Sivaraj Dharshan, Green Michael M, Gasparetto Cristina
Division of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham, NC, USA.
Future Oncol. 2017 Mar;13(6):477-488. doi: 10.2217/fon-2016-0329. Epub 2016 Oct 25.
Multiple myeloma (MM) is the second most common blood cancer following non-Hodgkin's lymphoma. While the treatments for MM have improved over the past decade, for the most part, it remains an incurable disease. For this reason newer therapeutic agents are needed to combat this malignancy. Panobinostat is a pan-deacetylase inhibitor that impedes protein destruction by disturbing the enzymatic activity of deacetylases. It was US FDA approved in February 2015 for the management of relapsed/refractory MM in combination with bortezomib and dexamethasone. Several trials are ongoing, exploring the utility of panobinostat in various other settings for the management of MM. This review will detail the biology, clinical efficacy and potential future applications of panobinostat in the treatment of MM.
多发性骨髓瘤(MM)是仅次于非霍奇金淋巴瘤的第二常见血液癌症。尽管在过去十年中MM的治疗方法有所改进,但在很大程度上,它仍然是一种无法治愈的疾病。因此,需要更新的治疗药物来对抗这种恶性肿瘤。帕比司他是一种泛脱乙酰酶抑制剂,通过干扰脱乙酰酶的酶活性来阻碍蛋白质的破坏。它于2015年2月获得美国食品药品监督管理局(US FDA)批准,用于联合硼替佐米和地塞米松治疗复发/难治性MM。目前正在进行多项试验,探索帕比司他在MM管理的各种其他情况下的效用。本综述将详细介绍帕比司他在MM治疗中的生物学特性、临床疗效及潜在的未来应用。