Evidence map›Paper›PMID 25917267›Full record

ArticleLeukemia2015

The phosphoinositide-3-kinase (PI3K)-delta and gamma inhibitor, IPI-145 (Duvelisib), overcomes signals from the PI3K/AKT/S6 pathway and promotes apoptosis in CLL.

K Balakrishnan, M Peluso, M Fu, N Y Rosin, J A Burger, W G Wierda, M J Keating, K Faia, S O'Brien, J L Kutok and 1 more

Open access · greenAbstract read
In one paragraph

Article in Leukemia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
12.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 167 citations in OpenAlex.

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  13. Duvelisib Eliminates CLL B Cells, Impairs CLL-Supporting Cells, and Overcomes Ibrutinib Resistance in a Xenograft Model.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
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  20. Design, synthesis, and biological evaluation of new thieno[2,3-Journal of enzyme inhibition and medicinal chemistry · 2022
    Article

35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

K BalakrishnanDepartment of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
M PelusoInfinity Pharmaceuticals Inc., Cambridge, MA, USA.
M FuDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
N Y RosinDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J A BurgerDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
W G WierdaDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
M J KeatingDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
K FaiaInfinity Pharmaceuticals Inc., Cambridge, MA, USA.
S O'BrienDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J L KutokInfinity Pharmaceuticals Inc., Cambridge, MA, USA.
V GandhiDepartment of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The University of Texas MD Anderson Cancer Center · USInfinity Pharmaceuticals (United States) · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Tissue CoreP01CA081534 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GRIBBEN, JOHN G. · 2000 to 2016
$59.5M
Targeted Therapies and Mechanisms of Resistance in Chronic Lymphocytic LeukemiaK23CA178183 · NCI · OHIO STATE UNIVERSITY · PI WOYACH, JENNIFER A. · 2013 to 2017
$866k
NCI NIH HHS K23 CA178183NCI NIH HHS K23 CA178183-01NCI NIH HHS P01 CA081534NCI NIH HHS P01 CA81534
6 · The paper itself

Abstract

The functional relevance of the B-cell receptor (BCR) and the evolution of protein kinases as therapeutic targets have recently shifted the paradigm for treatment of B-cell malignancies. Inhibition of p110δ with idelalisib has shown clinical activity in chronic lymphocytic leukemia (CLL). The dynamic interplay of isoforms p110δ and p110γ in leukocytes support the hypothesis that dual blockade may provide a therapeutic benefit. IPI-145, an oral inhibitor of p110δ and p110γ isoforms, sensitizes BCR-stimulated and/or stromal co-cultured primary CLL cells to apoptosis (median 20%, n=57; P<0.0001) including samples with poor prognostic markers, unmutated IgVH (n=28) and prior treatment (n=15; P<0.0001). IPI-145 potently inhibits the CD40L/IL-2/IL-10 induced proliferation of CLL cells with an IC50 in sub-nanomolar range. A corresponding dose-responsive inhibition of pAKT(Ser473) is observed with an IC50 of 0.36 nM. IPI-145 diminishes the BCR-induced chemokines CCL3 and CCL4 secretion to 17% and 37%, respectively. Pre-treatment with 1 μM IPI-145 inhibits the chemotaxis toward CXCL12; reduces pseudoemperipolesis to median 50%, inferring its ability to interfere with homing capabilities of CLL cells. BCR-activated signaling proteins AKT(Ser473), BAD(Ser112), ERK(Thr202/Tyr204) and S6(Ser235/236) are mitigated by IPI-145. Importantly, for clinical development in hematological malignancies, IPI-145 is selective to CLL B cells, sparing normal B- and T-lymphocytes.

Indexed as

Phosphoinositide-3 Kinase InhibitorsAdenineAgedAged, 80 and overApoptosisBone Marrow CellsCase-Control StudiesCell ProliferationCell SurvivalChemokine CCL3Chemokine CCL4ChemotaxisFemaleHumansIsoquinolinesLeukemia, Lymphocytic, Chronic, B-CellAdenineChemokine CCL3Chemokine CCL4duvelisibibrutinibidelalisibIsoquinolinesPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsPiperidinesProto-Oncogene Proteins c-aktPurinesPyrazolesPyrimidinesQuinazolinonesReceptors, Antigen, B-CellRibosomal Protein S6 Kinases

Identifiers

PMID25917267
PMCPMC4558374
OpenAlexW2134797116

What OpenQuestion holds

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Registered trials

None linked

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.