Review Article

Prospects for Epigenetic Targeted Therapies of Bone and Soft-Tissue Sarcomas

Table 1

Selected clinical trials of epigenetic drugs for bone and soft-tissue sarcomas.

Clinical trial identifierDrugMechanismStatusPatient populationPhase

NCT02601937Tazemetostat (EPZ-6438)Selective small molecule inhibitor of the histone-lysine methyltransferase EZH2Recruiting(i) Rhabdoid tumors; atypical teratoid rhabdoid tumor (ATRT); malignant rhabdoid tumor (MRT); rhabdoid tumor of kidney (RTK); selected tumors with rhabdoid features; INI1-negative tumors; epithelioid sarcoma; epithelioid malignant peripheral nerve sheath tumor; extraskeletal myxoid chondrosarcoma; myoepithelial carcinoma; renal medullary carcinoma; other INI1-negative malignant tumors (e.g., dedifferentiated chordoma); synovial sarcomaI
NCT03165721Guadecitabine (SGI-110)DNA methyltransferase inhibitor (DNMT1 inhibitor)Completed(i) Wild-type gastrointestinal stromal tumors; paraganglioma gastrointestinal stromal tumors; renal cell renal neoplasms; pheochromocytomaII
NCT03600649SP-2577LSD1 inhibitorRecruiting(i) Relapsed or refractory Ewing sarcomaI
NCT03514407INCB059872LSD1 inhibitorCompleted(i) Relapsed Ewing sarcomaI
NCT02282917AR-42(OSU-HDAC42)Histone deacetylase inhibitorActive, not recruiting(i) Vestibular schwannoma; meningioma; acoustic neuroma; neurofibromatosis type 21
NCT01175109Imatinib + LBH589LBH589, a histone deacetylase inhibitorCompleted(i) Newly diagnosed and recurrent chordomaI
NCT03345485Tinostamustine (EDO-S101)First-in-class alkylating histone deacetylase inhibition (HDACi) fusion moleculeActive, not recruiting(i) Small-cell lung cancer; soft-tissue sarcoma; triple-negative breast cancer; ovarian cancer; endometrial cancerI/II
NCT00918489VorinostatHistone deacetylase inhibitorCompleted(i) Metastatic soft-tissue sarcomaII
NCT01294670Vorinostat and etoposideHistone deacetylase inhibitorCompleted(i) solid tumors; relapsed/refractory sarcomasI/II
NCT04308330Vorinostat in combination with vincristine, irinotecan, and temozolomideHistone deacetylase inhibitorRecruiting(i) Ewing sarcoma; rhabdomyosarcoma; Wilms tumor; neuroblastoma; hepatoblastoma; germ-cell tumorI
NCT01879085Vorinostat in combination with gemcitabine and docetaxelHistone deacetylase inhibitorRecruiting(i) Metastatic or locally advanced soft-tissue sarcomaI/II
NCT01132911Vorinostat and bortezomibHistone deacetylase inhibitorCompleted(i) Lymphoma; sarcoma; Wilms tumor; neuroblastomaI
NCT00937495Vorinostat and bortezomibHistone deacetylase inhibitorCompleted(i) Recurrent or advanced adult soft-tissue sarcomaII