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This combination therapy involves palbociclib, a small molecule inhibitor of cyclin-dependent kinases 4 and 6 (CDK4/6), and CPX-351, a liposomal encapsulation of cytarabine and daunorubicin in a fixed 5:1 molar ratio. Palbociclib is used to induce G1 cell cycle arrest in acute myeloid leukemia (AML) cells, theoretically synchronizing them to increase their sensitivity to the S-phase specific cytotoxic effects of CPX-351. This approach is being investigated in Phase I/II trials led by Dr. Sudipto Mukherjee for patients with newly diagnosed or relapsed/refractory AML, particularly those with secondary AML or therapy-related AML. The liposomal delivery of CPX-351 allows for prolonged exposure and preferential uptake by bone marrow leukemia cells, while palbociclib acts as a cell cycle modulator to enhance the efficacy of the chemotherapy backbone.
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