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azacitidine + trametinib + venetoclax is a combination therapy regimen being investigated at the University of Texas M.D. Anderson Cancer Center. It consists of the oral MEK inhibitor trametinib, the hypomethylating agent azacitidine, and the BCL-2 inhibitor venetoclax. This triplet regimen is specifically designed to treat patients with myeloid malignancies, including acute myeloid leukemia (AML), myelodysplastic syndromes (MDS), and chronic myelomonocytic leukemia (CMML), who harbor RAS pathway-activating mutations. By simultaneously inhibiting the MAPK/ERK signaling pathway (via trametinib), blocking the anti-apoptotic protein BCL-2 (via venetoclax), and inducing DNA hypomethylation (via azacitidine), the therapy aims to overcome resistance mechanisms commonly seen in RAS-mutated myeloid cancers.
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