Drug intelligence / Profile preview

alvocidib + decitabine

Development stage
Unknown
Lead developer
Sumitomo Pharma
Modality
Small Molecules
Administration
Intravenous
01

Overview

Alvocidib + decitabine is an investigational combination therapy composed of alvocidib, a small-molecule cyclin-dependent kinase 9 (CDK9) inhibitor, and decitabine, a nucleoside analog DNA methyltransferase inhibitor. The combination is being studied for the treatment of acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS), with the rationale that decitabine-mediated DNA hypomethylation sensitizes cells to apoptosis by inducing NOXA (an antagonist of the anti-apoptotic protein MCL-1), while alvocidib downregulates MCL-1 expression by inhibiting CDK9, potentially leading to synergistic antileukemic activity in MCL-1-dependent malignancies[5]. Clinical trials have explored this sequential regimen in relapsed/refractory and frontline settings for AML and MDS[1][4][5].

02

Targets

CDK1 (Cyclin-dependent kinase 1)CDK2 (Cyclin-dependent kinase 2)CDK4 (Cyclin-dependent kinase 4)CDK6 (Cyclin-dependent kinase 6)CDK7CDK9 (Cyclin-dependent kinase 9)DNMT1 (DNA (cytosine-5)-methyltransferase 1)

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