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Sapacitabine + venetoclax is an investigational combination therapy for cancer. Sapacitabine is a nucleoside analog prodrug that induces DNA damage and apoptosis in cancer cells by incorporating into DNA and causing strand breaks. Venetoclax is a small molecule BCL-2 inhibitor that promotes apoptosis by binding to the BCL-2 protein, displacing pro-apoptotic proteins, leading to mitochondrial outer membrane permeabilization and activation of caspase enzymes. Venetoclax is approved for chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), and acute myeloid leukemia (AML) in certain populations[1][3][5][8]. The combination aims to enhance anti-tumor activity through complementary mechanisms of inducing cell death.
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