Drug intelligence / Profile preview

ascorbate + azacitidine + venetoclax

Development stage
Unknown
Lead developer
University of Iowa
Modality
Small Molecules
Administration
Intravenous, Oral, Subcutaneous
01

Overview

This investigational combination therapy, consisting of high-dose intravenous ascorbate (vitamin C), azacitidine, and venetoclax, is being evaluated for the treatment of newly diagnosed acute myeloid leukemia (AML) in patients ineligible for intensive chemotherapy. The regimen is the subject of a Phase I clinical trial led by Dr. Kittika Poonsombudlert at the University of Iowa. The biological rationale involves ascorbate's role as a cofactor for TET2 and other 2-oxoglutarate-dependent dioxygenases, which are often mutated or downregulated in AML; by restoring TET2 function, ascorbate may enhance the epigenetic effects of the hypomethylating agent azacitidine. Additionally, pharmacological doses of ascorbate generate reactive oxygen species that selectively target leukemic cells. Venetoclax complements this by inhibiting BCL-2, an anti-apoptotic protein frequently overexpressed in AML, thereby lowering the threshold for programmed cell death.

Other names
High-dose ascorbate in combination with azacitidine and venetoclaxHDA + Aza/VenHigh-dose ascorbate + azacitidine + venetoclax
02

Targets

DNMT (DNA methyltransferase)TET2 (Methylcytosine dioxygenase TET2)

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