Evidence map›Paper›PMID 29269870›Full record

ArticleScientific reports2017

Voruciclib, a clinical stage oral CDK9 inhibitor, represses MCL-1 and sensitizes high-risk Diffuse Large B-cell Lymphoma to BCL2 inhibition.

Joyoti Dey, Thomas L Deckwerth, William S Kerwin, Joseph R Casalini, Angela J Merrell, Marc O Grenley, Connor Burns, Sally H Ditzler, Chantel P Dixon, Emily Beirne and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
–field-weighted citation impact
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

55 citing papers in PubMed.

  1. Trial
  2. TRMT6-Mediated mAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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  19. Targeting regulated cell death pathways in acute myeloid leukemia.Cancer drug resistance (Alhambra, Calif.) · 2023
    Review
  20. Review
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

13 authors.

Joyoti DeyPresage Biosciences, Inc, Seattle, WA, USA.
Thomas L DeckwerthPresage Biosciences, Inc, Seattle, WA, USA.
William S KerwinPresage Biosciences, Inc, Seattle, WA, USA.
Joseph R CasaliniPresage Biosciences, Inc, Seattle, WA, USA.
Angela J MerrellPresage Biosciences, Inc, Seattle, WA, USA.
Marc O GrenleyPresage Biosciences, Inc, Seattle, WA, USA.
Connor BurnsPresage Biosciences, Inc, Seattle, WA, USA.
Sally H DitzlerPresage Biosciences, Inc, Seattle, WA, USA.
Chantel P DixonPresage Biosciences, Inc, Seattle, WA, USA.
Emily BeirnePresage Biosciences, Inc, Seattle, WA, USA.
Kate C GillespiePresage Biosciences, Inc, Seattle, WA, USA.
Edward F KleinmanEdward F. Kleinman LLC, Pawcatuck, CT, USA.
Richard A KlinghofferPresage Biosciences, Inc, Seattle, WA, USA. rich.klinghoffer@presagebio.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aberrant regulation of BCL-2 family members enables evasion of apoptosis and tumor resistance to chemotherapy. BCL-2 and functionally redundant counterpart, MCL-1, are frequently over-expressed in high-risk diffuse large B-cell lymphoma (DLBCL). While clinical inhibition of BCL-2 has been achieved with the BH3 mimetic venetoclax, anti-tumor efficacy is limited by compensatory induction of MCL-1. Voruciclib, an orally bioavailable clinical stage CDK-selective inhibitor, potently blocks CDK9, the transcriptional regulator of MCL-1. Here, we demonstrate that voruciclib represses MCL-1 protein expression in preclinical models of DLBCL. When combined with venetoclax in vivo, voruciclib leads to model-dependent tumor cell apoptosis and tumor growth inhibition. Strongest responses were observed in two models representing high-risk activated B-cell (ABC) DLBCL, while no response was observed in a third ABC model, and intermediate responses were observed in two models of germinal center B-cell like (GCB) DLBCL. Given the range of responses, we show that CIVO, a multiplexed tumor micro-dosing technology, represents a viable functional precision medicine approach for differentiating responders from non-responders to BCL-2/MCL-1 targeted therapy. These findings suggest that the combination of voruciclib and venetoclax holds promise as a novel, exclusively oral combination therapy for a subset of high-risk DLBCL patients.

Indexed as

AnimalsAntineoplastic AgentsApoptosisBenzopyransBridged Bicyclo Compounds, HeterocyclicCell Line, TumorDrug SynergismGene Expression RegulationHumansImino FuranosesLymphoma, Large B-Cell, DiffuseMiceMyeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2SulfonamidesAntineoplastic AgentsBCL2 protein, humanBenzopyransBridged Bicyclo Compounds, HeterocyclicImino FuranosesMCL1 protein, humanMyeloid Cell Leukemia Sequence 1 ProteinProto-Oncogene Proteins c-bcl-2Sulfonamidesvenetoclaxvoruciclib

Identifiers

PMID29269870
PMCPMC5740070

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Registered trials

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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.