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CPX-351 (Vyxeos) is a liposomal encapsulation of cytarabine and daunorubicin in a fixed 5:1 molar ratio. This formulation is designed to maintain the synergistic ratio of the two drugs in the bone marrow, enhancing antileukemic activity while potentially reducing systemic toxicity compared to the standard 7+3 regimen. It was developed by Celator Pharmaceuticals (now Jazz Pharmaceuticals) and 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). The liposomal delivery system allows for prolonged exposure and preferential uptake by bone marrow progenitor cells, where the active agents are released to inhibit DNA synthesis and induce apoptosis in leukemic blasts.
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