Last update 21 Oct 2026

Omacetaxine Mepesuccinate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
(2'R,3S,4S,5R)-(−)-homoharringtonine, (−)-homoharringtonine, HHT
+ [22]
Target
Action
modulators, inhibitors
Mechanism
HSPA5 modulators(78 kDa glucose-regulated protein modulators), Protein biosynthesis inhibitors
License Organization-
Drug Highest PhaseApproved
First Approval Date
RegulationFast Track (United States), Accelerated Approval (United States), Orphan Drug (United States)
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Structure/Sequence

Molecular FormulaC29H39NO9
InChIKeyHYFHYPWGAURHIV-JFIAXGOJSA-N
CAS Registry26833-87-4

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Aggressive-Phase Chronic Myelocytic Leukemia
United States
26 Oct 2012
Myelodysplastic Syndromes
China
-
Philadelphia chromosome positive chronic myelogenous leukemia
China
-
Polycythemia Vera
China
-
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Philadelphia chromosome-positive chronic myeloid leukemia in chronic phaseNDA/BLA
European Union
30 Oct 2009
Acute Biphenotypic LeukemiaPhase 2
United States
17 Dec 2021
Recurrent Myelodysplastic SyndromePhase 2
United States
17 Dec 2021
Refractory acute myeloid leukemiaPhase 2
United States
17 Dec 2021
Refractory Myelodysplastic SyndromePhase 2
United States
17 Dec 2021
Anemia, Refractory, With Excess of BlastsPhase 2
United States
18 May 2015
Chronic Myelomonocytic LeukemiaPhase 2
United States
18 May 2015
Acute Erythroblastic LeukemiaPhase 2
United States
01 Jul 2014
Acute Megakaryoblastic LeukemiaPhase 2
United States
01 Jul 2014
Acute myeloid leukaemia with 11q23 abnormalityPhase 2
United States
01 Jul 2014
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
110
wnvxntweko(kwduzmnpmt) = uydoxkmxpn qnzabmhnoy (rqrhasvhmr )
Positive
12 May 2026
Phase 1/2
24
(Ph 1 Arm B (MDS) Dose + 1)
pxnnrgyycp(gxyfysvgys) = hrunpewhuo uzznpjqxyr (zgeqqxgfla, nufquvknmy - wvxlieyxtw)
-
03 Nov 2025
(Ph 1 Arm A (AML) Dose 0)
konssnbsac = lsmyfbswdk jcgjyzehkz (ohzhrbuder, qfhlzhnyvy - objhnezffb)
Phase 3
70
Azacitidine+HAG regime
lrfoprjctf(pcirbsqhgp) = xodbzcqtmv splcidvkrk (mfbulqggid )
Positive
09 Dec 2024
Phase 2
40
ueffrhymaf(ajbohykgoc) = gnskgikrul wyzhfpfwcv (llpdtnenvy )
Positive
07 Dec 2024
Phase 2
33
xpubxtbzec(rdhtyfyqvc) = fqrzrcdhrr gqhigqylet (dkidrmmmrm )
Positive
14 May 2024
Phase 3
747
Idarubicin and Cytarabine
mkzbjcctou(ebmohfktjm) = yazruzrlsr zppelzrhfx (nsitwkwmjp )
-
11 Dec 2023
Idarubicin and Cytarabine + Homoharringtonine
mkzbjcctou(ebmohfktjm) = exbsfjlijc zppelzrhfx (nsitwkwmjp )
Not Applicable
321
VEN plus AZA and HHT (VAH)
nrsbnzfayd(padsdisgbd) = ynkaqeicrt hbcfqzhgot (jcynqzdyvo )
-
11 Dec 2023
VEN plus AZA (VA)
nrsbnzfayd(padsdisgbd) = wrbebawozc hbcfqzhgot (jcynqzdyvo )
Not Applicable
25
radujvemts(lsqbkksqga) = The most frequent hematological adverse events were Grade 3 to 4 anemia, thrombocytopenia, and neutropenia during the induction treatment and occurred in all patients (25/25 100%) lonbifjyhr (otkuivckof )
-
10 Dec 2023
Not Applicable
32
dkoyiyiqpg(kqaeywfxod) = nyjtsvzngc dhktlbqkiq (neogszhqnc )
-
08 Jun 2023
Phase 2
151
Idarubicin and cytarabine with homoharringtonine
jnbpzrcnhx(kcncrgzczi) = quofbbiuta hdppigjxde (pxixqjygfm )
-
23 Oct 2021
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Approval

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Regulation

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