not yet recruiting, Peking University Cancer Hospital & Institute
New P1/2 trial
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Epidaza (chidamide) • golidocitinib (DZD4205)
4ms
New P2 trial
|
Epidaza (chidamide)
4ms
Chidamide in Combination With Azacitidine, Liposomal Mitoxantrone, and Prednisone (CAMP Regimen) for the Treatment of Previously Untreated Nodal TFH Cell Lymphoma (clinicaltrials.gov)
P2, N=37, Recruiting, Institute of Hematology & Blood Diseases Hospital, China | Trial primary completion date: Mar 2026 --> Dec 2026
Trial primary completion date
|
IFNG (Interferon, gamma) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • IFNA1 (Interferon Alpha 1)
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azacitidine • prednisone • Epidaza (chidamide) • Duoenda (mitoxantrone liposomal)
4ms
Clinical Relevance and Drug Modulation of PPAR Signaling Pathway in Triple-Negative Breast Cancer: A Comprehensive Analysis. (PubMed, PPAR Res)
Lastly, our experimental validation demonstrated the ability of the histone deacetylase (HDAC) inhibitor chidamide to activate the PPAR signal in TNBC cells. In conclusion, the PPAR signaling pathway likely has pleiotropic biological effects in TNBC. These preliminary but interesting findings enhance our understanding of the role played by PPAR signal and provide new insights into the heterogeneity driven by it in TNBC.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • HRD (Homologous Recombination Deficiency) • PCLO (Piccolo Presynaptic Cytomatrix Protein)
|
HRD
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Epidaza (chidamide)
4ms
New P2 trial
|
Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • decitabine • Epidaza (chidamide)
4ms
New P2 trial • Metastases
|
paclitaxel • docetaxel • AiRuiKa (camrelizumab) • AiTan (rivoceranib) • irinotecan • Epidaza (chidamide)
4ms
Chidamide + Celecoxib in Advanced Metastatic Colorectal Cancer (CCmCC) (clinicaltrials.gov)
P1, N=9, Terminated, Taipei Medical University Shuang Ho Hospital | Trial completion date: Dec 2024 --> Mar 2024 | Recruiting --> Terminated | Trial primary completion date: Dec 2024 --> Mar 2024; The overall profile does not support development for metastatic colorectal cancer
Trial completion date • Trial termination • Trial primary completion date • Metastases
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KRAS (KRAS proto-oncogene GTPase)
|
KRAS mutation • RAS mutation • RAS wild-type
|
Epidaza (chidamide) • celecoxib oral
4ms
New P2 trial • Real-world evidence • Pan tumor • Real-world
|
BRAF (B-raf proto-oncogene)
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Lynparza (olaparib) • Mekinist (trametinib) • Ibrance (palbociclib) • Tafinlar (dabrafenib) • Focus V (anlotinib) • temozolomide • Lenvima (lenvatinib) • Piqray (alpelisib) • pazopanib • Epidaza (chidamide) • Trodelvy (sacituzumab govitecan-hziy) • bozitinib (APL-101)
5ms
Sustained yet non-curative response to lenalidomide in relapsed angioimmunoblastic T-cell lymphoma with acquired chidamide resistance: a case report with 10-year follow-up, genetic insights and literature review. (PubMed, Front Oncol)
Notably, genes commonly mutated in AITL, including RHOA, TET2, DNMT3A, and IDH2, were absent in this case. A review of the literature highlights the heterogeneous genomic landscape of AITL and the diversity of treatment options available, underscoring the importance of tailored approaches to overcome resistance and improve outcomes in this distinct lymphoma subtype.
Review • Journal
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IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • DNMT3A (DNA methyltransferase 1) • ARID1A (AT-rich interaction domain 1A) • TET2 (Tet Methylcytosine Dioxygenase 2) • KMT2D (Lysine Methyltransferase 2D) • RHOA (Ras homolog family member A)
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ARID1A mutation • TET2 mutation • KMT2D mutation • Chr del(5q)
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lenalidomide • Epidaza (chidamide)