Drug intelligence / Profile preview

pracinostat + itraconazole

Development stage
Unknown
Lead developer
MEI Pharma
Modality
Small Molecules
Administration
Oral
01

Overview

**Pracinostat + itraconazole** is an experimental drug combination comprising pracinostat, a histone deacetylase (HDAC) inhibitor, and itraconazole, a triazole antifungal agent. Pracinostat exerts antineoplastic activity by inhibiting HDAC enzymes, leading to increased acetylation of histone and non-histone proteins, promoting cell cycle arrest, and apoptosis in malignant cells. Itraconazole inhibits fungal cytochrome P450-dependent enzyme lanosterol 14-α-demethylase, disrupting ergosterol synthesis and altering cell membrane permeability; it also has off-target effects such as inhibition of the Hedgehog signaling pathway and angiogenesis. This combination is not a standard or widely reported therapy, and there is currently no substantial published data on their combined use in clinical trials or standard clinical practice.

Other names
pracinostat and itraconazole combination
02

Targets

HDAC6 (Histone deacetylase 6)HDAC11 (Histone Deacetylase 11)CYP2C19 (Cytochrome P450 2C19)HDAC9CYP51A1 (Sterol 14α-demethylase)HDAC10 (Histone Deacetylase 10)HDAC1 (Histone Deacetylase 1)HDAC8 (Histone Deacetylase 8)SMO (Smoothened)HDAC7HDAC4HDAC5 (Histone deacetylase 5)

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