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A combination therapy composed of **JNJ-26481585 (quisinostat)**, a potent oral pyrimidyl-hydroxamic acid class histone deacetylase (HDAC) inhibitor with high activity against class I and II HDAC isoforms; **bortezomib**, a proteasome inhibitor; and **dexamethasone**, a synthetic glucocorticoid. **JNJ-26481585** disrupts aberrant histone deacetylation to induce apoptosis and growth arrest in cancer cells. **Bortezomib** inhibits the 26S proteasome, affecting protein degradation pathways crucial for myeloma cell survival. **Dexamethasone** induces apoptosis in lymphoid cells and has anti-inflammatory effects. The regimen is investigated in relapsed/refractory multiple myeloma and other cancers, with preclinical and clinical evidence suggesting synergistic antitumor effects.
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