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DRUG CLASS:

MAPK inhibitor

2d
New P2 trial • Metastases
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paclitaxel • docetaxel • AiRuiKa (camrelizumab) • AiTan (rivoceranib) • irinotecan • Epidaza (chidamide)
2d
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)
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KRAS mutation • RAS mutation • RAS wild-type
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Epidaza (chidamide) • celecoxib oral
4d
Interleukin-22 promotes endometrial carcinoma cell proliferation and cycle progression via ERK1/2 and p38 activation. (PubMed, Mol Cell Biochem)
The IL-22-mediated changes in cell proliferation, cycle progression, and protein expression can be effectively inhibited by the ERK1/2 inhibitor U0126 and the p38 inhibitor SB202190...Our findings suggest that IL-22 promotes endometrial carcinoma cell proliferation and G1/S phase progression by activating ERK1/2 and p38 signaling. Therefore, IL-22 may represent a potential therapeutic target for the treatment of endometrial carcinoma.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • CCND1 (Cyclin D1) • CCNE1 (Cyclin E1) • CDK4 (Cyclin-dependent kinase 4) • CDK6 (Cyclin-dependent kinase 6) • IL22 (Interleukin 22)
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SB202190
8d
Oxymatrine antagonises oxidative stress and apoptosis in Nemopilema nomurai toxin-induced cardiotoxicity by inhibiting mitogen-activated protein kinase. (PubMed, Toxicol Lett)
In summary, OMT can antagonise TE-induced cardiac injury and lethal effects by inhibiting the activation of the MAPK pathway and reducing oxidative stress and apoptosis. As a natural compound, OMT offers a potential therapeutic strategy for jellyfish stings.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta) • MAPK8 (Mitogen-activated protein kinase 8)
10d
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)
17d
DEB: Phase III Study of Tucidinostat in Combination With R-CHOP in Patients With Newly Diagnosed Double-Expressor DLBCL (clinicaltrials.gov)
P3, N=423, Active, not recruiting, Chipscreen Biosciences, Ltd. | Trial completion date: Mar 2025 --> Jun 2025
Trial completion date • Combination therapy
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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
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • vincristine • prednisone • Epidaza (chidamide)
18d
Chidamide With Immunotherapy for Patients With Locally Advanced or Metastatic Urothelial Carcinoma (clinicaltrials.gov)
P2, N=45, Active, not recruiting, Sun Yat-sen University | Recruiting --> Active, not recruiting | Trial completion date: Sep 2023 --> Oct 2025 | Trial primary completion date: Sep 2022 --> Aug 2024
Enrollment closed • Trial completion date • Trial primary completion date • Metastases
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PD-L1 (Programmed death ligand 1)
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Tevimbra (tislelizumab-jsgr) • Epidaza (chidamide)
19d
A Study of Tucidinostat in Combination With Sintilimab and Bevacizumab in MSS/pMMR Colorectal Cancer Patients (clinicaltrials.gov)
P3, N=430, Recruiting, Chipscreen Biosciences, Ltd. | Not yet recruiting --> Recruiting
Enrollment open • Combination therapy
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Avastin (bevacizumab) • Tyvyt (sintilimab) • Fruzaqla (fruquintinib) • Epidaza (chidamide)
20d
MAPK Inhibition Combined with Anti-PD1 Therapy for BRAF-altered Pediatric Gliomas (clinicaltrials.gov)
P1/2, N=27, Recruiting, Ann & Robert H Lurie Children's Hospital of Chicago
New P1/2 trial • Checkpoint inhibition • Checkpoint block
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Opdivo (nivolumab) • Mekinist (trametinib) • Tafinlar (dabrafenib)
20d
Evaluation of Safety, Tolerability, and Changes in Biomarker and Clinical Outcome Assessments of Losmapimod for FSHD1 With Extension (clinicaltrials.gov)
P2, N=14, Terminated, Fulcrum Therapeutics | Trial completion date: Jan 2026 --> Oct 2024 | Active, not recruiting --> Terminated | Trial primary completion date: Oct 2025 --> Oct 2024; Sponsor Decision
Trial completion date • Trial termination • Trial primary completion date
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DUX4 (Double Homeobox 4)
20d
Efficacy and Safety of Losmapimod in Treating Subjects With Facioscapulohumeral Muscular Dystrophy (FSHD) With Open-Label Extension (OLE) (clinicaltrials.gov)
P2, N=76, Terminated, Fulcrum Therapeutics | Trial completion date: Jan 2026 --> Nov 2024 | Active, not recruiting --> Terminated | Trial primary completion date: Oct 2025 --> Nov 2024; Sponsor Decision
Trial completion date • Trial termination • Trial primary completion date
20d
Efficacy and Safety of Losmapimod in Treating Participants With Facioscapulohumeral Muscular Dystrophy (FSHD) (REACH) (clinicaltrials.gov)
P3, N=260, Terminated, Fulcrum Therapeutics | Trial completion date: Jan 2026 --> Nov 2024 | Active, not recruiting --> Terminated; Sponsor Decision
Trial completion date • Trial termination
23d
HDAC Inhibitor Combination with Chemoimmunotherapy in the Neoadjuvant Treatment of PMMR Locally Advanced Colon Cancer (clinicaltrials.gov)
P2, N=100, Recruiting, Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
New P2 trial • Metastases
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Tevimbra (tislelizumab-jsgr) • capecitabine • oxaliplatin • Epidaza (chidamide)
24d
Durvalumab and T-DXd Synergistically Promote Apoptosis of Cholangiocarcinoma Cells by Downregulating EGR1 Expression Through Inhibiting P38 MAPK Pathway. (PubMed, Appl Biochem Biotechnol)
In conclusion, our findings demonstrated that durvalumab and T-DXd synergistically promoted apoptosis in cholangiocarcinoma cells by inhibiting EGR1 expression through inactivation of the p38 MAPK pathway. This study confirmed the potential of durvalumab and T-DXd for the treatment of cholangiocarcinoma.
Journal • PD(L)-1 Biomarker
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EGR1 (Early Growth Response 1)
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Imfinzi (durvalumab) • Enhertu (fam-trastuzumab deruxtecan-nxki)
24d
Chidamide and venetoclax synergistically regulate the Wnt/β-catenin pathway by MYCN/DKK3 in B-ALL. (PubMed, Ann Hematol)
In our study, the in vitro and in vivo experiments confirmed that chidamide and venetoclax synergistically inhibited the expression of MYCN and increased the expression of DKK3 by inhibiting the activity of HDAC and BCL2, inhibiting the Wnt/β-catenin signaling pathway and B-ALL cell proliferation. These findings indicate that the HDACi chidamide and the BCL2 inhibitor venetoclax can be used in combination to treat B-ALL, providing a new method and strategy for treating B-ALL.
Journal • IO biomarker
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MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • DKK3 (Dickkopf WNT Signaling Pathway Inhibitor 3)
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MYCN expression
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Venclexta (venetoclax) • Epidaza (chidamide)
1m
PDE4D drives rewiring of the MAPK pathway in BRAF-mutated melanoma resistant to MAPK inhibitors. (PubMed, Cell Commun Signal)
In summary, our research showed that PDE4D drives rewiring of the MAPK pathway in BRAF-mutated melanoma resistant to MAPK inhibitors and suggests that PDE4 inhibition is a novel therapeutic option for treatment of BRAF-mutated melanoma patients.
Journal
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BRAF (B-raf proto-oncogene) • PDE4D (Phosphodiesterase 4D)
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BRAF V600E • BRAF mutation • BRAF V600 • PDE4D overexpression
1m
New P2 trial • IO biomarker
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • decitabine • Epidaza (chidamide) • Inokai (orelabrutinib)
1m
Venetoclax and Azacitidine Combined With Chidamide (VAC) for the Treatment of Newly Diagnosed Acute Monocytic Leukemia (clinicaltrials.gov)
P2, N=92, Recruiting, The First Affiliated Hospital of Soochow University | Trial primary completion date: Sep 2024 --> Sep 2025
Trial primary completion date
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BCL2 (B-cell CLL/lymphoma 2)
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Venclexta (venetoclax) • azacitidine • Epidaza (chidamide)
1m
RLC Followed by CR-CHOP in Elderly Patients with Newly-diagnosed DEL (clinicaltrials.gov)
P2, N=44, Recruiting, Zhejiang Cancer Hospital | Not yet recruiting --> Recruiting
Enrollment open
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Rituxan (rituximab) • lenalidomide • cyclophosphamide • epirubicin • Epidaza (chidamide) • vindesine
1m
Sincerely20: Sintilimab Combined With Chidamide in Treating Peripheral T Cell Lymphoma (clinicaltrials.gov)
P2, N=51, Recruiting, Fudan University | Trial completion date: Sep 2025 --> Dec 2026 | Trial primary completion date: Dec 2023 --> Dec 2026
Trial completion date • Trial primary completion date • IO biomarker • Epigenetic controller
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PD-L1 expression
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Tyvyt (sintilimab) • Epidaza (chidamide)
1m
New P2 trial • Combination therapy • Metastases
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Focus V (anlotinib) • Loqtorzi (toripalimab-tpzi) • Epidaza (chidamide)
1m
New P2 trial • Combination therapy • Metastases
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EGFR (Epidermal growth factor receptor) • ALK (Anaplastic lymphoma kinase)
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EGFR mutation • ALK fusion
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gemcitabine • Epidaza (chidamide) • Ariely (adebrelimab)
1m
Prospective, open-label, phase II clinical study of the combination of Chidamide and Anlotinib ± PD-1/PD-L1 inhibitors in patients with SWI/SNF complex-deficient mutations (ChiCTR2400090522)
P2, N=57, Recruiting, Cancer Hospital Chinese Academy of Medical Sciences; Cancer Hospital Chinese Academy of Medical Sciences
New P2 trial • IO biomarker
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ARID1A (AT-rich interaction domain 1A) • SMARCB1 (SWI/SNF Related, Matrix Associated, Actin Dependent Regulator Of Chromatin, Subfamily B, Member 1) • SMARCA2 (SWI/SNF Related, Matrix Associated, Actin Dependent Regulator Of Chromatin, Subfamily A, Member 2)
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Focus V (anlotinib) • Epidaza (chidamide)
1m
New P2 trial • Combination therapy • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 negative
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capecitabine • vinorelbine tartrate • Epidaza (chidamide)
2ms
New P2 trial
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Rituxan (rituximab) • lenalidomide • cyclophosphamide • epirubicin • Epidaza (chidamide) • vindesine
2ms
Real-world efficacy of chidamide plus R-CHOP in newly diagnosed double-expressor diffuse large B-cell lymphoma. (PubMed, Ther Adv Hematol)
To evaluate the efficacy of a novel histone deacetylase inhibitor, chidamide, in combination with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (CR-CHOP) in the treatment of DEL. The most common grades 3-4 hematologic and nonhematologic toxicity were leukopenia (46.7%) and infection (21%), respectively. This long-term follow-up study indicates that CR-CHOP in untreated DLBCL with the DEL phenotype demonstrates high short-term efficacy and safety as well as promising survival outcomes.
Journal • Real-world evidence • IO biomarker • Real-world effectiveness • Real-world
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2)
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BCL2 expression • MYC expression
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • vincristine • prednisone • Epidaza (chidamide)
2ms
New trial
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Epidaza (chidamide) • Folotyn (pralatrexate)
2ms
Chidamide Combined with (+) -JQ-1 to Kill MLL-Rearrangement Acute Myeloid Leukemia Cells by Disrupting the DNA Damage Response Pathway (PubMed, Zhongguo Shi Yan Xue Ye Xue Za Zhi)
Chidamide combined with (+)-JQ-1 can inhibit the proliferation of MLL-r AML cells, inhibit the initiation of protective self-repair of these leukemia cells by inhibiting the DNA damage response pathway, and ultimately increase the apoptosis of these cells, but non- MLL-r AML cells have no similar results.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • KMT2A (Lysine Methyltransferase 2A) • CHEK2 (Checkpoint kinase 2) • RAD51 (RAD51 Homolog A) • CHEK1 (Checkpoint kinase 1) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • BRD4 (Bromodomain Containing 4) • TP53BP1 (Tumor Protein P53 Binding Protein 1)
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MLL rearrangement • MLL rearrangement • BCL2 expression • BAX expression
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JQ-1 • Epidaza (chidamide)
2ms
EXPRESS: Combined treatment with ruxolitinib and MK-2206 inhibits ERα activity by inhibiting MAPK signaling in BT474 breast cancer cells. (PubMed, J Investig Med)
Our results revealed the relationships among the ERα, PI3K/AKT, and MAPK signaling pathways in ER+ breast cancer cells. Understanding the interactions among ERα, PI3K-AKT-mTOR, and MAPK could lead to novel combination therapies.
Journal
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor) • JAK1 (Janus Kinase 1)
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Jakafi (ruxolitinib) • MK-2206
2ms
Chidamide triggers pyroptosis in T-cell lymphoblastic lymphoma/leukemia via the FOXO1/GSDME axis. (PubMed, Chin Med J (Engl))
Our study suggested that chidamide exerts an antitumor effect on T-LBL/ALL and promotes a more inflammatory form of cell death via the FOXO1/GSDME axis, which provides a novel choice of targeted therapy for patients with T-LBL/ALL.
Journal
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CASP3 (Caspase 3) • FOXO1 (Forkhead box O1) • HDAC2 (Histone deacetylase 2) • HDAC1 (Histone Deacetylase 1) • GSDME (Gasdermin E) • HDAC3 (Histone Deacetylase 3)
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Epidaza (chidamide)
2ms
Stromal reprogramming overcomes resistance to RAS-MAPK inhibition to improve pancreas cancer responses to cytotoxic and immune therapy. (PubMed, Sci Transl Med)
Concomitant inhibition of both FAK (with VS-4718) and rapidly accelerated fibrosarcoma and MAPK kinase (RAF-MEK) (with avutometinib) induced tumor growth inhibition and increased survival across multiple PDAC mouse models. Combination of FAK and RAF-MEK inhibition alone improved antitumor immunity and priming of T cell responses in response to chemotherapy. These findings provided the rationale for an ongoing clinical trial evaluating the efficacy of avutometinib and defactinib in combination with gemcitabine and nab-paclitaxel in patients with PDAC and may suggest further paths for combined stromal and tumor-targeting therapies.
Journal • Stroma
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KRAS (KRAS proto-oncogene GTPase) • MYC (V-myc avian myelocytomatosis viral oncogene homolog)
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KRAS mutation
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gemcitabine • albumin-bound paclitaxel • avutometinib (VS-6766) • defactinib (VS-6063) • VS-4718
2ms
R-ICE+X: Novel Targeted Drugs Combined With R-ICE Regimen in Relapsed and Refractory Diffuse Large B-cell Lymphoma (clinicaltrials.gov)
P2, N=76, Recruiting, Ruijin Hospital | Trial primary completion date: Jun 2024 --> Jun 2025
Trial primary completion date
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carboplatin • Brukinsa (zanubrutinib) • decitabine • Epidaza (chidamide) • pomalidomide • tofacitinib
2ms
New trial
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BCL2 (B-cell CLL/lymphoma 2)
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Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • vincristine • prednisone • Epidaza (chidamide)
2ms
Dual MAPK Inhibition Triggers Pro-inflammatory Signals and Sensitizes BRAF V600E Glioma to T Cell-Mediated Checkpoint Therapy. (PubMed, bioRxiv)
Using patient tumor tissue before and after BRAFi+MEKi, two novel syngeneic murine models of BRAF V600E HGG, and patient-derived cell lines, we examined the effects of clinically relevant BRAFi+MEKi with dabrafenib and trametinib on tumor growth, cell states, and tumor-infiltrating T cells. The quadruple treatment overcame BRAFi+MEKi resistance by invigorating T cell-mediated anti-tumor immunity in murine BRAF V600E HGG. PD-L1 expression was elevated in human BRAF-mutant versus BRAF-wildtype glioblastoma clinical specimen, complementing experimental findings and suggesting translational relevance for patient care.
Journal • PD(L)-1 Biomarker • IO biomarker
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BRAF (B-raf proto-oncogene) • IFNG (Interferon, gamma) • CTLA4 (Cytotoxic T-Lymphocyte Associated Protein 4) • IL23A (Interleukin 23 Subunit Alpha) • IL32 (Interleukin 32)
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PD-L1 expression • BRAF V600E • BRAF V600 • BRAF wild-type
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Mekinist (trametinib) • Tafinlar (dabrafenib)
2ms
Design, Synthesis, and Biological Evaluation of HDAC Inhibitors Containing Natural Product-Inspired N-Linked 2-Acetylpyrrole Cap. (PubMed, Molecules)
Among them, compound 20 exhibited potential inhibitory activity on HDAC1, and demonstrated notable potency against RPMI-8226 cells with an IC50 value of 2.89 ± 0.43 μM, which was better than chidamide (IC50 = 10.23 ± 1.02 μM)...The ADME parameters calculation showed that 20 possesses remarkable theoretical drug-likeness properties. Taken together, these results suggested that 20 is worthy of further exploration as a potential HDAC-targeted anticancer drug candidate.
Journal
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HDAC1 (Histone Deacetylase 1) • ANXA5 (Annexin A5)
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Epidaza (chidamide)
2ms
New P2 trial • Metastases
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Epidaza (chidamide) • Yidafan (ivonescimab)
2ms
Transglutaminase 2 promotes epithelial-to-mesenchymal transition by regulating the expression of matrix metalloproteinase 7 in colorectal cancer cells via the MEK/ERK signaling pathway. (PubMed, Biochim Biophys Acta Mol Basis Dis)
The ERK-inhibitor GDC-0994 blocked phosphorylation of MEK/ERK and suppressed TGM2 and MMP7. TGM2 communicates with MMP7 in colon cancer cells forces cell migration and invasion by the MEK/ERK signaling pathway and triggers EMT. Inhibiting TGM2 could thus offer new therapeutic options to treat patients with colon cancer, particularly to prevent metastatic progression.
Journal
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CDH1 (Cadherin 1) • TGM2 (Transglutaminase 2) • CDH2 (Cadherin 2) • SNAI1 (Snail Family Transcriptional Repressor 1) • SNAI2 (Snail Family Transcriptional Repressor 2) • MMP7 (Matrix metallopeptidase 7)
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CDH1 expression • TGM2 overexpression • TGM2 expression
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ravoxertinib (RG7842)
3ms
Regulation of voltage-gated sodium channels by TNF-α during herpes simplex virus latency establishment. (PubMed, J Neurovirol)
Latency establishment was mimicked by culturing HSV-1 infected ND7/23 cells in the presence of acyclovir (ACV) for 3 days...There were no changes in the pharmacological and biophysical properties of sodium currents promoted by TNF-α, including sensitivity to tetrodotoxin and the current-voltage relationship...Inhibition of p38 signaling with SB203580 or SB202190 eliminates the stimulatory effect of TNF-α on sodium currents. These results indicate that TNF-α signaling in sensory neurons during latency establishment upregulates the expression of voltage-gated Na+ channels in order to maintain the transmission of pain information.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha)
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SB202190
3ms
Venetoclax Combining Chidamide and Azacitidine (VCA) in the Treatment of R/R AML (clinicaltrials.gov)
P2, N=30, Recruiting, The First Affiliated Hospital of Xiamen University | Trial completion date: Jan 2026 --> Jun 2027 | Trial primary completion date: Jan 2024 --> Jan 2026
Trial completion date • Trial primary completion date
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Venclexta (venetoclax) • azacitidine • Epidaza (chidamide)
3ms
Efficacy and Safety of Oral HBI-8000 in Patients With Relapsed or Refractory Peripheral T-cell Lymphoma (PTCL) (clinicaltrials.gov)
P2, N=55, Completed, HUYABIO International, LLC. | Phase classification: P2b --> P2 | N=40 --> 55
Phase classification • Enrollment change
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Epidaza (chidamide)
3ms
Chidamide, Venetoclax, and Azacitidine for Newly Diagnosed Acute Myeloid Leukemia (clinicaltrials.gov)
P=N/A, N=184, Recruiting, Institute of Hematology & Blood Diseases Hospital, China | Not yet recruiting --> Recruiting
Enrollment open
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Venclexta (venetoclax) • azacitidine • Epidaza (chidamide)