TABLE 2.
Epigenetic drugs for radiotherapy enhancement.
Drugs | Target | Phase | Application | Results | References |
Panobinostat | HDACi | I | High-grade gliomas | Three grade 3 toxicities, one grade 4 neutropenia in 12 patients. | Shi et al., 2016 |
Vorinostat | HDACi | I | Gastrointestinal carcinoma | Seven grade 3 adverse events in 16 patients. | Ree et al., 2010 |
Vorinostat | HDACi | I/II | Glioblastoma | Shorter PFS and OS associated with high scores for the signature sig-79; conversely, patients with high scores on the sig-139 had longer PFS and OS. | Galanis et al., 2018 |
Belinostat | Pan-HDACi | II | Glioblastoma | Stable disease for 16 months and consistent improvement in neurocognition over 18 months. | Gurbani et al., 2020 |
Valproic acid | HDACi | Retrospective | Glioblastoma | Improvements in PFS (median 22.7 vs. 11.0 months; P = 0.099; HR, 0.62), in OS (median 42.2 vs. 20.3 months; P < 0.01; HR, 0.36). | Watanabe et al., 2017 |