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Romidepsin + gemcitabine is an investigational combination therapy consisting of two small molecule drugs with distinct mechanisms of action. Romidepsin is a histone deacetylase (HDAC) inhibitor that induces cell cycle arrest and apoptosis by altering gene expression through epigenetic modulation. It is FDA-approved for the treatment of T-cell lymphoma. Gemcitabine is a nucleoside analog and antimetabolite that inhibits DNA synthesis, leading to cell death in rapidly dividing cells. The combination has been studied in various advanced solid tumors and hematologic malignancies—including pancreatic cancer, urothelial carcinoma, and lymphomas—where it aims to enhance anti-tumor efficacy by targeting both epigenetic regulation (romidepsin) and DNA replication (gemcitabine). Preclinical studies suggest synergistic effects via increased apoptosis mediated by reactive oxygen species generation and caspase activation[2][6].
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