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This combination therapy consists of ziftomenib, venetoclax, and gemtuzumab ozogamicin. Ziftomenib is a potent, oral small molecule inhibitor of the menin-KMT2A (MLL) interaction, which is critical for the survival of leukemias with specific genetic alterations like KMT2A rearrangements or NPM1 mutations. Venetoclax is a selective BCL-2 inhibitor that induces apoptosis in leukemia cells. Gemtuzumab ozogamicin is a CD33-directed antibody-drug conjugate that delivers a cytotoxic calicheamicin derivative to myeloid cells. This triplet regimen is being evaluated by M.D. Anderson Cancer Center in a Phase 1 trial for pediatric patients with relapsed or refractory acute myeloid leukemia (AML) or mixed phenotype acute leukemia (MPAL), particularly those harboring KMT2Ar, NUP98r, NPM1c, or UBTF-ITD mutations.
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