Venetoclax
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Also known as ABT-199Abt199GDC-0199RG-7601RG7601VenclextaVenclyxtoUNII-N54AIC43PWC45H50CLN7O7SABT 199CHRONIC LYMPHOCYTIC LEUKAEMIA THERAPYABBVIEVENETOCLAX (ABT-199)SID174006982VenetocalxVenetoclaxVenetoclaxÊVenetoclaxÂ
Summary
Venetoclax (CHEMBL3137309) is an approved small-molecule antineoplastic agent (ATC L01XX52) targeting BCL2, BCL2L1, and BCL2L2-PABPN1; indicated across 46 conditions including b-cell chronic lymphocytic leukemia and neoplasm; with CIViC clinical evidence for 28 variant-indication associations (e.g. BCL2 G101V in chronic lymphocytic leukemia).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: L01XX52
- Targets: 4 (BCL2, BCL2L1, BCL2L2-PABPN1…)
- Indications: 46 conditions
- Clinical trials: 637
- Precision-oncology evidence (CIViC): 28 variant–indication associations
- Chemistry: 868.4 Da · C45H50ClN7O7S
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL3137309 |
| Name | Venetoclax |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 49846579 |
| ChEBI | CHEBI:133021 |
| ATC | L01XX52 |
| Molecular formula | C45H50ClN7O7S |
| Molecular weight | 868.4 |
| InChIKey | LQBVNQSMGBZMKD-UHFFFAOYSA-N |
SMILES: CC1(CCC(=C(C1)C2=CC=C(C=C2)Cl)CN3CCN(CC3)C4=CC(=C(C=C4)C(=O)NS(=O)(=O)C5=CC(=C(C=C5)NCC6CCOCC6)[N+](=O)[O-])OC7=CN=C8C(=C7)C=CN8)C
IUPAC name: 4-[4-[[2-(4-chlorophenyl)-4,4-dimethylcyclohexen-1-yl]methyl]piperazin-1-yl]-N-[3-nitro-4-(oxan-4-ylmethylamino)phenyl]sulfonyl-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide
ChEBI definition: A member of the class of pyrrolopyridines that is a potent inhibitor of the antiapoptotic protein B-cell lymphoma 2. It is used for treamtment of chronic lymphocytic leukemia with 17p deletion.
Pharmacological roles (ChEBI): apoptosis inducer, antineoplastic agent, B-cell lymphoma 2 inhibitor.
Also known as: ABT-199, Abt199, GDC-0199, RG-7601, RG7601, Venclexta, Venclyxto, Venetoclax, UNII-N54AIC43PW, C45H50CLN7O7S, ABT 199, CHRONIC LYMPHOCYTIC LEUKAEMIA THERAPY
Patent coverage: 3,760 distinct patent families (9,389 SureChEMBL compound mentions), from 5 matched compound structure(s). One matched structure accounts for 7,860 (84%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| BCL2 | BCL2 apoptosis regulator | Antagonist | 11 | 3.3% | P10415 |
| BCL2L1 | Bcl-2-like 1 | Antagonist | 7.32 | 86.5% | Q07817 |
| BCL2L2-PABPN1 | Bcl-2-like 2 | Antagonist | 6.61 | Q92843 | |
| MCL1 | MCL1 apoptosis regulator, BCL2 family member | Antagonist | 6.35 | 63.7% | Q07820 |
Broader ChEMBL bioactivity targets: 14 (assay-derived). Sample: Alpha-2C adrenergic receptor, Sodium-dependent noradrenaline transporter, Sodium-dependent dopamine transporter, Adenosine receptor A3, Histone-lysine N-methyltransferase NSD2, Histone-lysine N-methyltransferase NSD3, Cytochrome P450 2C9, Induced myeloid leukemia cell differentiation protein Mcl-1/BH3-interacting domain death agonist, Histone-lysine N-methyltransferase, H3 lysine-36 specific, Bcl2-associated agonist of cell death.
Bioactivity
ChEMBL activities: 59 potent at pChembl ≥ 5 of 63 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| BCL2 | 10.74 | Ki | 0.02 | nM | CHEMBL_ACT_19145985 |
| BCL2 | 10.44 | Ki | 0.04 | nM | CHEMBL_ACT_17692386 |
| BCL2 | 10.44 | Ki | 0.04 | nM | CHEMBL_ACT_26599232 |
| BCL2 | 9.62 | IC50 | 0.24 | nM | CHEMBL_ACT_25860887 |
| BCL2 | 9.47 | IC50 | 0.34 | nM | CHEMBL_ACT_28777094 |
| BCL2 | 9.41 | Kd | 0.39 | nM | CHEMBL_ACT_29275472 |
| BCL2L1 | 9 | Ki | 1 | nM | CHEMBL_ACT_23168570 |
| BCL2 | 9 | IC50 | 1 | nM | CHEMBL_ACT_23237716 |
| BCL2 | 8.92 | Ki | 1.2 | nM | CHEMBL_ACT_24706400 |
| BCL2 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_28777184 |
| BCL2 | 8.64 | IC50 | 2.3 | nM | CHEMBL_ACT_28777619 |
| BCL2 | 8.52 | EC50 | 3 | nM | CHEMBL_ACT_18997203 |
| BCL2 | 8.51 | Kd | 3.1 | nM | CHEMBL_ACT_22775789 |
| BCL2 | 8.13 | IC50 | 7.39 | nM | CHEMBL_ACT_18472119 |
| BCL2 | 8.13 | IC50 | 7.4 | nM | CHEMBL_ACT_18752598 |
| BCL2 | 7.77 | Ki | 17 | nM | CHEMBL_ACT_24706411 |
| BCL2 | 7.64 | IC50 | 23 | nM | CHEMBL_ACT_24662005 |
| BCL2 | 7.6 | IC50 | 25 | nM | CHEMBL_ACT_25861165 |
| BCL2 | 7.55 | IC50 | 28 | nM | CHEMBL_ACT_28777163 |
| BCL2 | 7.54 | Kd | 29 | nM | CHEMBL_ACT_25861233 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_16557088 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_16623350 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_18243593 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_18390906 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_18568196 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_24912417 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_25006094 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_25845824 |
| BCL2L1 | 7.32 | Ki | 48 | nM | CHEMBL_ACT_26314240 |
| BCL2L1 | 7.28 | IC50 | 52.7 | nM | CHEMBL_ACT_18472127 |
Target pathways
Aggregated over 4 target gene(s): BCL2, BCL2L1, BCL2L2-PABPN1, MCL1.
Top Reactome pathways
47 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Cytokine Signaling in Immune system | 3 | BCL2, BCL2L1, MCL1 |
| Immune System | 3 | BCL2, BCL2L1, MCL1 |
| Signaling by Interleukins | 3 | BCL2, BCL2L1, MCL1 |
| Interleukin-4 and Interleukin-13 signaling | 3 | BCL2, BCL2L1, MCL1 |
| Apoptosis | 2 | BCL2, BCL2L1 |
| Intrinsic Pathway for Apoptosis | 2 | BCL2, BCL2L1 |
| BH3-only proteins associate with and inactivate anti-apoptotic BCL-2 members | 2 | BCL2, BCL2L1 |
| Signal Transduction | 2 | BCL2, BCL2L1 |
| Disease | 2 | BCL2L1, MCL1 |
| Innate Immune System | 2 | BCL2, BCL2L1 |
| Nucleotide-binding domain, leucine rich repeat containing receptor (NLR) signaling pathways | 2 | BCL2, BCL2L1 |
| Cellular responses to stress | 2 | BCL2, BCL2L1 |
| Programmed Cell Death | 2 | BCL2, BCL2L1 |
| Diseases of signal transduction by growth factor receptors and second messengers | 2 | BCL2L1, MCL1 |
| Inflammasomes | 2 | BCL2, BCL2L1 |
| The NLRP1 inflammasome | 2 | BCL2, BCL2L1 |
| Cellular responses to stimuli | 2 | BCL2, BCL2L1 |
| Cellular response to chemical stress | 2 | BCL2, BCL2L1 |
| KEAP1-NFE2L2 pathway | 2 | BCL2, BCL2L1 |
| Nuclear events mediated by NFE2L2 | 2 | BCL2, BCL2L1 |
| NFE2L2 regulating tumorigenic genes | 2 | BCL2, BCL2L1 |
| Activation of BAD and translocation to mitochondria | 1 | BCL2 |
| Activation of BH3-only proteins | 1 | BCL2 |
| Developmental Biology | 1 | BCL2 |
| Infectious disease | 1 | BCL2L1 |
| RAF/MAP kinase cascade | 1 | BCL2L1 |
| MAPK family signaling cascades | 1 | BCL2L1 |
| MAPK1/MAPK3 signaling | 1 | BCL2L1 |
| ESR-mediated signaling | 1 | BCL2 |
| Signaling by Nuclear Receptors | 1 | BCL2 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| release of cytochrome c from mitochondria | 4 |
| apoptotic process | 4 |
| intrinsic apoptotic signaling pathway in response to DNA damage | 4 |
| positive regulation of apoptotic process | 4 |
| negative regulation of apoptotic process | 4 |
| extrinsic apoptotic signaling pathway in absence of ligand | 4 |
| regulation of apoptotic process | 4 |
| negative regulation of autophagy | 3 |
| response to cytokine | 3 |
| negative regulation of anoikis | 3 |
| negative regulation of extrinsic apoptotic signaling pathway in absence of ligand | 3 |
| regulation of intracellular signal transduction | 3 |
| regulation of apoptotic signaling pathway | 3 |
| transmembrane transport | 3 |
| ovarian follicle development | 2 |
Indications & clinical
Indications
46 indications (3 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| B-cell chronic lymphocytic leukemia | 4 | MONDO:0004948 | EFO:0000095 |
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| plasma cell myeloma | 3 | MONDO:0009693 | EFO:0001378 |
| myelodysplastic syndrome | 3 | MONDO:0018881 | EFO:0000198 |
| acute myeloid leukemia | 3 | MONDO:0018874 | EFO:0000222 |
| mantle cell lymphoma | 3 | MONDO:0018876 | EFO:1001469 |
| myeloid leukemia | 3 | MONDO:0004643 | MONDO:0004643 |
| non-Hodgkin lymphoma | 2 | MONDO:0018908 | EFO:0005952 |
| chronic myeloid leukemia | 2 | MONDO:0011996 | EFO:0000339 |
| diffuse large B-cell lymphoma | 2 | MONDO:0018905 | EFO:0000403 |
| leukemia | 2 | MONDO:0005059 | EFO:0000565 |
| lymphoma | 2 | MONDO:0005062 | EFO:0000574 |
| T-cell acute lymphoblastic leukemia | 2 | MONDO:0004963 | EFO:0000209 |
| breast neoplasm | 2 | MONDO:0021100 | EFO:0003869 |
| acute lymphoblastic leukemia | 2 | MONDO:0004967 | EFO:0000220 |
| Waldenstrom macroglobulinemia | 2 | MONDO:0100280 | EFO:0009441 |
| T-cell prolymphocytic leukemia | 2 | MONDO:0019468 | EFO:1000560 |
| follicular lymphoma | 2 | MONDO:0018906 | MONDO:0018906 |
| neoplasm of mature B-cells | 2 | MONDO:0004949 | EFO:0000096 |
| hematopoietic and lymphoid system neoplasm | 2 | MONDO:0002334 | MONDO:0044881 |
| anaplastic large cell lymphoma | 2 | MONDO:0020325 | EFO:0003032 |
| acute biphenotypic leukemia | 2 | MONDO:0020322 | MONDO:0019460 |
| B-cell acute lymphoblastic leukemia | 2 | MONDO:0004947 | EFO:0000094 |
| lymphoid leukemia | 2 | MONDO:0005402 | EFO:0004289 |
| acute monocytic leukemia | 2 | MONDO:0007896 | EFO:0000221 |
| acute promyelocytic leukemia | 2 | MONDO:0012883 | EFO:0000224 |
| CD4+/CD56+ hematodermic neoplasm | 2 | MONDO:0019467 | EFO:0010580 |
| marginal zone lymphoma | 2 | MONDO:0017604 | EFO:1000630 |
| amyloidosis | 2 | MONDO:0019065 | EFO:1001875 |
| Burkitt lymphoma | 1 | MONDO:0007243 | EFO:0000309 |
| metastatic prostate carcinoma | 1 | MONDO:0004956 | EFO:0000196 |
| primary cutaneous T-cell non-Hodgkin lymphoma | 1 | MONDO:0000607 | EFO:0002913 |
| non-small cell lung carcinoma | 1 | MONDO:0005233 | EFO:0003060 |
| prolymphocytic leukemia | 1 | MONDO:0001023 | MONDO:0001023 |
| small cell lung carcinoma | 1 | MONDO:0008433 | EFO:0000702 |
| kidney disorder | 1 | MONDO:0005240 | EFO:0003086 |
| hereditary amyloidosis | 1 | MONDO:0018634 | MONDO:0019438 |
| HIV infectious disease | 1 | MONDO:0005109 | EFO:0000180 |
| chronic myelomonocytic leukemia | 1 | MONDO:0020311 | EFO:1001779 |
| idiopathic pulmonary fibrosis | 0 | MONDO:0800504 | EFO:0000768 |
6 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 637.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 238 |
| PHASE1 | 164 |
| PHASE1/PHASE2 | 116 |
| PHASE3 | 55 |
| Not specified | 38 |
| PHASE2/PHASE3 | 16 |
| PHASE4 | 5 |
| EARLY_PHASE1 | 5 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04790045 | PHASE4 | NOT_YET_RECRUITING | Lymph Node Microenvironment Modifications in Patients With CLL Treated With Venetoclax-based Regimens |
| NCT05144243 | PHASE4 | ACTIVE_NOT_RECRUITING | Study to Assess Adverse Events and Change in Disease State of Oral Venetoclax in Combination With Subcutaneous (SC) Azacitidine in Newly Diagnosed Adult Participants With Acute Myeloid Leukemia (AML) Who Are Ineligible for Intensive Chemotherapy in China |
| NCT06571825 | PHASE4 | RECRUITING | RIC Allo-HSCT vs. Venetoclax-Based Consolidation in Elderly AML Patients After First CR |
| NCT06763666 | PHASE4 | NOT_YET_RECRUITING | CLAG+VEN vs CLAG in the Treatment of Relapsed/Refractory AML |
| NCT07044687 | PHASE4 | RECRUITING | Study to Assess Adverse Events and Change in Disease Activity of Oral Venetoclax in Combination With Subcutaneous (SC) or Intravenous (IV) Azacitidine in Newly Diagnosed Adult Participants With Acute Myeloid Leukemia (AML) Who Are Ineligible for Standard Induction Therapy in India |
| NCT02416388 | PHASE2/PHASE3 | RECRUITING | Study to Improve OS in 18 to 60 Year-old Patients, Comparing Daunorubicin Versus High Dose Idarubicin Induction Regimens, High Dose Versus Intermediate Dose Cytarabine Consolidation Regimens, and Standard Versus MMF Prophylaxis of GvHD in Allografted Patients in First CR |
| NCT03336333 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study Comparing Zanubrutinib With Bendamustine Plus Rituximab in Participants With Previously Untreated CLL or SLL |
| NCT03462719 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of the Combination of Ibrutinib Plus Venetoclax Versus Chlorambucil Plus Obinutuzumab for the First-line Treatment of Participants With Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL) |
| NCT03539744 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study Designed to Evaluate the Safety and Efficacy of Venetoclax Plus Dexamethasone (VenDex) Compared With Pomalidomide Plus Dexamethasone (PomDex) in Participants With t(11;14)-Positive Relapsed or Refractory Multiple Myeloma. |
| NCT03701282 | PHASE3 | ACTIVE_NOT_RECRUITING | Assessing the Ability of Combination Treatment With Venetoclax to Permit Time Limited Therapy in Chronic Lymphocytic Leukemia |
| NCT03737981 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Addition of a New Anti-cancer Drug, Venetoclax, to the Usual Treatment (Ibrutinib and Obinutuzumab) in Untreated, Older Patients With Chronic Lymphocytic Leukemia |
| NCT03768063 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study in Patients Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Atezolizumab Study |
| NCT03836261 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Acalabrutinib (ACP-196) in Combination With Venetoclax (ABT-199), With and Without Obinutuzumab (GA101) Versus Chemoimmunotherapy for Previously Untreated CLL |
| NCT03844048 | PHASE3 | ACTIVE_NOT_RECRUITING | An Extension Study of Venetoclax for Subjects Who Have Completed a Prior Venetoclax Clinical Trial |
| NCT03868722 | PHASE2/PHASE3 | RECRUITING | Acalabrutinib and Venetoclax Treatment of Newly Diagnosed Patients With CLL at High Risk of Infection or Early Treatment |
| NCT03984448 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Addition of a New Anti-cancer Drug, Venetoclax, to Usual Chemotherapy for High Grade B-cell Lymphomas |
| NCT04229979 | PHASE3 | ACTIVE_NOT_RECRUITING | Galinpepimut-S Versus Investigator’s Choice of Best Available Therapy for Maintenance in AML CR2/CRp2 |
| NCT04256317 | PHASE2/PHASE3 | RECRUITING | A Multi-phase Study of ASTX030 (Azacitidine and Cedazuridine) in Myeloid Neoplasm Alone or in Combination With Venetoclax in AML (AZTOUND Study) |
| NCT04269902 | PHASE3 | RECRUITING | Testing Early Treatment for Patients With High-Risk Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Leukemia (SLL), EVOLVE CLL/SLL Study |
| NCT04401748 | PHASE3 | ACTIVE_NOT_RECRUITING | Study Of Venetoclax Tablet With Intravenous or Subcutaneous Azacitidine to Assess Change in Disease Activity In Adult Participants With Newly Diagnosed Higher-Risk Myelodysplastic Syndrome |
| NCT04608318 | PHASE3 | ACTIVE_NOT_RECRUITING | Ibrutinib Monotherapy Versus Fixed-duration Venetoclax Plus Obinutuzumab Versus Fixed-duration Ibrutinib Plus Venetoclax in Patients With Previously Untreated Chronic Lymphocytic Leukaemia (CLL) |
| NCT04628026 | PHASE3 | RECRUITING | Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Patients With Newly Diagnosed AML or MDS-EB-2 |
| NCT04708054 | PHASE2/PHASE3 | RECRUITING | Venetoclax to Improve Outcomes of Fractionated Busulfan Regimen in Patients With High-Risk AML and MDS |
| NCT04965493 | PHASE3 | ACTIVE_NOT_RECRUITING | A Trial of Pirtobrutinib (LOXO-305) Plus Venetoclax and Rituximab (PVR) Versus Venetoclax and Rituximab (VR) in Previously Treated Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL) |
| NCT05057494 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Acalabrutinib Plus Venetoclax Versus Venetoclax Plus Obinutuzumab in Previously Untreated Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma |
| NCT05177731 | PHASE3 | ACTIVE_NOT_RECRUITING | Venetoclax + Decitabine vs. 7+3 Induction Chemotherapy in Young AML |
| NCT05183035 | PHASE3 | RECRUITING | Venetoclax in Children With Relapsed Acute Myeloid Leukemia (AML) |
| NCT05197192 | PHASE3 | RECRUITING | A Phase-3-trial of Acalabrutinib, Obinutuzumab & Venetoclax Compared to Obinutuzumab and Venetoclax in Previously Untreated Patients With High Risk CLL |
| NCT05404906 | PHASE2/PHASE3 | RECRUITING | AZA + Venetoclax as Maintenance Therapy in Younger Adults With AML in First Remission |
| NCT05805098 | PHASE2/PHASE3 | RECRUITING | Venetoclax Combined With Homoharringtonine and Cytarabine in Induction for AML |
| NCT05939180 | PHASE2/PHASE3 | RECRUITING | VA vs DA for Newly Diagnosed Hig-risk AML |
| NCT05947851 | PHASE3 | RECRUITING | A Study of Nemtabrutinib Plus Venetoclax vs Venetoclax + Rituximab (VR) in Second-line (2L) + Relapsed/Refractory (R/R) Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL) (MK-1026-010/BELLWAVE-010). |
| NCT06073821 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Sonrotoclax (BGB-11417) Plus Zanubrutinib (BGB-3111) Compared With Venetoclax Plus Obinutuzumab in Participants With Chronic Lymphocytic Leukemia (CLL) |
| NCT06361329 | PHASE3 | RECRUITING | Comparing the Efficacy of VHAG and Traditional Chemotherapy Regimens in Newly Diagnosed ETP-ALL |
| NCT06428019 | PHASE3 | RECRUITING | A Study to Evaluate the Risk of Tumor Lysis Syndrome (TLS) in Adult Participants Receiving Oral Venetoclax in Combination With Intravenously Infused Obinutuzumab or Oral Acalabrutinib for Previously Untreated Chronic Lymphocytic Leukemia (CLL) |
| NCT06496308 | PHASE3 | RECRUITING | Bendamustine and Rituximab With or Without Orelabrutinib in MCL Treatment |
| NCT06544109 | PHASE2/PHASE3 | ENROLLING_BY_INVITATION | Venetoclax for Prevention of Differentiation Syndrom in Acute Promyelocytic Leukemia Patients |
| NCT06846671 | PHASE3 | RECRUITING | A Study of BGB-16673 Compared to Investigator’s Choice in Participants With Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Previously Exposed to Both Bruton Tyrosine Kinase (BTK) and B-cell Leukemia/Lymphoma 2 Protein (BCL2) Inhibitors |
| NCT06852222 | PHASE3 | RECRUITING | A Study of Bleximenib, Venetoclax and Azacitidine For Treatment of Participants With Newly Diagnosed Acute Myeloid Leukemia (AML) |
| NCT06855810 | PHASE2/PHASE3 | RECRUITING | Newly-diagnosed Pediatric T-cell ALL Protocol |
Clinical evidence (CIViC)
Variant × indication × effect (28 predictive associations from 36 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| BCL2 G101V | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC B | EID8174 +5 |
| BCL2 D103Y | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC B | EID8312 +1 |
| BCL2 A113G | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC B | EID8189 |
| BCL2 F104L | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC B | EID8187 |
| BCL2 F104S | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC B | EID8186 |
| BCL2 G101A | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC B | EID8184 |
| BCL2 L119V | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC B | EID8190 |
| BCL2 R107_R110dup | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC B | EID8188 |
| BCL2 R107_R110dup | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC B | EID8309 |
| BCL2 V156D | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC B | EID8306 |
| TP53 Mutation | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC B | EID6074 |
| IDH1 Mutation | Acute Myeloid Leukemia | Sensitivity/Response | Venetoclax | CIViC C | EID8856 |
| IDH2 Mutation | Acute Myeloid Leukemia | Sensitivity/Response | Venetoclax | CIViC C | EID8857 |
| BCL2 D103E | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID8311 +1 |
| BCL2 F104I | Follicular Lymphoma | Resistance | Venetoclax | CIViC C | EID8375 +1 |
| BCL2 A113G | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID8308 |
| BCL2 D103V | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID8310 |
| BCL2 G101V | Chronic Lymphocytic Leukemia/small Lymphocytic Lymphoma | Resistance | Venetoclax | CIViC C | EID8185 |
| BCL2 R129L | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID8307 |
| BTK C481R | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID10374 |
| BTK C481Y | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID10373 |
| PLCG2 D1140E | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID10372 |
| PLCG2 N571S | Chronic Lymphocytic Leukemia | Resistance | Venetoclax | CIViC C | EID10371 |
| KDM6A Loss | Acute Myeloid Leukemia | Sensitivity/Response | Venetoclax | CIViC D | EID11036 |
| KDM6A Loss | Acute Myeloid Leukemia | Sensitivity/Response | Venetoclax + Olaparib | CIViC D | EID11037 |
| BAX mutation | Acute Myeloid Leukemia | Resistance | Venetoclax | CIViC D | EID12423 |
| BCL2 Overexpression | Lymphoma | Resistance | Venetoclax + Dinaciclib | CIViC D | EID9313 |
| BRAF V600E | Diffuse Large B-cell Lymphoma | Resistance | Venetoclax | CIViC D | EID8952 |
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 0 clinical and 2 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
19 molecules share ≥1 primary target. Top 19 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| EPIGALOCATECHIN GALLATE | ChEMBL | Phase 3 | BCL2, BCL2L1, BCL2L2-PABPN1, MCL1 |
| GOSSYPOL | ChEMBL | Phase 3 | BCL2, BCL2L1, BCL2L2-PABPN1, MCL1 |
| NAVITOCLAX | ChEMBL | Phase 3 | BCL2, BCL2L1, BCL2L2-PABPN1, MCL1 |
| OBATOCLAX | ChEMBL | Phase 3 | BCL2, BCL2L1, BCL2L2-PABPN1, MCL1 |
| METHYSERGIDE | ChEMBL | Phase 4 (approved) | BCL2L1, MCL1 |
| SONROTOCLAX | ChEMBL | Phase 3 | BCL2, BCL2L1 |
| APOMORPHINE | ChEMBL | Phase 4 (approved) | MCL1 |
| BITHIONOL | ChEMBL | Phase 4 (approved) | MCL1 |
| COUMARIN | ChEMBL | Phase 4 (approved) | MCL1 |
| HEXACHLOROPHENE | ChEMBL | Phase 4 (approved) | MCL1 |
| IXABEPILONE | ChEMBL | Phase 4 (approved) | BCL2 |
| LIOTHYRONINE | ChEMBL | Phase 4 (approved) | MCL1 |
| OMEPRAZOLE | ChEMBL | Phase 4 (approved) | MCL1 |
| PROCHLORPERAZINE | ChEMBL | Phase 4 (approved) | MCL1 |
| ASARETOCLAX | ChEMBL | Phase 2 | BCL2L1 |
| CHLORCYCLIZINE | ChEMBL | Phase 2 | BCL2 |
| FORMONONETIN | ChEMBL | Phase 2 | BCL2 |
| HYMECROMONE | ChEMBL | Phase 2 | MCL1 |
| LACUTOCLAX | ChEMBL | Phase 2 | BCL2 |
Related Atlas pages
- Genes: BCL2, BCL2L1, MCL1
- Diseases: B-cell chronic lymphocytic leukemia, neoplasm, plasma cell myeloma, myelodysplastic syndrome, acute myeloid leukemia, mantle cell lymphoma, myeloid leukemia, chronic lymphocytic leukemia/small lymphocytic lymphoma, acute myeloid leukemia by FAB classification, follicular lymphoma, pediatric lymphoma, diffuse large B-cell lymphoma
- Drugs: Epigalocatechin Gallate, Gossypol, Navitoclax, Obatoclax, Methysergide, Sonrotoclax, Apomorphine, Bithionol, Hexachlorophene, Ixabepilone, Liothyronine, Omeprazole, Prochlorperazine
- Biomarker genes: IDH1, IDH2, TP53