Evidence map›Paper›PMID 23291630›Full record

ArticleNature medicine2013

ABT-199, a potent and selective BCL-2 inhibitor, achieves antitumor activity while sparing platelets.

Andrew J Souers, Joel D Leverson, Erwin R Boghaert, Scott L Ackler, Nathaniel D Catron, Jun Chen, Brian D Dayton, Hong Ding, Sari H Enschede, Wayne J Fairbrother and 30 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04666649 (Pegcrisantaspase in Combination With Venetoclax for Treatment of Relapsed or Refractory Acute Myeloid Leukemia), which is not on this map. Cited by 1,657 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,657citing papers in PubMed, 1 pooled it
107.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04666649 phase1completednot on this mapstarted 2021, after this paper: background citation

Pegcrisantaspase in Combination With Venetoclax for Treatment of Relapsed or Refractory Acute Myeloid Leukemia

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2021 to 2025Enrolled27ConditionsRelapsed or Refractory Acute Myeloid LeukemiaArmsVenetoclax and pegcrisantaspase
3 · Its place in the literature

Who cites it

1,657 citing papers in PubMed, 1 synthesis or guideline pooled it, 2,976 citations in OpenAlex.

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1,597 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors at 4 institutions in 2 countries.

Andrew J SouersAbbVie Inc., North Chicago, Illinois, USA. andrew.souers@abbvie.com
Joel D Leverson
Erwin R Boghaert
Scott L Ackler
Nathaniel D Catron
Jun Chen
Brian D Dayton
Hong Ding
Sari H Enschede
Wayne J Fairbrother
David C S Huang
Sarah G Hymowitz
Sha Jin
Seong Lin Khaw
Peter J Kovar
Lloyd T Lam
Jackie Lee
Heather L Maecker
Kennan C Marsh
Kylie D Mason
Michael J Mitten
Paul M Nimmer
Anatol Oleksijew
Chang H Park
Cheol-Min Park
Darren C Phillips
Andrew W Roberts
Deepak Sampath
John F Seymour
Morey L Smith
Gerard M Sullivan
Stephen K Tahir
Chris Tse
Michael D Wendt
Yu Xiao
John C Xue
Haichao Zhang
Rod A Humerickhouse
Saul H Rosenberg
Steven W Elmore
AbbVie (United States) · USUniversity of Melbourne · AUThe Royal Melbourne Hospital · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proteins in the B cell CLL/lymphoma 2 (BCL-2) family are key regulators of the apoptotic process. This family comprises proapoptotic and prosurvival proteins, and shifting the balance toward the latter is an established mechanism whereby cancer cells evade apoptosis. The therapeutic potential of directly inhibiting prosurvival proteins was unveiled with the development of navitoclax, a selective inhibitor of both BCL-2 and BCL-2-like 1 (BCL-X(L)), which has shown clinical efficacy in some BCL-2-dependent hematological cancers. However, concomitant on-target thrombocytopenia caused by BCL-X(L) inhibition limits the efficacy achievable with this agent. Here we report the re-engineering of navitoclax to create a highly potent, orally bioavailable and BCL-2-selective inhibitor, ABT-199. This compound inhibits the growth of BCL-2-dependent tumors in vivo and spares human platelets. A single dose of ABT-199 in three patients with refractory chronic lymphocytic leukemia resulted in tumor lysis within 24 h. These data indicate that selective pharmacological inhibition of BCL-2 shows promise for the treatment of BCL-2-dependent hematological cancers.

Indexed as

Aniline CompoundsAnimalsAntineoplastic AgentsApoptosisbcl-X ProteinBlood PlateletsBridged Bicyclo Compounds, HeterocyclicCell SurvivalDogsFemaleHeLa CellsHematologic NeoplasmsHumansMiceMice, SCIDProto-Oncogene Proteins c-bcl-2Aniline CompoundsAntineoplastic Agentsbcl-X ProteinBridged Bicyclo Compounds, HeterocyclicnavitoclaxProto-Oncogene Proteins c-bcl-2Sulfonamidesvenetoclax

Identifiers

PMID23291630
OpenAlexW2172242534

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.