Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C21H23N3O2.C3H6O3 |
| Molecular Weight | 439.5042 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 1 |
| Charge | 0 |
| Stereo Comments | C3H603 |
SHOW SMILES / InChI
SMILES
CC(O)C(O)=O.CC1=C(CCNCC2=CC=C(\C=C\C(=O)NO)C=C2)C3=C(N1)C=CC=C3
InChI
InChIKey=XVDWNSFFSMWXJJ-ASTDGNLGSA-N
InChI=1S/C21H23N3O2.C3H6O3/c1-15-18(19-4-2-3-5-20(19)23-15)12-13-22-14-17-8-6-16(7-9-17)10-11-21(25)24-26;1-2(4)3(5)6/h2-11,22-23,26H,12-14H2,1H3,(H,24,25);2,4H,1H3,(H,5,6)/b11-10+;
| Molecular Formula | C21H23N3O2 |
| Molecular Weight | 349.4262 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 1 |
| Optical Activity | NONE |
| Molecular Formula | C3H6O3 |
| Molecular Weight | 90.0779 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
DescriptionCurator's Comment: Description was created based on several sources, including
https://www.drugbank.ca/drugs/DB06603
Curator's Comment: Description was created based on several sources, including
https://www.drugbank.ca/drugs/DB06603
Panobinostat is an oral deacetylace (DAC) inhibitor approved on February 23, 2015 by the FDA for the treatment of multiple myeloma. The approval was accelerated based on progression-free survival, therefore confirmatory trials by the sponsor to demonstrate clinical efficacy in multiple myeloma treatment are in progress of being conducted. Panobinostat is marketed by Novartis under the brand name Farydak. Panobinostat is a deacetylase (DAC) inhibitor. DACs, also known as histone DACs (HDAC), are responsible for regulating the acetylation of about 1750 proteins in the body; their functions are involved in many biological processes including DNA replication and repair, chromatin remodelling, transcription of genes, progression of the cell-cycle, protein degradation and cytoskeletal reorganization. In multiple myeloma, there is an overexpression of DAC proteins. Panobinostat inhibits class I (HDACs 1, 2, 3, 8), class II (HDACs 4, 5, 6, 7, 9, 10) and class IV (HDAC 11) proteins. Panobinostat's antitumor activity is believed to be attributed to epigenetic modulation of gene expression and inhibition of protein metabolism. Panobinostat also exhibits cytotoxic synergy with bortezomib, a proteasome inhibitor concurrently used in treatment of multiple myeloma.
CNS Activity
Originator
Sources: http://adisinsight.springer.com/drugs/800020423
Curator's Comment: # Novartis
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL3192 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
280.0 nM [IC50] | ||
Target ID: CHEMBL1865 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
11.0 nM [IC50] | ||
Target ID: CHEMBL1829 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
2.1 nM [IC50] | ||
Target ID: CHEMBL1937 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
13.0 nM [IC50] | ||
Target ID: CHEMBL325 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
2.5 nM [IC50] | ||
Target ID: CHEMBL3524 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22344701 |
200.0 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | FARYDAK Approved UseFARYDAK, a histone deacetylase inhibitor, in combination with bortezomib
and dexamethasone, is indicated for the treatment of patients with multiple
myeloma who have received at least 2 prior regimens, including bortezomib
and an immunomodulatory agent Launch Date2015 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
15.3 ng/mL |
20 mg 1 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: BORTEZOMIB |
PANOBINOSTAT plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
95.2 ng × h/mL |
20 mg 1 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: BORTEZOMIB |
PANOBINOSTAT plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
16.7 h |
20 mg 1 times / day multiple, oral dose: 20 mg route of administration: Oral experiment type: MULTIPLE co-administered: BORTEZOMIB |
PANOBINOSTAT plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
10% |
PANOBINOSTAT plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
34 mg/m2 3 times / week multiple, oral Highest studied dose|RP2D Dose: 34 mg/m2, 3 times / week Route: oral Route: multiple Dose: 34 mg/m2, 3 times / week Sources: |
unhealthy, 1-21 years Health Status: unhealthy Age Group: 1-21 years Sex: M+F Sources: |
DLT: Hypertriglyceridemia... Dose limiting toxicities: Hypertriglyceridemia (grade 4, 1 patient) Sources: |
15 mg/m2 1 times / week multiple, intravenous Dose: 15 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 15 mg/m2, 1 times / week Sources: |
unhealthy, 3-17 years Health Status: unhealthy Age Group: 3-17 years Sex: M+F Sources: |
DLT: Electrocardiogram T wave abnormal... Dose limiting toxicities: Electrocardiogram T wave abnormal (2 patients) Sources: |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 60 years (range: 28-79 years) Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Sources: |
Disc. AE: Diarrhea, Thrombocytopenia... AEs leading to discontinuation/dose reduction: Diarrhea (17 patients) Sources: Thrombocytopenia (6 patients) Fatigue (11 patient) Asthenia (11 patient) Peripheral neuropathy (14 patients) Thrombocytopenia (28%) |
20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
DLT: Gamma glutamyl transpeptidase increased... Other AEs: Thrombocytopenia, Leukopenia... Dose limiting toxicities: Gamma glutamyl transpeptidase increased (grade 3, 1 patient) Other AEs:Thrombocytopenia (grade 3-4, 2 patients) Sources: Leukopenia (grade 3-4, 2 patients) Neutropenia (grade 3-4, 5 patients) Nausea (grade 1-2, 4 patients) Stomatitis (grade 1-2, 3 patients) Vomiting (grade 1-2, 3 patients) Fatigue (grade 3-4, 1 patient) Fever (grade 1-2, 4 patients) Decreased appetite (grade 1-2, 5 patients) Hypoalbuminemia (grade 1-2, 2 patients) Rash (grade 1-2, 3 patients) |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy Health Status: unhealthy Sources: |
Other AEs: Diarrhea, Arrhythmia... Other AEs: Diarrhea (severe|grade 5, 25%) Sources: Arrhythmia (severe) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Hypertriglyceridemia | grade 4, 1 patient DLT |
34 mg/m2 3 times / week multiple, oral Highest studied dose|RP2D Dose: 34 mg/m2, 3 times / week Route: oral Route: multiple Dose: 34 mg/m2, 3 times / week Sources: |
unhealthy, 1-21 years Health Status: unhealthy Age Group: 1-21 years Sex: M+F Sources: |
| Electrocardiogram T wave abnormal | 2 patients DLT |
15 mg/m2 1 times / week multiple, intravenous Dose: 15 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 15 mg/m2, 1 times / week Sources: |
unhealthy, 3-17 years Health Status: unhealthy Age Group: 3-17 years Sex: M+F Sources: |
| Asthenia | 11 patient Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 60 years (range: 28-79 years) Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Sources: |
| Fatigue | 11 patient Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 60 years (range: 28-79 years) Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Sources: |
| Peripheral neuropathy | 14 patients Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 60 years (range: 28-79 years) Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Sources: |
| Diarrhea | 17 patients Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 60 years (range: 28-79 years) Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Sources: |
| Thrombocytopenia | 28% Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 60 years (range: 28-79 years) Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Sources: |
| Thrombocytopenia | 6 patients Disc. AE |
20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 60 years (range: 28-79 years) Health Status: unhealthy Age Group: 60 years (range: 28-79 years) Sex: M+F Sources: |
| Hypoalbuminemia | grade 1-2, 2 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Rash | grade 1-2, 3 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Stomatitis | grade 1-2, 3 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Vomiting | grade 1-2, 3 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Fever | grade 1-2, 4 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Nausea | grade 1-2, 4 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Decreased appetite | grade 1-2, 5 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Gamma glutamyl transpeptidase increased | grade 3, 1 patient DLT |
20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Fatigue | grade 3-4, 1 patient | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Leukopenia | grade 3-4, 2 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Thrombocytopenia | grade 3-4, 2 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Neutropenia | grade 3-4, 5 patients | 20 mg/m2 1 times / week multiple, intravenous Highest studied dose Dose: 20 mg/m2, 1 times / week Route: intravenous Route: multiple Dose: 20 mg/m2, 1 times / week Sources: |
unhealthy, 63.0 years (range: 43–75 years) Health Status: unhealthy Age Group: 63.0 years (range: 43–75 years) Sex: M+F Sources: |
| Arrhythmia | severe | 20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy Health Status: unhealthy Sources: |
| Diarrhea | severe|grade 5, 25% | 20 mg 3 times / week multiple, oral Recommended|MTD Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
Drug as victim
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/205353Orig1s000PharmR.pdf#page=13 Page: 13.0 |
||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/205353Orig1s000PharmR.pdf#page=13 Page: 13.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| The Bromodomain Inhibitor JQ1 and the Histone Deacetylase Inhibitor Panobinostat Synergistically Reduce N-Myc Expression and Induce Anticancer Effects. | 2016-05-15 |
|
| Panobinostat for the Treatment of Multiple Myeloma. | 2015-11-01 |
|
| A transcriptome-based classifier to identify developmental toxicants by stem cell testing: design, validation and optimization for histone deacetylase inhibitors. | 2015-09 |
|
| Highly active combination of BRD4 antagonist and histone deacetylase inhibitor against human acute myelogenous leukemia cells. | 2014-05 |
|
| SIRT1 activation enhances HDAC inhibition-mediated upregulation of GADD45G by repressing the binding of NF-κB/STAT3 complex to its promoter in malignant lymphoid cells. | 2013-05-16 |
|
| Resveratrol sensitizes acute myelogenous leukemia cells to histone deacetylase inhibitors through reactive oxygen species-mediated activation of the extrinsic apoptotic pathway. | 2012-12 |
|
| Discovery, synthesis, and biological evaluation of novel SMN protein modulators. | 2011-09-22 |
|
| Discovery of (2E)-3-{2-butyl-1-[2-(diethylamino)ethyl]-1H-benzimidazol-5-yl}-N-hydroxyacrylamide (SB939), an orally active histone deacetylase inhibitor with a superior preclinical profile. | 2011-07-14 |
|
| Low-dose LBH589 increases the sensitivity of cisplatin to cisplatin-resistant ovarian cancer cells. | 2011-06 |
|
| To selectivity and beyond. | 2010-12 |
|
| Induction of TAp63 by histone deacetylase inhibitors. | 2010-01-22 |
|
| A systematic assessment of radiation dose enhancement by 5-Aza-2'-deoxycytidine and histone deacetylase inhibitors in head-and-neck squamous cell carcinoma. | 2009-03-01 |
|
| Mitochondrial Bax translocation partially mediates synergistic cytotoxicity between histone deacetylase inhibitors and proteasome inhibitors in glioma cells. | 2008-06 |
|
| Determination of the class and isoform selectivity of small-molecule histone deacetylase inhibitors. | 2008-01-15 |
|
| Targeting tumor angiogenesis with histone deacetylase inhibitors: the hydroxamic acid derivative LBH589. | 2006-01-15 |
Sample Use Guides
20 mg, taken orally once every other day for 3 doses per week (on Days 1, 3, 5, 8, 10, and 12) of Weeks 1 and 2 of each 21-day cycle for 8 cycles
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19671764
Besides, Panobinostat inhibits growth of non small cell lung cancer cell lines (such as human H1299, L55 and A549 with IC50 of 5 nM, 11 nM and 30 nM, respectively), mesothelioma (such as human OK-6 and Ok-5 with IC50 of 5 nM and 7 nM, respectively) and small cell lung cancer cell lines (such as human RG-1 and LD-T with IC50 of 4 nM and 5 nM, respectively).
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 21:27:26 GMT 2025
by
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on
Mon Mar 31 21:27:26 GMT 2025
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| Record UNII |
HN0T99OO4V
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Validated (UNII)
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EMA ASSESSMENT REPORTS |
FARYDAK (AUTHORIZED: MULTIPLE MYELOMA)
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EU-Orphan Drug |
EU/3/07/464
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100000157785
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C176044
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CHEMBL483254
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FARYDAK
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SUB166413
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1603349
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ACTIVE MOIETY |