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On April 18, 2024, the European Medicines Agency granted Orphan Drug Designation to annamycin, a next-generation, non-cardiotoxic, anthracycline, for the treatment of patients with acute myeloid leukemia.1 Annamycin was previously granted Fast Track Designation and Orphan Drug Designation by the U.S. Food and Drug Administration for the treatment of patients with relapsed/refractory acute myeloid leukemia.1
The safety and efficacy of annamycin in combination with cytarabine is currently being investigated in the ongoing phase I/II MB-106 trial (NCT05319587).1 Preliminary findings from this trial include a composite complete remission rate of 60% when this combination is used in patients who received one prior line of therapy (n = 10), and an overall interim composite complete remission rate of 39% in all patients regardless of the number of lines of prior therapies (n = 18).1
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