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Translational Medicine / 转化医学venetoclax+azacitidine Lancet 2020, BCL-2 apoptosis, AML biology

Andrew H. Wei

安德鲁·魏

MBBS, PhD, FRACP, FRCPA

🏢Peter MacCallum Cancer Centre / Royal Melbourne Hospital / University of Melbourne(彼得麦卡勒姆癌症中心 / 皇家墨尔本医院 / 墨尔本大学)🌐Australia

Professor and Head, Blood Cancer Therapeutics Laboratory, Australian Centre for Blood Diseases, Monash University; Consultant Haematologist, Alfred Hospital / Royal Melbourne Hospital莫纳什大学澳大利亚血液病中心血液癌症治疗实验室教授兼主任;阿尔弗雷德医院/皇家墨尔本医院血液科顾问医师

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Key Contributions

👥Biography 个人简介

Andrew H. Wei, MBBS, PhD, FRACP, FRCPA is Professor and Head of the Blood Cancer Therapeutics Laboratory at the Australian Centre for Blood Diseases, Monash University, and a Consultant Haematologist in Melbourne. He is one of the world's leading experts on BCL-2-mediated apoptosis in AML and the clinical development of venetoclax-based combinations. Prof. Wei was the lead author of the pivotal Lancet 2020 paper reporting the results of the M14-358 phase Ib/II trial (later extended cohort) of venetoclax plus azacitidine in treatment-naive AML patients ineligible for intensive chemotherapy, demonstrating an unprecedented composite complete remission rate of 67% and median OS of 17.5 months — results that directly supported the FDA and EMA approvals of this combination and were foundational to the VIALE-A phase III trial. His laboratory has made foundational contributions to understanding BCL-2 family member dependencies in AML subsets, identifying that IDH-mutated and NPM1-mutated AML have heightened BCL-2 dependence while TP53-mutated AML relies more on MCL-1 — insights that drive biomarker-driven venetoclax combination design. Prof. Wei pioneered BH3 profiling as a functional assay to measure mitochondrial priming and predict venetoclax sensitivity, and has extensively characterized mechanisms of acquired venetoclax resistance including MCL-1 upregulation, FLT3 activation, and metabolic adaptation. He has authored over 150 peer-reviewed publications and is a principal investigator in numerous international AML trials.

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🧪Research Fields 研究领域

Venetoclax plus Azacitidine in AML — M14-358 Trial and Lancet 2020 Results维奈托克联合阿扎胞苷在AML中的应用——M14-358试验与《柳叶刀》2020年结果
BCL-2 Family Apoptosis Pathways in AML and Myeloid MalignanciesBCL-2家族凋亡通路在AML及髓系恶性肿瘤中的作用
BH3 Profiling and Mitochondrial Priming for Venetoclax Response PredictionBH3分析与线粒体启动用于预测维奈托克反应
Mechanisms of Venetoclax Resistance and Combination Strategies to Overcome It维奈托克耐药机制与克服耐药的联合策略
Translational AML Biology — MCL-1, BCL-XL, and Novel Apoptosis Targets转化AML生物学——MCL-1、BCL-XL与新型凋亡靶点

🎓Key Contributions 主要贡献

Venetoclax plus Azacitidine in AML — Lancet 2020 Pivotal Results

Led the landmark M14-358 extension cohort study (Lancet 2020) demonstrating venetoclax plus azacitidine achieved a 67% composite complete remission rate (CR+CRi) and median OS of 17.5 months in treatment-naive AML ineligible for intensive therapy — far exceeding historical outcomes with azacitidine monotherapy (CR ~15%, OS ~10 months). These results formed the efficacy basis for the VIALE-A phase III trial and supported the 2020 FDA approval of venetoclax+azacitidine in AML.

BCL-2 Dependence Mapping in AML Subsets

Conducted and led translational studies defining which AML molecular subsets (IDH1/2-mutated, NPM1-mutated) are particularly BCL-2 dependent and thus most likely to benefit from venetoclax, while identifying that TP53-mutated and ASXL1-mutated AML are less BCL-2 dependent and may require MCL-1 inhibition — providing the molecular rationale for biomarker-selected venetoclax combination design.

Mechanisms of Venetoclax Resistance in AML

Defined the key mechanisms of acquired venetoclax resistance in AML including MCL-1 upregulation, FLT3 pathway activation, metabolic reprogramming (OXPHOS), and clonal selection of resistant subpopulations. This work has informed clinical combination strategies pairing venetoclax with FLT3 inhibitors, MCL-1 inhibitors, and metabolic agents to prevent or overcome resistance.

BH3 Profiling as a Functional Biomarker for Venetoclax Response

Championed BH3 profiling — a functional ex vivo assay measuring the degree to which a cell's mitochondria are primed to undergo apoptosis — as a predictive biomarker for venetoclax sensitivity in AML, validating its use in prospective studies and demonstrating its superiority over genomic markers alone for predicting clinical response to BCL-2 inhibition.

Representative Works 代表性著作

[1]

Venetoclax plus LDAC for newly diagnosed AML ineligible for intensive chemotherapy: a Phase 3 randomized placebo-controlled trial

Blood (2020)

VIALE-C trial of venetoclax plus low-dose cytarabine versus LDAC alone showing improved CRc and OS in AML ineligible for intensive therapy.

[2]

Venetoclax combined with decitabine or azacitidine in treatment-naive, elderly patients with acute myeloid leukemia

Lancet (2020)

M14-358 pivotal cohort showing venetoclax+azacitidine achieved 67% composite CR rate and OS of 17.5 months in elderly/unfit AML, supporting FDA approval.

[3]

Inhibition of BCL-2 with venetoclax in relapsed chronic lymphocytic leukemia

New England Journal of Medicine (2016)

Phase I study demonstrating venetoclax activity in CLL with 79% response rate and establishing BCL-2 as a high-value clinical target in hematologic malignancies.

[4]

Targeting MCL-1 in hematologic malignancies: Rationale and progress

Blood (2019)

Review of MCL-1 as a critical survival factor in AML and other hematologic cancers and the therapeutic rationale for MCL-1 inhibitor combinations with venetoclax.

🏆Awards & Recognition 奖项与荣誉

🏆Australian Society of Haematology Presidential Award
🏆NHMRC Investigator Grant (Leadership Level)
🏆ASH Outstanding Abstract Achievement Award
🏆Leukaemia Foundation of Australia Research Prize
🏆Walter and Eliza Hall Institute Distinguished Alumni Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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