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**JNJ-74856665 + venetoclax** is an investigational combination therapy evaluated in the treatment of hematological malignancies, primarily *acute myeloid leukemia (AML)*, *myelodysplastic syndromes (MDS)*, and *chronic myelomonocytic leukemia (CMML)*. JNJ-74856665 is an orally bioavailable, potent, and selective small molecule inhibitor of *dihydroorotate dehydrogenase (DHODH)*, which binds to the enzyme’s ubiquinone binding site and promotes leukemic cell differentiation, induces cell cycle arrest, and apoptosis[1][2][3][8]. Venetoclax is a selective inhibitor of *BCL-2*, a protein that inhibits apoptosis; its blockade restores programmed cell death in malignant cells[1][7]. The combination is being studied to assess safety, tolerability, dose escalation, and efficacy in relapsed/refractory and newly diagnosed AML and MDS[1][3][7].
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