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Mitoxantrone liposome + azacitidine is an investigational combination therapy consisting of a liposomal formulation of mitoxantrone (Lipo-MIT) and the hypomethylating agent azacitidine. Mitoxantrone is a synthetic anthracenedione that intercalates into DNA, inhibiting topoisomerase II and leading to DNA strand breaks and apoptosis in rapidly dividing cells. The liposomal formulation (Lipo-MIT) enhances drug delivery, prolongs circulation time, and reduces off-target toxicity compared to conventional mitoxantrone. Azacitidine is a nucleoside analog that incorporates into DNA and RNA, inhibiting DNA methyltransferase, resulting in hypomethylation of DNA and reactivation of tumor suppressor genes. This combination has been studied primarily for relapsed/refractory hematologic malignancies such as angioimmunoblastic T-cell lymphoma (AITL), peripheral T-cell lymphoma (PTCL), acute myeloid leukemia (AML), with the aim to improve efficacy while maintaining manageable toxicity profiles[4][5][6].
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