• Paul G Richardson, R Donald Harvey, Jacob P Laubach, Philippe Moreau, Sagar Lonial, and Jesús F San-Miguel.
• a Dana-Farber Cancer Institute , Harvard Medical School , Boston , MA , USA.
• Expert Rev Clin Pharmacol. 2016 Jan 1; 9 (1): 35-48.

AbstractRecently, outcomes for patients with multiple myeloma have improved dramatically due to improved and innovative therapies. However, most patients will either relapse or become refractory to current therapy. Thus, a significant unmet need remains for novel agents to treat this patient population. Panobinostat, a potent pan-deacetylase inhibitor with a unique mechanism of action targeting both epigenetic regulation of gene expression and protein metabolism, has preclinical synergy with a number of agents, including the proteasome inhibitor bortezomib. In a phase 3 trial of panobinostat with bortezomib and dexamethasone, addition of panobinostat significantly prolonged the median progression-free survival of patients with relapsed or relapsed and refractory multiple myeloma. This review focuses on clinical development of panobinostat, with particular emphasis on pharmacokinetics and adverse event management.

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