Drug intelligence / Profile preview

venetoclax + azacitidine + aclarubicin + cytarabine + granulocyte colony-stimulating factor

Development stage
Unknown
Lead developer
920th Hospital of Joint Logistics Support Force
Modality
Peptides, Cytokines & Interferons → Recombinant Proteins and Enzymes, Small Molecules
Administration
Oral, Subcutaneous, Intravenous
01

Overview

The VA-CAG regimen is a multi-drug combination therapy being investigated for the induction treatment of newly diagnosed acute myeloid leukemia (AML). It consists of venetoclax (a BCL-2 inhibitor), azacitidine (a hypomethylating agent), aclarubicin (an anthracycline-class cytotoxic antibiotic), low-dose cytarabine (a nucleoside analog antimetabolite), and granulocyte colony-stimulating factor (G-CSF). This regimen combines targeted therapy with epigenetic modulation and traditional chemotherapy, while G-CSF is used for myeloid priming to enhance the chemosensitivity of leukemic cells. Clinical studies, primarily led by the Hematology Department of the 920th Hospital, evaluate its efficacy and safety, particularly comparing different treatment durations such as 2-week versus 3-week schedules.

Other names
VA-CAG regimenVenetoclax, Azacitidine, Aclarubicin, Cytarabine, and G-CSF
02

Targets

BCL-2 (BCL-2 family)TOP2A (DNA topoisomerase II)TOP1 (DNA Topoisomerase I)DNA polymerase familyDNADNMT1 (DNA (cytosine-5)-methyltransferase 1)CSF3R (Granulocyte colony-stimulating factor receptor)

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