Drug intelligence / Profile preview

venetoclax + chidamide + azacitidine + decitabine + mitoxantrone + cytarabine + granulocyte colony-stimulating factor

Development stage
Unknown
Lead developer
First Affiliated Hospital of Xiamen University
Modality
Small Molecules, Recombinant Proteins and Enzymes
Administration
Oral, Intravenous, Subcutaneous
01

Overview

This sequential combination therapy regimen is being evaluated for the treatment of elderly patients with untreated acute myeloid leukemia (AML). The regimen consists of an induction phase using the VCA combination (Venetoclax, Chidamide, and Azacitidine) followed by a consolidation or subsequent phase using the D-MAG regimen (Decitabine plus Mitoxantrone, Cytarabine, and G-CSF). Venetoclax targets BCL-2 to induce apoptosis, Chidamide is an HDAC inhibitor that modulates gene expression, and Azacitidine and Decitabine are hypomethylating agents that reverse epigenetic silencing. The MAG component includes Mitoxantrone (a topoisomerase II inhibitor), Cytarabine (an antimetabolite), and G-CSF (used to prime leukemic blasts or support myeloid recovery). This multi-targeted approach aims to overcome resistance and improve response rates in a high-risk elderly population.

Other names
Venetoclax + Chidamide + Azacitidine followed by Decitabine + Mitoxantrone + Cytarabine + G-CSFVeneclax + Chidaniline + Azacitidine + Decitabine + MAG
02

Targets

BCL-2 (BCL-2 family)TOP2A (DNA topoisomerase II)DNMT1 (DNA (cytosine-5)-methyltransferase 1)CSF3R (Granulocyte colony-stimulating factor receptor)HDAC1 (Histone Deacetylase 1)HDAC10 (Histone Deacetylase 10)HDAC2 (Histone deacetylase 2)HDAC3 (Histone Deacetylase 3)DNA polymerase family

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