Panobinostat

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Panobinostat
Systematic (IUPAC) name
(2E)-N-hydroxy-3-[4-({[2-(2-methyl-1H-indol-3-yl)ethyl]amino}methyl)phenyl]acrylamide
Clinical data
Pregnancy cat.  ?
Legal status  ?
Identifiers
CAS number 404950-80-7 YesY
ATC code L01XX42
PubChem CID 6918837
UNII 9647FM7Y3Z YesY
Chemical data
Formula C21H23N3O2 
Mol. mass 349.42622 g/mol
SMILES eMolecules & PubChem
 YesY(what is this?)  (verify)

Panobinostat (LBH-589) is an experimental drug developed by Novartis for the treatment of various cancers. It is a hydroxamic acid[1] and acts as a non-selective histone deacetylase inhibitor (HDAC inhibitor).[2]

Contents

Clinical trials

As of December 2008, it is being tested against cutaneous T cell lymphoma (CTCL), chronic myelogenous leukemia, myelodysplastic syndromes, breast cancer, prostate cancer and other types of malignant disease in a number of Phase II and III clinical trials,[3][4] for example a Phase III study for CTCL.[5]

Preclinical studies

Panobinostat has been found to synergistically act with sirolimus to kill pancreatic cancer cells in the laboratory in a Mayo Clinic study. In the study, investigators found that this combination destroyed up to 65 percent of cultured pancreatic tumor cells. The finding is significant because the three cell lines studies were all resistant to the effects of chemotherapy – as are many pancreatic tumors.[6]

Panobinostat has also recently been found to significantly increase in vitro the survival of motor neuron (SMN) protein levels in cells of patients suffering from spinal muscular atrophy.[7]

Mechanism of action

Panobinostat inhibits multiple histone deacetylase enzymes, a mechanism leading to apoptosis of malignant cells via multiple pathways.[1]

References



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