PMID- 19635146 OWN - NLM STAT- MEDLINE DCOM- 20100615 LR - 20240408 IS - 1756-8722 (Electronic) IS - 1756-8722 (Linking) VI - 2 DP - 2009 Jul 27 TI - Vorinostat in solid and hematologic malignancies. PG - 31 LID - 10.1186/1756-8722-2-31 [doi] AB - Vorinostat (Zolinza), a histone deacetylase inhibitor, was approved by the US Food and Drug Administration in October 2006 for the treatment of cutaneous manifestations in patients with cutaneous T-cell lymphoma who have progressive, persistent or recurrent disease on or following two systemic therapies. This review summarizes evidence on the use of vorinostat in solid and hematologic malignancies and collated tolerability data from the vorinostat clinical trial program. Pooled vorinostat clinical trial data from 498 patients with solid or hematologic malignancies show that vorinostat was well tolerated as monotherapy or combination therapy. The most commonly reported drug-related adverse events (AEs) associated with monotherapy (n = 341) were fatigue (61.9%), nausea (55.7%), diarrhea (49.3%), anorexia (48.1%), and vomiting (32.8%), and Grade 3/4 drug-related AEs included fatigue (12.0%), thrombocytopenia (10.6%), dehydration (7.3%), and decreased platelet count (5.3%). The most common drug-related AEs observed with vorinostat in combination therapy (n = 157, most of whom received vorinostat 400 mg qd for 14 days) were nausea (48.4%), diarrhea (40.8%), fatigue (34.4%), vomiting (31.2%), and anorexia (20.4%), with the majority of AEs being Grade 2 or less. In Phase I trials, combinations with vorinostat were generally well tolerated and preliminary evidence of anticancer activity as monotherapy or in combination with other systemic therapies has been observed across a range of malignancies. Ongoing and planned studies will further evaluate the potential of vorinostat in combination therapy, including combinations with radiation, in patients with diverse malignancy types, including non-small-cell lung cancer, glioblastoma multiforme, multiple myeloma, and myelodysplastic syndrome. FAU - Siegel, David AU - Siegel D AD - Hackensack University Medical Center, Hackensack, NJ, USA. dsiegel@humed.com FAU - Hussein, Mohamad AU - Hussein M FAU - Belani, Chandra AU - Belani C FAU - Robert, Francisco AU - Robert F FAU - Galanis, Evanthia AU - Galanis E FAU - Richon, Victoria M AU - Richon VM FAU - Garcia-Vargas, Jose AU - Garcia-Vargas J FAU - Sanz-Rodriguez, Cesar AU - Sanz-Rodriguez C FAU - Rizvi, Syed AU - Rizvi S LA - eng PT - Evaluation Study PT - Journal Article PT - Review DEP - 20090727 PL - England TA - J Hematol Oncol JT - Journal of hematology & oncology JID - 101468937 RN - 0 (Antineoplastic Agents) RN - 0 (Hydroxamic Acids) RN - 58IFB293JI (Vorinostat) SB - IM MH - Antineoplastic Agents/administration & dosage/adverse effects/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use MH - Clinical Trials as Topic MH - Hematologic Neoplasms/*drug therapy MH - Humans MH - Hydroxamic Acids/adverse effects/*therapeutic use MH - Models, Biological MH - Neoplasms/*drug therapy MH - Vorinostat PMC - PMC2731787 EDAT- 2009/07/29 09:00 MHDA- 2010/06/16 06:00 PMCR- 2009/07/27 CRDT- 2009/07/29 09:00 PHST- 2009/05/29 00:00 [received] PHST- 2009/07/27 00:00 [accepted] PHST- 2009/07/29 09:00 [entrez] PHST- 2009/07/29 09:00 [pubmed] PHST- 2010/06/16 06:00 [medline] PHST- 2009/07/27 00:00 [pmc-release] AID - 1756-8722-2-31 [pii] AID - 10.1186/1756-8722-2-31 [doi] PST - epublish SO - J Hematol Oncol. 2009 Jul 27;2:31. doi: 10.1186/1756-8722-2-31.