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**Inobrodib + azacitidine** is an investigational combination therapy currently in clinical development for hematologic malignancies (including acute myeloid leukemia and high-risk myelodysplastic syndrome). Inobrodib is a potent, selective, orally bioavailable small-molecule inhibitor of the bromodomains of CBP and EP300, which are histone acetyltransferases crucial for transcriptional regulation of cancer-driving genes such as MYC and IRF4. Azacitidine is a hypomethylating agent and a pyrimidine nucleoside analog, which inhibits DNA methyltransferase, leading to DNA hypomethylation and reactivation of silenced genes involved in differentiation and apoptosis. The combination aims to enhance anti-tumor activity by simultaneously modulating chromatin structure, gene expression, and DNA methylation status.
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