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The **idasanutlin + venetoclax** combination is an investigational oral therapy for acute myeloid leukemia (AML), particularly in relapsed/refractory or secondary cases not eligible for intensive chemotherapy. **Idasanutlin** is a selective small molecule antagonist of **MDM2**, inhibiting the MDM2-p53 interaction and thereby reactivating p53 tumor suppressor activity, leading to cell cycle arrest and apoptosis in p53 wild-type cells. **Venetoclax** is a BCL-2 inhibitor (BH3 mimetic), promoting apoptosis in cells dependent on BCL-2 for survival. Preclinical and early clinical studies show that this combination acts synergistically, accelerating induction of apoptosis, overcoming the cell-cycle dependency of idasanutlin, and enhancing anti-leukemic efficacy compared to single agents. Clinical trials have demonstrated promising composite complete remission rates and manageable safety, supporting further clinical development in AML[1][2][3][5].
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