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Cedazuridine + azacitidine is an investigational oral fixed-dose combination of two agents for the treatment of myelodysplastic syndromes (MDS), chronic myelomonocytic leukemia (CMML), and potentially acute myeloid leukemia (AML). Azacitidine is a pyrimidine nucleoside analogue and hypomethylating agent that incorporates into DNA and RNA, inhibiting DNA methyltransferase, leading to hypomethylation of DNA, disruption of abnormal cell growth, and induction of apoptosis in malignant cells. Cedazuridine is a cytidine deaminase inhibitor that prevents the rapid degradation of azacitidine in the gastrointestinal tract and liver, enabling effective systemic exposure when administered orally. The combination aims to provide pharmacokinetic equivalence to parenteral azacitidine while reducing treatment burden for patients[1][2][6].
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