Givinostat
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| Givinostat hydrochloride | ||||||||||||||||||||||
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| Non-proprietary name | Givinostat | |||||||||||||||||||||
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| Molecular formula | C 24 H 27 N 3 O 4 • HCl | |||||||||||||||||||||
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| Molar mass | 421.49 g · mol -1 | |||||||||||||||||||||
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| As far as possible and customary, SI units are used. Unless otherwise noted, the data given apply to standard conditions . | ||||||||||||||||||||||
Givinostat is a potential drug in clinical development to be used in the treatment of systemic juvenile idiopathic arthritis and polycythemia . It is used medicinally as the hydrochloride and is currently in phase 2 studies.
pharmacology
Mechanism of action
Givinostat inhibits histone deacetylase (HDAC) and several pro-inflammatory cytokines, thereby reducing tumor necrosis factor -α and the release of IL-1 -α, -β and IL-6 .
Givinostat reduces the concentration of Janus Kinase 2 , which means that the abnormal growth of the erythrocytes in polycythemia is reduced and an improvement in symptoms is observed.
literature
- Committee for Orphan Medicinal Products: Public summary of opinion on orphan designation: Givinostat for the treatment of polycythaemia vera , www.ema.europa.eu , EMA / COMP / 834043/2009, 3 March 2010
 - C. Job-Deslandre: Idiopathic juvenile-onset systemic arthritis / Summary , www.orpha.net , Orphan number: ORPHA85414, January 2007
 
Individual evidence
- ↑ This substance has either not yet been classified with regard to its hazardousness or a reliable and citable source has not yet been found.
 - ↑ Clinical study on the effectiveness in polycythemia vera patients
 - ^ Leoni F, Fossati G, Lewis EC, et al. : The histone deacetylase inhibitor ITF2357 reduces production of pro-inflammatory cytokines in vitro and systemic inflammation in vivo . In: Molecular Medicine (Cambridge, Mass.) . 11, No. 1-12, 2005, pp. 1-15. PMID 16557334 . PMC 1449516 (free full text).