Drug intelligence / Profile preview

cpx-351 + enasidenib

Development stage
Unknown
Lead developer
Jazz Pharmaceuticals
Modality
Small Molecules, Liposomes → Lipid-based Nanoparticles → Nanoparticles → Drug Delivery Systems
Administration
Intravenous (CPX-351), Oral (enasidenib)
01

Overview

**CPX-351 + enasidenib** is a combination regimen of CPX-351—a liposomal encapsulation of cytarabine and daunorubicin at a fixed 5:1 molar ratio—and enasidenib, an oral inhibitor of isocitrate dehydrogenase 2 (IDH2). CPX-351 is designed to optimize the delivery and synergy of cytarabine (a nucleoside analog inhibiting DNA synthesis) and daunorubicin (an anthracycline inducing DNA damage), primarily for the treatment of acute myeloid leukemia (AML) with adverse or secondary features. Enasidenib targets mutant IDH2 enzymes, restoring normal cellular differentiation in IDH2-mutant AML. The combination is being evaluated in clinical trials for relapsed/refractory AML, especially in those with IDH2 mutations, as the dual approach may increase efficacy compared to either therapy alone[1][3].

Brand names
VyxeosIdhifa
Other names
daunorubicin + cytarabine liposome + enasidenib
02

Targets

CYP2C19 (Cytochrome P450 2C19)CYP1A2 (Cytochrome P450 1A2)OAT1 (Organic anion transporter 1)ABCG2 (Breast cancer resistance protein)ABCB1 (P-glycoprotein)OATP1B1 (Organic anion transporting polypeptide 1B1)UGT1A1 (UDP-glucuronosyltransferase 1A1)CYP3A4 (Cytochrome P450 3A4)DNATOP2A (DNA topoisomerase II)IDH2 (Isocitrate dehydrogenase [NADP], mitochondrial (mutant))SLCO1B3 (Organic anion transporting polypeptide 1B3)CYP2B6 (Cytochrome P450 2B6)CYP2C9 (Cytochrome P450 family 2 subfamily C member 9)OCT2 (Organic cation transporter 2)CYP2C8 (Cytochrome P450 2C8)

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