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Use of histone deacetylase inhibitors (HDACis) in pancreatic ductal adenocarcinoma (PDAC): A narrative review Cover

Use of histone deacetylase inhibitors (HDACis) in pancreatic ductal adenocarcinoma (PDAC): A narrative review

Open Access
|Jul 2025

Figures & Tables

Clinical studies evaluating the efficacy of HDACis in PDAC_

Drug typeCombinationComparisonStudy phaseCancer typeResultsReference
Azacitidine (DNA methyl-transferase inhibitor-DMNTi) and/or romidepsin (HDACi)nab-Paclitaxel/gemcitabine-I (a)Advanced PDACNot availableNCT04257448
Ivaltinostat iv (HDACi)CapecitabineCapecitabine monotherapyI/IIMetastatic PDACNot availableNCT05249101
Belinostat iv (HDACi)Carboplatin Paclitaxel-I (c)Solid tumorsPDAC: 3 pts: PR n = 192
Tacedinaline po (HDACi)GemcitabineGemcitabine (1:1)II (c)PDAC (unresectable/metastatic)174 pts: ORR 12% versus 14%, OS HR 0.98, median OS 6.5 not available versus 7.1 monthsNCT00004861
Vorinostat po (HDACi)Capecitabine Radiotherapy-I (c)Non-metastatic PDAC21 pts: median OS 13.2 monthsNCT00983268
Vorinostat po (HDACi)Marizomib-I (c)PDAC NSCLC MelanomaPDAC: 2 ptsNCT00667082
Panobinostat po (HDACi)Bortezomib-II (c)Metastatic PDAC7 pts: PD n = 7, median PFS 0.86 not available, median OS 4.01 monthsNCT01056601
Vorinostat po (HDACi)Bortezomib-I (c)Solid tumorsPDAC: 6 ptsNCT00227513
Valproic acid po (HDACi)S-1-I/II (c)PDAC (unresectable/metastatic) biliary tract cancer (BTC) - RadiationPDAC: 7 pts
Mocetinostat po (HDACi)Gemcitabine-I/II (c)Solid tumorsPDAC: 13 pts (Ph II): SD n = 9, median PFS 5.3 not available, median OS 7.4 monthsNCT00372437
Resminostat po (HDACi)S-1-I (c)PDAC (non-resectable/metastatic) BTCPDAC: 7 pts; 3 pts (regimen 3): SD n = 2, median PFS 2.3 months, OS 4.7 months93
VorinostatRadiation therapy-XRT and 5-fluoruracil-5-FU-I/IIAdvanced PDACPDAC: 10 pts; median PFS 9.3 monthsNCT00948688
Vorinostat po (HDACi)Gemcitabine Sorafenib Radiotherapy-I (a)PDAC (resectable, marginally resectable, unresectable)22 ptsNCT02349867
Romidepsin iv (HDACi)Gemcitabine-I (c)PDAC (unresectable/metastatic) Others solid tumors14 pts; SD n = 9, PD n = 3; 85% ≥G3 AENCT00379639
Romidepsin iv (HDACi)--I (a)Solid tumors/lymphomasPDAC/BTC: 5 ptsNCT01638533
MS-275 (HDACi)--I (c)Solid tumors/lymphomasNot availableNCT00020579
Entinostat poGSK525762C-IResistant solid tumors/lymphomasNot availableNCT03925428
Entinostat poZEN003694-I/IIResistant solid tumors/lymphomasNot availableNCT05053971
Entinostat poFOLFOX-IPDACNot availableNCT03760614
Entinostat po (HDACi)Nivolumab-II (c)PDAC (non-resectable/metastatic) BTCPDAC: 18 pts: CR/PR n = 3, median OS 3.9 months; 63% ≥G3 AENCT03250273
Isotretinoin poBelinostat (HDACi)-I (c)Solid tumorsPDAC: 3 pts: CR/PR/SD n = 0NCT00334789
SMMART-prime treatment--I (a)Breast cancer (IV), lymphomas, advanced/metastatic/unresectable PDAC, prostate cancerNot availableNCT03878524
DOI: https://doi.org/10.2478/fco-2024-0007 | Journal eISSN: 1792-362X | Journal ISSN: 1792-345X
Language: English
Submitted on: Oct 6, 2024
Accepted on: Dec 23, 2024
Published on: Jul 12, 2025
Published by: Helenic Society of Medical Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2025 Vassiliki Tarara, Evangelos Karamitrousis, published by Helenic Society of Medical Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

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