Evidence map›Paper›PMID 30498064›Full record

ArticleBlood2019

Biomarker-driven strategy for MCL1 inhibition in T-cell lymphomas.

Raphael Koch, Amanda L Christie, Jennifer L Crombie, Adam C Palmer, Deborah Plana, Kay Shigemori, Sara N Morrow, Alexandria Van Scoyk, Wenchao Wu, Elizabeth A Brem and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Advances and Perspectives in the Treatment of T-PLL.Current hematologic malignancy reports · 2020
    Pooled it
  2. Article
  3. Article
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  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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  16. Mechanisms of MCL-1 Protein Stability Induced by MCL-1 Antagonists in B-Cell Malignancies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  17. Review
  18. Review
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 1 country.

Raphael KochDepartment of Hematology and Medical Oncology, University Medical Center Goettingen, Goettingen, Germany.ORCID 0000-0002-2018-5685
Amanda L ChristieDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Jennifer L CrombieDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Adam C PalmerHarvard Medical School, Boston, MA.ORCID 0000-0001-5028-7028
Deborah PlanaHarvard Medical School, Boston, MA.ORCID 0000-0002-4218-1693
Kay ShigemoriDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-9682-4164
Sara N MorrowDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Alexandria Van ScoykDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0001-6692-1062
Wenchao WuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Elizabeth A BremDivision of Hematology & Oncology, Chao Family Comprehensive Center Center, UC Irvine Health, Orange, CA.
J Paul SecristLifeMine Therapeutics, Cambridge, MA; and.
Lisa DrewBioscience, Oncology, IMED Biotech Unit, AstraZeneca, Boston, MA.
Alwin G SchullerBioscience, Oncology, IMED Biotech Unit, AstraZeneca, Boston, MA.
Justin CidadoBioscience, Oncology, IMED Biotech Unit, AstraZeneca, Boston, MA.
Anthony LetaiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
David M WeinstockDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-8724-3907
Dana-Farber Cancer Institute · USAstraZeneca (United States) · USHarvard University · USBroad Institute · USSage Therapeutics (United States) · USUC Irvine Health · US

Funding

Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
Systems Pharmacology of Therapeutic and Adverse Responses to ImmuneCheckpoint and Small Molecule DrugsU54CA225088 · NCI · HARVARD MEDICAL SCHOOL · PI SORGER, PETER KARL · 2018 to 2022
$10.8M
NCI NIH HHS U54 CA225088NIGMS NIH HHS T32 GM007753
6 · The paper itself

Abstract

There is a pressing need for more effective therapies to treat patients with T-cell lymphomas (TCLs), including first-line approaches that increase the response rate to cyclophosphamide, adriamycin, vincristine, and prednisone (CHOP) chemotherapy. We characterized the mitochondrial apoptosis pathway in cell lines and patient-derived xenograft (PDX) models of TCL and assessed the in vitro efficacy of BH3 mimetics, including the BCL2 inhibitor venetoclax, the BCL2/BCL-xL inhibitor navitoclax, and the novel MCL1 inhibitor AZD5991. The abundance of antiapoptotic BCL2 family members based on immunoblotting or RNA transcript levels correlated poorly with the activity of BH3 mimetics. In contrast, the functional approach BH3 profiling reliably predicted sensitivity to BH3 mimetics in vitro and in vivo. We used BH3 profiling to select TCL PDX that were dependent on MCL1. Mice xenografted with these PDX and treated with AZD5991 had markedly improved survival. The combination of AZD5991 and CHOP achieved synergy based on survival improvement beyond a mathematical "sum of benefits" model. Thus, MCL1 inhibition is a promising strategy as both a single agent and in combination with chemotherapy for patients with TCL and functional dependence on MCL1.

Indexed as

Molecular Targeted TherapyAnimalsAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCyclophosphamideDoxorubicinHumansLymphoma, T-CellMacrocyclic CompoundsMiceMice, Inbred NODMice, SCIDMyeloid Cell Leukemia Sequence 1 ProteinPeptide FragmentsPrednisoneProto-Oncogene ProteinsAZD5991Bax protein (53-86)Biomarkers, TumorCyclophosphamideDoxorubicinMacrocyclic CompoundsMCL1 protein, humanMyeloid Cell Leukemia Sequence 1 ProteinPeptide FragmentsPrednisoneProto-Oncogene ProteinsVincristine

Identifiers

PMID30498064
PMCPMC6367646
OpenAlexW2902552812

What OpenQuestion holds

Textmetadata
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.