Evidence map›Paper›PMID 30214012›Full record

ArticleLeukemia2019

Combining BH3-mimetics to target both BCL-2 and MCL1 has potent activity in pre-clinical models of acute myeloid leukemia.

Donia M Moujalled, Giovanna Pomilio, Corina Ghiurau, Adam Ivey, Jessica Salmon, Sewa Rijal, Sarah Macraild, Lan Zhang, Tse-Chieh Teh, Ing-Soo Tiong and 17 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed
16.5field-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

102 citing papers in PubMed, 172 citations in OpenAlex.

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42 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

27 authors at 6 institutions in 3 countries.

Donia M MoujalledAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Giovanna PomilioAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Corina GhiurauR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Adam IveyDepartment of Pathology, The Alfred Hospital, Melbourne, Australia.
Jessica SalmonAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Sewa RijalAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Sarah MacraildDepartment of Pathology, The Alfred Hospital, Melbourne, Australia.
Lan ZhangDepartment of Clinical Haematology, The Alfred Hospital, Melbourne, Australia.
Tse-Chieh TehAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Ing-Soo TiongDepartment of Clinical Haematology, The Alfred Hospital, Melbourne, Australia.
Ping LanThe Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Maia ChanrionR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Audrey ClaperonR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Francesca RocchettiR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Adrien ZichiR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Laurence Kraus-BerthierR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Youzhen WangOncology Disease Area, Novartis Institutes for BioMedical Research, 250 Massachusetts Avenue, Cambridge, MA, 02139, USA.
Ensar HalilovicOncology Disease Area, Novartis Institutes for BioMedical Research, 250 Massachusetts Avenue, Cambridge, MA, 02139, USA.
Erick MorrisOncology Disease Area, Novartis Institutes for BioMedical Research, 250 Massachusetts Avenue, Cambridge, MA, 02139, USA.
Frédéric CollandR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
David SegalThe Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
David HuangThe Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Andrew W RobertsThe Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.ORCID http://orcid.org/0000-0002-7341-5720
Ana Leticia MaragnoR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Guillaume LesseneThe Walter and Eliza Hall Institute of Medical Research, Parkville, Australia.
Olivier GenesteR&D Unit, Institut de Recherches Servier Oncology, Croissy Sur Seine, France.
Andrew H WeiAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia. a.wei@alfred.org.au.
Novartis (Switzerland) · CHThe Alfred Hospital · AUThe University of Melbourne · AUWalter and Eliza Hall Institute of Medical Research · AUAustralian Centre for HIV and Hepatitis Virology Research · AUThe Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving outcomes in acute myeloid leukemia (AML) remains a major clinical challenge. Overexpression of pro-survival BCL-2 family members rendering transformed cells resistant to cytotoxic drugs is a common theme in cancer. Targeting BCL-2 with the BH3-mimetic venetoclax is active in AML when combined with low-dose chemotherapy or hypomethylating agents. We now report the pre-clinical anti-leukemic efficacy of a novel BCL-2 inhibitor S55746, which demonstrates synergistic pro-apoptotic activity in combination with the MCL1 inhibitor S63845. Activity of the combination was caspase and BAX/BAK dependent, superior to combination with standard cytotoxic AML drugs and active against a broad spectrum of poor risk genotypes, including primary samples from patients with chemoresistant AML. Co-targeting BCL-2 and MCL1 was more effective against leukemic, compared to normal hematopoietic progenitors, suggesting a therapeutic window of activity. Finally, S55746 combined with S63845 prolonged survival in xenograft models of AML and suppressed patient-derived leukemia but not normal hematopoietic cells in bone marrow of engrafted mice. In conclusion, a dual BH3-mimetic approach is feasible, highly synergistic, and active in diverse models of human AML. This approach has strong clinical potential to rapidly suppress leukemia, with reduced toxicity to normal hematopoietic precursors compared to chemotherapy.

Indexed as

BiomimeticsAnimalsAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicDrug Therapy, CombinationFemaleHumansLeukemia, Myeloid, AcuteMaleMiceMice, Inbred NODMice, SCIDMyeloid Cell Leukemia Sequence 1 ProteinPeptide FragmentsProto-Oncogene ProteinsProto-Oncogene Proteins c-bcl-2Antineoplastic AgentsBax protein (53-86)BCL2 protein, humanBridged Bicyclo Compounds, HeterocyclicMCL1 protein, humanMyeloid Cell Leukemia Sequence 1 ProteinPeptide FragmentsProto-Oncogene ProteinsProto-Oncogene Proteins c-bcl-2PyrimidinesS63845SulfonamidesThiophenesvenetoclax

Identifiers

PMID30214012
PMCPMC6484700
OpenAlexW2889850618

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.