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DRUG:

aclarubicin

i
Other names: MA144-A1, MA144 A1, MA144A1
Company:
Generic mfg.
Drug class:
DNA intercalator
1d
PD1-VEN-CAG: PD-1 Inhibitors +Venetoclax+CAG Regimens in R/R T-ALL (clinicaltrials.gov)
P3, N=40, Active, not recruiting, Fujian Medical University Union Hospital
New P3 trial
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BCL2 (B-cell CLL/lymphoma 2)
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Venclexta (venetoclax) • cytarabine • aclarubicin
5d
New P1/2 trial
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cyclophosphamide • vincristine • prednisone • aclarubicin
5d
New P2 trial
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TNFRSF8 (TNF Receptor Superfamily Member 8)
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ALK negative
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cyclophosphamide • vincristine • prednisone • aclarubicin
15d
New P2 trial
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Venclexta (venetoclax) • cytarabine • azacitidine • Epidaza (chidamide) • daunorubicin • aclarubicin
20d
Clinical Study of Venetoclax Combined With CACAG Regimen in the Treatment of Relapsed/Refractory Acute Myeloid Leukemia (clinicaltrials.gov)
P2, N=200, Recruiting, Chinese PLA General Hospital | Trial completion date: Jan 2026 --> Jan 2030 | Trial primary completion date: Jan 2026 --> Jan 2029
Trial completion date • Trial primary completion date
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Venclexta (venetoclax) • cytarabine • azacitidine • Epidaza (chidamide) • fludarabine IV • aclarubicin
1m
Aclarubicin Plus With Azacitidine and Venetoclax in the Treatment of Acute Myeloid Leukemia (clinicaltrials.gov)
P1/2, N=112, Not yet recruiting, Shanghai Jiao Tong University School of Medicine
New P1/2 trial
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FLT3 (Fms-related tyrosine kinase 3) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2)
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Venclexta (venetoclax) • azacitidine • aclarubicin
1m
A Multicenter RCT of "3+7" vs Venetoclax + CACAG in Newly Diagnosed Mid/High-Risk AML Patients (clinicaltrials.gov)
P2, N=160, Active, not recruiting, Chinese PLA General Hospital | Recruiting --> Active, not recruiting | Trial primary completion date: Apr 2026 --> Sep 2025
Enrollment closed • Trial primary completion date
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Venclexta (venetoclax) • cytarabine • azacitidine • Epidaza (chidamide) • aclarubicin
2ms
Diagnosis and management of rare acute erythroid leukemia with hemophagocytic lymphohistiocytosis: a case report. (PubMed, Front Oncol)
Initial therapy with a decitabine-CAG (aclacinomycin, cytarabine, G-CSF)-venetoclax regimen failed to induce remission. Morphological complete remission was achieved after switching to a DAE (daunorubicin, cytarabine, etoposide) regimen...This case highlights the diagnostic and therapeutic complexities associated with the co-occurrence of AEL and HLH. Early identification of HLH as a potential complication in AEL is crucial, though outcomes remain dismal, emphasizing an urgent need for novel therapeutic strategies.
Journal
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CRP (C-reactive protein)
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Venclexta (venetoclax) • etoposide IV • decitabine • daunorubicin • aclarubicin
2ms
Venetoclax and azacitidine versus CAG for unfit patients with newly diagnosed acute myeloid leukemia: A propensity score-matched analysis. (PubMed, Leuk Res)
This study evaluated the clinical efficacy of venetoclax and azacitidine (VEN+AZA) versus CAG (cytarabine, aclarubicin, and granulocyte colony-stimulating factor) for newly diagnosed adult acute myeloid leukemia (AML) unfit patients. 31.7 % (P = 0.20). Patients with age ≥ 60 y (EFS, P = 0.032), ECOG≥ 2 (EFS, P = 0.047), secondary AML (OS, P = 0.015; EFS, P = 0.039), ELN intermediate-adverse karyotype (OS, P = 0.034; EFS, P = 0.044), RUNX1 mutation (OS, P = 0.003; EFS, P = 0.003) and IDH1/2 mutation (EFS, P = 0.039) showed a preference for VEN+AZA regarding OS, and patients with SRSF2 mutation favored CAG in OS (P = 0.031).
Journal
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IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • DNMT3A (DNA methyltransferase 1) • RUNX1 (RUNX Family Transcription Factor 1) • SRSF2 (Serine and arginine rich splicing factor 2) • RUNX1T1 (RUNX1 Partner Transcriptional Co-Repressor 1)
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RUNX1 mutation • SRSF2 mutation
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Venclexta (venetoclax) • cytarabine • azacitidine • aclarubicin
3ms
S2023-056-01: Venetoclax Plus CACAG Regimen for Newly Diagnosed Acute Myeloid Leukemia (clinicaltrials.gov)
P2, N=200, Completed, Chinese PLA General Hospital | Recruiting --> Completed
Trial completion
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Venclexta (venetoclax) • cytarabine • azacitidine • Epidaza (chidamide) • aclarubicin
4ms
Phase 1 study of chidamide in combination with venetoclax, azacitidine, aclarubicin, cytarabine and G-CSF for refractory/relapsed acute myeloid leukemia: clinical safety, efficacy, and correlative analysis. (PubMed, Front Immunol)
In patients with R/R AML, the CACAG-VEN regimen resulted in significant clinical benefits, with a high CRc rate and encouraging survival, as well as being well tolerated. https://www.chictr.org.cn/, identifier, ChiCTR2200065634.
Clinical • P1 data • Journal
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BCL2 (B-cell CLL/lymphoma 2) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • ABCC1 (ATP Binding Cassette Subfamily C Member 1)
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Venclexta (venetoclax) • cytarabine • azacitidine • Epidaza (chidamide) • aclarubicin
4ms
Extensive myeloid sarcoma presenting with esophageal compression and dysphagia as the initial manifestation. (PubMed, Medicine (Baltimore))
Infiltrative mediastinal/retroperitoneal MS may present with esophageal obstruction and mimic lymphoma or carcinoma. High-index suspicion, targeted biopsy with high-power morphology, and a focused immunohistochemical panel are critical for timely diagnosis and treatment initiation.
Journal
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KIT (KIT proto-oncogene, receptor tyrosine kinase) • CD20 (Membrane Spanning 4-Domains A1) • CD34 (CD34 molecule) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C) • CD5 (CD5 Molecule) • CD79A (CD79a Molecule) • CD7 (CD7 Molecule) • KRT19 (Keratin 19) • CD2 (CD2 Molecule) • CD99 (CD99 Molecule)
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cytarabine • Synribo (omacetaxine mepesuccinate) • aclarubicin