Evidence map›Paper›PMID 27602582›Full record

ReviewOncotarget2016

Discovery and clinical introduction of first-in-class imipridone ONC201.

Joshua E Allen, C Leah B Kline, Varun V Prabhu, Jessica Wagner, Jo Ishizawa, Neel Madhukar, Avital Lev, Marie Baumeister, Lanlan Zhou, Amriti Lulla and 22 more

Erratum issued Registry-linked trialOpen access · diamondAbstract readReview
In one paragraph

Review in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03034200 (Phase 2 Study of ONC201 in Neuroendocrine Tumors), which is not on this map. Cited by 118 papers.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed
6.8field-weighted citation impact, top 2% 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.

NCT03034200 phase2completednot on this mapstarted 2017, after this paper: background citation

Phase 2 Study of ONC201 in Neuroendocrine Tumors

TypeinterventionalSponsorPeter AndersonRan2017 to 2023Enrolled30ConditionsRecurrent Neuroendocrine Tumor, Metastatic Neuroendocrine TumorArmsONC201
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 161 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Target identification and assessment in the era of AI.Nature reviews. Drug discovery · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Molecular mechanisms of mitochondrial AAA+ proteases.The Journal of biological chemistry · 2026
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 11 institutions in 2 countries.

Joshua E AllenOncoceutics, Inc., Philadelphia, PA, USA.
C Leah B KlineFox Chase Cancer Center, Philadelphia, PA, USA.
Varun V PrabhuOncoceutics, Inc., Philadelphia, PA, USA.
Jessica WagnerFox Chase Cancer Center, Philadelphia, PA, USA.
Jo IshizawaUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Neel MadhukarWeill Cornell Medicine, New York, NY, USA.
Avital LevFox Chase Cancer Center, Philadelphia, PA, USA.
Marie BaumeisterFox Chase Cancer Center, Philadelphia, PA, USA.
Lanlan ZhouFox Chase Cancer Center, Philadelphia, PA, USA.
Amriti LullaFox Chase Cancer Center, Philadelphia, PA, USA.
Martin StogniewOncoceutics, Inc., Philadelphia, PA, USA.
Lee SchalopOncoceutics, Inc., Philadelphia, PA, USA.
Cyril BenesMassachusetts General Hospital, Boston, MA, USA.
Howard L KaufmanRutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Richard S PottorfProvid Pharmaceuticals, Monmouth Junction, NJ, USA.
B Rao NallaganchuProvid Pharmaceuticals, Monmouth Junction, NJ, USA.
Gary L OlsonProvid Pharmaceuticals, Monmouth Junction, NJ, USA.
Fahd Al-MullaKuwait University Medical School, Kuwait.
Madeleine DuvicUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Gen Sheng WuKarmanos Cancer Institute, Detroit, MI, USA.
David T DickerFox Chase Cancer Center, Philadelphia, PA, USA.
Mala K TalekarThe Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Bora LimUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Olivier ElementoWeill Cornell Medicine, New York, NY, USA.
Wolfgang OsterOncoceutics, Inc., Philadelphia, PA, USA.
Joseph BertinoRutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Keith FlahertyMassachusetts General Hospital, Boston, MA, USA.
Michael L WangUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Gautam BorthakurUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Michael AndreeffUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Mark SteinRutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
Wafik S El-DeiryFox Chase Cancer Center, Philadelphia, PA, USA.
Fox Chase Cancer Center · USThe University of Texas MD Anderson Cancer Center · USOncoceutics (United States) · USProvid Pharmaceuticals (United States) · USMassachusetts General Hospital · USRutgers, The State University of New Jersey · USWeill Cornell Medicine · USChildren's Hospital of Philadelphia · USKuwait University · KWRutgers Cancer Institute of New JerseyThe Barbara Ann Karmanos Cancer Institute · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
TIC10 anti-tumor effect through regulation of Foxo3a and TRAILR01CA173453 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI EL-DEIRY, WAFIK S. · 2013 to 2023
$4.3M
Developing targeted therapies for triple-negative breast cancerR01CA174949 · NCI · WAYNE STATE UNIVERSITY · PI WU, GEN SHENG · 2014 to 2020
$1.4M
TRAIL Upregulation by TIC10 AnalogsR43CA177002 · NCI · PROVID PHARMACEUTICALS, INC · PI EL-DEIRY, WAFIK S., OLSON, GARY L · 2014 to 2014
$225k
NCI NIH HHS P30 CA006927NCI NIH HHS P50 CA100632NCI NIH HHS R01 CA173453NCI NIH HHS R01 CA174949NCI NIH HHS R43 CA177002
6 · The paper itself

Abstract

ONC201 is the founding member of a novel class of anti-cancer compounds called imipridones that is currently in Phase II clinical trials in multiple advanced cancers. Since the discovery of ONC201 as a p53-independent inducer of TRAIL gene transcription, preclinical studies have determined that ONC201 has anti-proliferative and pro-apoptotic effects against a broad range of tumor cells but not normal cells. The mechanism of action of ONC201 involves engagement of PERK-independent activation of the integrated stress response, leading to tumor upregulation of DR5 and dual Akt/ERK inactivation, and consequent Foxo3a activation leading to upregulation of the death ligand TRAIL. ONC201 is orally active with infrequent dosing in animals models, causes sustained pharmacodynamic effects, and is not genotoxic. The first-in-human clinical trial of ONC201 in advanced aggressive refractory solid tumors confirmed that ONC201 is exceptionally well-tolerated and established the recommended phase II dose of 625 mg administered orally every three weeks defined by drug exposure comparable to efficacious levels in preclinical models. Clinical trials are evaluating the single agent efficacy of ONC201 in multiple solid tumors and hematological malignancies and exploring alternative dosing regimens. In addition, chemical analogs that have shown promise in other oncology indications are in pre-clinical development. In summary, the imipridone family that comprises ONC201 and its chemical analogs represent a new class of anti-cancer therapy with a unique mechanism of action being translated in ongoing clinical trials.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorHeterocyclic Compounds, 4 or More RingsHumansImidazolesNeoplasmsPyridinesPyrimidinesAntineoplastic AgentsHeterocyclic Compounds, 4 or More RingsImidazolesPyridinesPyrimidinesTIC10 compoundATF4DRD2integrated stress responseONC201TIC10

Identifiers

PMID27602582
PMCPMC5342060
OpenAlexW2514974106

What OpenQuestion holds

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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.