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Venclexta

venetoclax
BCL-2 Inhibitor FDA Approved 2016 AbbVie/Roche
Route
Oral
Half-Life
~26 hrs
FDA Approved
2016
Manufacturer
AbbVie/Roche
1. Indications and Usage

Chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL), with or without 17p deletion, with or without prior therapy. Acute myeloid leukemia (AML) in adults 75 years or older, or with comorbidities precluding standard induction chemotherapy, in combination with azacitidine, decitabine, or low-dose cytarabine.

2. Dosage and Administration

CLL: 20 mg orally once daily (week 1), escalating to 400 mg daily. AML: 100 mg (day 1), 200 mg (day 2), then 400 mg daily in combination with hypomethylating agent.

5. Warnings and Precautions

Tumor Lysis Syndrome (TLS): Potentially fatal. Ramp-up dosing required. Neutropenia: Most common Grade 3-4 laboratory abnormality. Immunization: Do not administer live attenuated vaccines.

6. Adverse Reactions
Most Common Adverse Reactions

Neutropenia (50%), diarrhea (35%), nausea (33%), anemia (26%), upper respiratory tract infection (22%), thrombocytopenia (21%), fatigue (21%), hypokalemia (18%)

Consult the complete prescribing information for a comprehensive list of adverse reactions and their frequencies.

12. Clinical Pharmacology
Mechanism of Action

Venetoclax is a selective inhibitor of BCL-2, an anti-apoptotic protein overexpressed in many hematologic malignancies. By blocking BCL-2, venetoclax restores the apoptotic process and triggers programmed cell death in BCL-2-dependent cancer cells. It works independently of p53 status, making it active in TP53-mutated and 17p-deleted CLL.

Pharmacokinetics

Half-life: ~26 hrs. Route: Oral. Refer to the full prescribing information for complete pharmacokinetic data.

14. Clinical Studies
Pivotal Clinical Trials
MURANO
Venetoclax + rituximab vs bendamustine + rituximab in R/R CLL. Phase III, n=389.
NCT02005471 ↗
CLL14
Venetoclax + obinutuzumab vs chlorambucil + obinutuzumab in 1L CLL. Phase III, n=432.
NCT02242942 ↗
VIALE-A
Venetoclax + azacitidine vs azacitidine + placebo in 1L AML. Phase III, n=431.
NCT02993523 ↗

Clinical efficacy and safety data are available in the full prescribing information and referenced publications.

External Resources

Frequently Asked Questions

What is Venclexta (venetoclax) approved for?

Chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL), with or without 17p deletion, with or without prior therapy. Acute myeloid leukemia (AML) in adults 75 years or older, or with comorbidities precluding standard induction chemotherapy, in combination with azacitidine, decitabine, or low-dose cytarabine.

How does Venclexta (venetoclax) work?

Venetoclax is a selective inhibitor of BCL-2, an anti-apoptotic protein overexpressed in many hematologic malignancies. By blocking BCL-2, venetoclax restores the apoptotic process and triggers programmed cell death in BCL-2-dependent cancer cells. It works independently of p53 status, making it active in TP53-mutated and 17p-deleted CLL.

What are the most common side effects?

Neutropenia (50%), diarrhea (35%), nausea (33%), anemia (26%), upper respiratory tract infection (22%), thrombocytopenia (21%), fatigue (21%), hypokalemia (18%)

View by Tumor Type
CLL AML
Medical Disclaimer: This page is intended as a navigational reference to FDA prescribing information. It does not replace the full prescribing information. Healthcare professionals should consult the complete package insert available at DailyMed before making prescribing decisions.