Pracinostat

From WikiMD's medical encyclopedia


Overview

Pracinostat is a histone deacetylase inhibitor (HDAC inhibitor) that is being investigated for its potential use in the treatment of various types of cancer. It is a small molecule that works by interfering with the function of histone deacetylases, which are enzymes involved in the modification of chromatin structure and regulation of gene expression.

Mechanism of Action

Pracinostat inhibits the activity of histone deacetylases, leading to an accumulation of acetylated histones. This results in a more open chromatin structure, allowing for increased transcription of genes that can induce cell cycle arrest, differentiation, and apoptosis in cancer cells. By altering gene expression, pracinostat can potentially suppress tumor growth and enhance the effects of other anticancer agents.

Clinical Applications

Pracinostat is being studied in clinical trials for its efficacy in treating several types of cancer, including acute myeloid leukemia (AML), myelodysplastic syndromes (MDS), and chronic myelomonocytic leukemia (CMML). It is often investigated in combination with other chemotherapeutic agents to assess its potential to improve treatment outcomes.

Development and Research

Research on pracinostat is ongoing, with multiple clinical trials evaluating its safety and effectiveness. The drug has shown promise in early-phase trials, particularly in combination with other treatments such as azacitidine.

Side Effects

As with many anticancer agents, pracinostat can cause a range of side effects. Common adverse effects include fatigue, nausea, and hematological toxicities such as neutropenia and thrombocytopenia. Monitoring and managing these side effects is an important aspect of treatment with pracinostat.

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Chemical structure of Pracinostat

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Contributors: Prab R. Tumpati, MD