Venetoclax

Drug

Also known as: Venclexta, VENCLEXTA

Drug Profile

Venetoclax is marketed as VENCLEXTA, an oral BCL-2 inhibitor used in chronic lymphocytic leukemia/small lymphocytic lymphoma and in combination regimens for newly diagnosed acute myeloid leukemia in patients not eligible for intensive induction chemotherapy. U.S. initial approval was in 2016.

Drug Class
B-cell lymphoma-2 (BCL-2) inhibitor
Approval Status
FDA approved (Initial U.S. Approval: 2016)
Mechanism of Action
Selective inhibition of anti-apoptotic BCL-2 pathway to promote tumor cell apoptosis.
Brand Names
  • VENCLEXTA
Indications
  • \Chronic lymphocytic leukemia (CLL)\
  • \Small lymphocytic lymphoma (SLL)\
  • \Newly diagnosed AML in adults >=75 years or with comorbidities precluding intensive induction chemotherapy, in combination regimens\

Related News

First-in-Class GT19630 Targets 'Undruggable' MYC in Blood Cancers

MD Anderson researchers developed GT19630, a first-in-class dual-degrader targeting MYC and GSPT1, showing potent preclinical activity in blood cancers including treatment-resistant and TP53-mutated disease. The drug also restored venetoclax sensitivity in resistant AML models.

Oral Drug Combo Shows Efficacy for Older AML Patients; Delayed Pegfilgrastim Reduces Breast Cancer Bone Pain

Two separate clinical trials have reported advances in cancer care. An oral drug combination of decitabine-cedazuridine and venetoclax showed efficacy in older patients with acute myeloid leukemia, with a 47% complete response rate in a phase 2b trial. A separate randomized controlled trial found that delaying pegfilgrastim administration to 72 hours post-chemotherapy significantly reduced bone pain in women with stage I–III breast cancer.

Annamycin-Cytarabine Combination Shows Promising Remission Rates in Relapsed AML Trial

Moleculin Biotech's Phase 2B/3 MIRACLE trial of Annamycin plus cytarabine in relapsed or refractory acute myeloid leukemia reported a preliminary complete remission rate of approximately 30% and composite remission rate exceeding 40% in the first 45 subjects. The blinded data show a substantial improvement over historical rates with cytarabine alone. The trial is expected to reach its first unblinding milestone in mid-2026.

FDA Approves Calquence Plus Venetoclax as First All-Oral Fixed-Duration CLL Regimen

US FDA approved Calquence (acalabrutinib) plus venetoclax as the first all-oral, fixed-duration regimen for adults with chronic lymphocytic leukaemia and small lymphocytic lymphoma. Approval based on AMPLIFY phase III trial showing 77% progression-free at three years vs 67% with chemoimmunotherapy. Regimen already cleared in EU, UK, and Canada.

Related Clinical Trials

NCT ID Title Status Phase
NCT07773909

Venetoclax With Hypomethylating Agents in Newly Diagnosed AML Unfit for Intensive Chemotherapy

COMPLETED PHASE4
NCT07762508

A Study of VABu Conditioning Regimen in Allo-HSCT for AML Patients

NOT_YET_RECRUITING NA
NCT07754799

A Randomized Phase II Selection Trial of Venetoclax-Based Induction Intensity in Newly Diagnosed Acute Myeloid Leukemia

NOT_YET_RECRUITING PHASE2
NCT07743112

A Phase 2 Study of MAX-40279 Combined With Venetoclax and Azacitidine in Unfit Newly Diagnosed Acute Myeloid Leukemia

RECRUITING PHASE2
NCT07735117

Mitoxantrone Hydrochloride Liposome, Cytarabine, G-CSF Plus Venetoclax vs. Azacitidine Plus Venetoclax for MDS-IB2 and Secondary/Elderly AML

NOT_YET_RECRUITING PHASE3
NCT07734038

Venetoclax Plus Zanubrutinib for the Treatment of Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma

NOT_YET_RECRUITING PHASE2
NCT07722767

A Phase 1b Study of CLN-049 in Combination With Azacitidine and Venetoclax in AML Patients

NOT_YET_RECRUITING PHASE1
NCT07719556

Orelabrutinib Combined With Obinutuzumab and Short-Course Venetoclax in Patients With Treatment-Naïve Mantle Cell Lymphoma (MCL)

RECRUITING PHASE2
NCT07713732

TLN-499 in Combination With Venetoclax in Patients With Relapsed/Refractory Solid Tumors

NOT_YET_RECRUITING PHASE1
NCT07690891

Nemtabrutinib With Venetoclax and Obinutuzumab in Patients With Chronic Lymphocytic Leukemia

NOT_YET_RECRUITING PHASE2