An upcoming trial in patients with colorectal cancer will be the first to test an DNMT inhibitor and an EZH2 inhibitor together in any type of cancer.
A pair of epigenetic cancer drugs pcolorectal cancerunch” against colorectal tumorDNMT knock them out moEZH2 inhibitorEZH2ffectively than either medication acancera new study in cells suggests.
In a journal article cancerhed March 27 in Science Advances, a teacolorectal tumorsled by scientists from the Van Andel Institute in Grand Rapids, Michigan showed that a low dose of the DNA methyltransferase (DNMT) inhibitor decitabine combined with Tithe EZH2 inhibitor tazemetostat successfully induced changes that would make cancer cells more vulnerable to destruction by the immune system. The chemotherapy decitabine is commercialized by Eisai as Inqovi; tazemetostat is commercialized by Ipsen as Tazverik. Neither company was involved in the study.
While agents in both classes of drugs are FDA approved to treat blood cancer, they haven't had much success inVan Andel Instituteas colorectal cancer, Scott Rothbart, Ph.D., the study’s corresponding author, said in a press rdecitabineur findings highlight the promise oftazemetostat cancer therapies by revealing how these two mcancerions interact, with the DNMT inhibitor priming cancer cells in a way that makdecitabine2 inhibitor more effecEisai”InqovitazemetostatIpsenTazverik
“Epigenetic” is a term that refers to typically reversible modifblood cancere to genes that do not directly altsolid tumors themselvcolorectal cancerfect their expression. Cancer progression involves many epigenetic changes both to the cancer cells themselves and to the immune cells cancerould otherwise destroy them.DNMTcancerEZH2 inhibitorEZH2
Scientists have attempted to destroy cancer by countering these changes pharmacologically and restoring the expression of anti-cancer genes. The most established means of dCancero is with histone deacetylase inhibitors, or HDAC inhibitocancerch as Merck’s Zolinza (vorinostat) for lymphoma and Acrotech Biopharma’s Beleodaq (belinostat) for myeloma. The only other FDA-approved DNMT inhibitor besides Inquovi is Celgene’s acute myeloid leukemia drug Vidaza (azacitidine). Tazverik is the sole EZH2 inhibitor with FDA approval.
To see whether tVan Andel Institutehe researchers started byDNMT inhibitorsDNMTting them against cancerent types of colorectal cancer cells on their own, then looked at them in combination. The results backed up their rationale: EZH2 inhibitors compounded the changes initiaDNMT inhibitorsDNMTby the DNMT inhibitors, boosting the duo’s effectivenEZH2 inhibitorsEZH2
The findings are the basis for an upcoming clinical trial that will evaluate the pair against coloreccolorectal cancerients. Combinations of DNMT inhibitors and HDAC inhibitors have been tested in clinical trials tEZH2 inhibitorsEZH2xed results, the study noted. The new trial will be DNMT inhibitorsDNMTfirst to evaluate a DNMT inhibitor and an EZH2 inhibitor.
Future studies should evaluate the pair with immunotherapies, too, Rothbart noted in the releacolorectal cancernce in preclinical models thatDNMT inhibitorsDNMT viruslike changHDAC inhibitorsHDAChe drugs make in the cells could lead to a better response to drugs that boost the immune system.DNMTEZH2 inhibitorEZH2
“These data suggest future directions for testing whether DAC and TAZ treatments might improve tumor response to immunomodulating agents,” the researchers wrote in the study.