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This combination regimen consists of the histone deacetylase (HDAC) inhibitor vorinostat and the platinum-based chemotherapy agent cisplatin, typically administered in conjunction with radiation therapy. Vorinostat, developed by Merck & Co. under the brand name Zolinza, inhibits Class I, II, and IV HDAC enzymes, leading to the accumulation of acetylated histones and non-histone proteins, which promotes cell cycle arrest and apoptosis in malignant cells. Cisplatin is a standard-of-care cytotoxic agent that forms intra-strand and inter-strand DNA cross-links, thereby inhibiting DNA synthesis and repair. This specific therapeutic combination was investigated by the Ohio State University Comprehensive Cancer Center in a Phase I dose-escalation study (NCT00552435) to evaluate safety and efficacy in patients with advanced, unresectable, or borderline resectable squamous cell carcinoma of the oropharynx, larynx, hypopharynx, and nasopharynx.
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