Drug intelligence / Profile preview

pegargiminase + venetoclax + azacitidine

Development stage
Phase 1
Lead developer
Polaris Group
Modality
Small Molecules
Administration
Intramuscular, Oral, Subcutaneous, Intravenous
01

Overview

Pegargiminase + venetoclax + azacitidine is an investigational triplet combination therapy being developed by Polaris Group in collaboration with MD Anderson Cancer Center. The regimen combines pegargiminase (ADI-PEG 20), a PEGylated arginine-degrading enzyme, with the standard-of-care doublet of venetoclax (a BCL-2 inhibitor) and azacitidine (a hypomethylating agent). Pegargiminase works by depleting extracellular arginine, targeting tumors that are deficient in argininosuccinate synthetase (ASS1), such as acute myeloid leukemia (AML). This metabolic targeting is intended to sensitize AML cells to the pro-apoptotic effects of venetoclax and the epigenetic modifications induced by azacitidine. The combination is currently in Phase 1 clinical trials for newly diagnosed adverse-risk and relapsed/refractory AML.

Brand names
Hepacid + venetoclax + azacitidine
Other names
ADI-PEG 20 + venetoclax + azacitidine
02

Targets

BCL-2 (BCL-2 family)DNMT1 (DNA (cytosine-5)-methyltransferase 1)L-arginine

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