belinostat
Trade name: beleodaq
Approved
Jul 3, 2014
Belinostat is a hydroxamate-type histone deacetylase inhibitor indicated for the treatment of relapsed or refractory peripheal T-cell lymphoma. The compound received orphan drug designation for the treatment of malignant thymomas. Acting on a histone deacetylase Belinostat causes the accumulation of acetylated histones and other proteins, inducing cell cycle arrest and/or apoptosis of some transformed cells. Belinostat targets HDAC enzymes, thereby inhibiting tumor cell proliferation, inducing apoptosis, promoting cellular differentiation, and inhibiting angiogenesis. This agent may sensitize drug-resistant tumor cells to other antineoplastic agents, possibly through a mechanism involving the down-regulation of thymidylate synthase. PXD101 has been shown in preclinical studies to have the potential to treat a wide range of solid and hematologic malignancies either as a monotherapy or in combination with other active agents, and both an oral and intravenous formulation of the drug are being evaluated in clinical trials. — NCATS
Clinical trial activity
57 trials · 66 clinical orgs · 3 marketing orgs
Earliest trial started Jan 1, 2005 (NCT00131261)
Timeline
2000s
2010s
- Jul 3, 2014
Spectrum Pharmaceuticals — Earliest FDA Approval
- Jul 3, 2014
Aurobindo Pharma — Marketing Organization
- Jul 3, 2014
Spectrum Pharmaceuticals — NDA Organization
- Jul 3, 2014
Acrotech Biopharma LLC — Marketing Organization
- Jul 3, 2014
Acrotech Biopharma LLC — NDA Secondary Org
2020s
- Jan 1, 2023
Acrotech Biopharma LLC — Earliest Phase 3 Sponsor(trial)
Indications
Approved for
Studied for
- Breast Neoplasms · Phase 1
- Brenner Tumor · Phase 2
- Burkitt Lymphoma · Phase 2
- Carcinoma · Phase 2
- Carcinoma, Hepatocellular · Phase 1/Phase 2
- Carcinoma, Neuroendocrine · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 1/Phase 2
- Carcinoma, Ovarian Epithelial · Phase 1/Phase 2
- Carcinoma, Transitional Cell · Phase 1
- Chondrosarcoma · Phase 2
- Fallopian Tube Neoplasms · Phase 2
- Glioblastoma · Phase 2
- Hamartoma · Phase 2
- Hematologic Neoplasms · Phase 1
- Hodgkin Disease · Phase 1
- Intraocular Lymphoma · Phase 1
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 1
- Leukemia-Lymphoma, Adult T-Cell · Phase 2
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 1
- Leukemia, Myeloid, Acute · Phase 2
- Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative · Phase 1
- Leukemia, Myeloid, Chronic-Phase · Phase 1
- Leukemia, Myelomonocytic, Chronic · Phase 1
- Liver Neoplasms · Phase 1/Phase 2
- Lymphoma · Phase 1/Phase 2
- Lymphoma, B-Cell, Marginal Zone · Phase 1
- Lymphoma, Follicular · Phase 3
- Lymphoma, Large B-Cell, Diffuse · Phase 1
- Lymphoma, Large-Cell, Anaplastic · Phase 3
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Lymphoma, Mantle-Cell · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 1
- Lymphoma, T-Cell · Phase 1
- Lymphoma, T-Cell, Cutaneous · Phase 2
- Lymphomatoid Granulomatosis · Phase 1
- Melanoma · Phase 2
- Mesothelioma · Phase 2
- Multiple Myeloma · Phase 2
- Mycosis Fungoides · Phase 1
- Myelodysplastic Syndromes · Phase 2
- Myeloproliferative Disorders · Phase 1
- Neoplasm Metastasis · Phase 1
- Neuroendocrine Tumors · Phase 2
- Ovarian Neoplasms · Phase 2
- Pancreatic Neoplasms · Phase 1
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 1
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 1
- Primary Myelofibrosis · Phase 1
- Prostatic Neoplasms, Castration-Resistant · Phase 1
- Sarcoma · Phase 1/Phase 2
- Sezary Syndrome · Phase 1
- Small Cell Lung Carcinoma · Phase 1
- Thymoma · Phase 2
- Transplantation · Phase 1
- Urinary Bladder Neoplasms · Phase 1/Phase 2
- Waldenstrom Macroglobulinemia · Phase 1
Mechanism of action
- Histone deacetylaseINHIBITOR
Histone deacetylase inhibitor
- Histone deacetylase 1 (HDAC1) ↗
- Histone deacetylase 3 (HDAC3) ↗
- Histone deacetylase 6 (HDAC6) ↗
- Histone deacetylase 2 (HDAC2) ↗
- Histone deacetylase 5 (HDAC5) ↗
- Histone deacetylase 7 (HDAC7) ↗
- Histone deacetylase 8 (HDAC8) ↗
- Histone deacetylase 11 (HDAC11) ↗
- Histone deacetylase 4 (HDAC4) ↗
- Histone deacetylase 9 (HDAC9) ↗
- Histone deacetylase 10 (HDAC10) ↗
- Histone deacetylase 8
- Histone deacetylase 10
- Histone deacetylase 2
- Histone deacetylase 3
- Histone deacetylase 4
- Histone deacetylase 6
- Histone deacetylase 9
- Histone deacetylase 11
- Histone deacetylase 5
- Histone deacetylase 7
- Histone deacetylase 1
- Histone deacetylase (HDAC1 and HDAC2)
- Histone deacetylase 1/3/5/8
- Histone deacetylase 1/2/3/6
- Histone deacetylase 1/2/3
- Histone deacetylase 1/8
- Histone deacetylase 1/6
- Class 1 histone deacetylase
- Histone deacetylase 6/3
Approval history
- approvedPriority reviewAcceleratedFast trackJul 3, 2014
Chemistry & pharmacology
SMILES
ONC(=O)\C=C\C1=CC=CC(=C1)S(=O)(=O)NC2=CC=CC=C2- Mol. weight
- 318.348 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaBelinostat ↗
- NCATSF4H96P17NZ ↗
- ChEMBLCHEMBL408513 ↗
Also known as
- 2-propenamide, n-hydroxy-3-(3-((phenylamino)sulfonyl)phenyl)-
- belecodaq
- beleodaq
- beleodaq
- beleodaq
- belinostat
- belinostat
- belinostat
- belinostat
- belinostat
- belinostat
- belinostat
- belinostat
- belinostat
- belinostat
- belinostat
- pxd101
- pxd101
- pxd-101
- pxd-101
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06406465 | Phase 2 | Nov 17, 2024 | National Cancer Institute (NCI) |
| NCT06561048 | Phase 3 | Oct 2, 2024 | Corvus Pharmaceuticals, Inc. |
| NCT07234162 | Phase 3 | May 13, 2024 | Dizal (Jiangsu) Pharmaceutical Co., Ltd., Jiao Tong University |
| NCT06072131 | Phase 3 | Oct 4, 2023 | Acrotech Biopharma LLC |
| NCT05627245 | Phase 1 | Dec 9, 2022 | National Cancer Institute (NCI), Yale University |
| NCT05154994 | Phase 1 | Dec 31, 2021 | National Cancer Institute (NCI), University of Utah |
| NCT05170334 | Phase 2 | Dec 8, 2021 | Acrotech Biopharma LLC, Pfizer, University of South Florida |
| NCT04703920 | Phase 1 | Mar 4, 2021 | Acrotech Biopharma LLC, Pfizer, University of Michigan |
| NCT04747236 | Phase 2 | Feb 19, 2021 | Celgene, University of Virginia |
| NCT04315155 | Phase 1 | Sep 30, 2020 | Acrotech Biopharma LLC, Bristol-Myers Squibb, University of Utah |
| NCT04315233 | Phase 1 | Aug 31, 2020 | Acrotech Biopharma LLC, Novartis, University of Utah |
| NCT04340843 | Phase 2 | Apr 10, 2020 | National Cancer Institute (NCI), Yale University |
| NCT04184869 | Phase 1 | Aug 5, 2019 | Acrotech Biopharma LLC, AXIS Clinicals Limited |
| NCT03772925 | Phase 1 | Feb 28, 2019 | National Cancer Institute (NCI), University of Toronto |
| NCT03432741 | Phase 1 | Mar 27, 2018 | Mayo Clinic, National Cancer Institute (NCI) |
| NCT02737046 | Phase 2 | Dec 12, 2016 | University of Miami |
| NCT02875002 | Phase 1 | Oct 1, 2016 | Johns Hopkins University, Virginia Commonwealth University, Yale University |
| NCT02701673 | Phase 1/Phase 2 (Phase 2) | Jun 1, 2016 | University of Texas at Houston |
| NCT02680795 | Phase 1 | Mar 1, 2016 | Spectrum Pharmaceuticals |
| NCT02679131 | Phase 1 | Mar 1, 2016 | Spectrum Pharmaceuticals |
Organizations
Research & Development (66)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 26 | 20 | 2 | 2006 |
| Valerio | For profit | 13 | 9 | 2 | 2005 |
| Spectrum Pharmaceuticals | For profit | 12 | 7 | 2 | 2006 |
| Acrotech Biopharma LLC | For profit | 6 | 2 | 3 | 2019 |
| City of Hope National Medical Center | Academic/Hospital | 4 | 0 | 2 | 2006 |
| University of Utah | Academic/Hospital | 4 | 3 | 1 | 2010 |
| University of Texas at Houston | Academic/Hospital | 3 | 2 | 2 | 2008 |
| University of Toronto | Academic/Hospital | 3 | 0 | 2 | 2006 |
| Virginia Commonwealth University | Academic/Hospital | 3 | 1 | 2 | 2008 |
| Yale University | Academic/Hospital | 3 | 1 | 2 | 2016 |
| Johns Hopkins University | Academic/Hospital | 2 | 0 | 2 | 2014 |
| Mayo Clinic | Academic/Hospital | 2 | 1 | 2 | 2006 |
| National Institutes of Health (NIH) | Government | 2 | 0 | 1 | 2007 |
| Pfizer | For profit | 2 | 0 | 2 | 2021 |
| University of Chicago | Academic/Hospital | 2 | 0 | 2 | 2006 |
| University of Miami | Academic/Hospital | 2 | 2 | 1 | 2010 |
| Washington University in St. Louis | Academic/Hospital | 2 | 0 | 1 | 2008 |
| AXIS Clinicals Limited | For profit | 1 | 0 | 1 | 2019 |
| Badalona Hospital Germans Trias i Pujol | Academic/Hospital | 1 | 0 | 1 | 2008 |
| Boca Raton Clinical Research Associates | Academic/Hospital | 1 | 0 | 1 | 2008 |
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Acrotech Biopharma LLC | For profit | MKTG | Jul 3, 2014 |
| Acrotech Biopharma LLC | For profit | NDA2 | Jul 3, 2014 |
| Aurobindo Pharma | For profit | MKTG | Jul 3, 2014 |
| Spectrum Pharmaceuticals | For profit | NDA | Jul 3, 2014 |