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BCL-2 inhibitors + HyperCVAD regimen

Development stage
Unknown
Lead developer
AbbVie
Modality
Classical Binding Small Molecules → Small Molecules, Covalent Small Molecules → Small Molecules, Nucleic Acid-Directed Small Molecules → Small Molecules
Administration
Oral, Intravenous, Intrathecal
01

Overview

This is a combination therapy consisting of a BCL-2 inhibitor (most commonly venetoclax) administered together with the HyperCVAD chemotherapy regimen. The HyperCVAD regimen is an intensive chemotherapeutic protocol that alternates cycles of hyperfractionated cyclophosphamide, vincristine, doxorubicin, and dexamethasone (Cycle A) with high-dose methotrexate and cytarabine (Cycle B). The addition of a BCL-2 inhibitor targets the anti-apoptotic protein B-cell lymphoma 2 (BCL-2), promoting apoptosis in malignant lymphoid cells. This combination has been investigated primarily for acute lymphoblastic leukemia (ALL), including both T-cell and B-cell subtypes, especially in relapsed or refractory settings. Preclinical and early clinical studies suggest that combining venetoclax with low-intensity or standard-intensity HyperCVAD regimens may enhance antileukemic activity due to synergistic effects on leukemic cell survival pathways[3][9][1].

Other names
BCL-2 inhibitor plus HyperCVADBCL2 inhibitor plus HyperCVADBCL 2 inhibitor plus HyperCVADvenetoclax plus HyperCVADBCL-2 inhibitor + hyperfractionated cyclophosphamide/vincristine/doxorubicin/dexamethasone
02

Targets

Bcl-w (B-cell lymphoma 2-like 2)BCL2L1 (B-cell lymphoma-extra large protein)DNADHFR (Dihydrofolate reductase)GR (Glucocorticoid receptor)TOP2A (DNA topoisomerase II)BCL-2 (BCL-2 family)TUBB (Tubulin (alpha and beta subunits))

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