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CPX-351, marketed under the brand name Vyxeos, is a liposomal formulation containing a fixed 5:1 molar ratio of the antineoplastic agents cytarabine and daunorubicin. This specific ratio was identified through in vitro screening to maximize synergistic antileukemic activity while minimizing antagonistic effects. The liposomal delivery system extends the plasma half-life of both drugs and facilitates their preferential accumulation and uptake within the bone marrow, where they are released to target leukemic blasts. CPX-351 is primarily indicated for the treatment of adults with newly-diagnosed therapy-related acute myeloid leukemia (t-AML) or AML with myelodysplasia-related changes (AML-MRC). It was originally developed by Celator Pharmaceuticals, which was subsequently acquired by Jazz Pharmaceuticals.
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