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A combination regimen consisting of azacitidine, valproic acid, and carboplatin. This therapeutic approach, investigated by the M.D. Anderson Cancer Center, aims to treat platinum-resistant epithelial ovarian cancer. The strategy utilizes azacitidine (a DNA methyltransferase inhibitor) and valproic acid (a histone deacetylase inhibitor) as epigenetic priming agents to sensitize tumor cells to the cytotoxic effects of carboplatin (a platinum-based DNA alkylating agent). By reversing DNA methylation and histone deacetylation, the combination seeks to restore the expression of genes involved in apoptosis and platinum sensitivity, potentially overcoming resistance mechanisms in advanced solid tumors.
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