Evidence map›Paper›PMID 30647404›Full record

ArticleBlood cancer journal2019

Superior efficacy of cotreatment with BET protein inhibitor and BCL2 or MCL1 inhibitor against AML blast progenitor cells.

Warren Fiskus, Tianyu Cai, Courtney D DiNardo, Steven M Kornblau, Gautam Borthakur, Tapan M Kadia, Naveen Pemmaraju, Prithviraj Bose, Lucia Masarova, Kimal Rajapakshe and 10 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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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

20 authors at 3 institutions in 1 country.

Warren FiskusThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Tianyu CaiThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Courtney D DiNardoThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0001-9003-0390
Steven M KornblauThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Gautam BorthakurThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Tapan M KadiaThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Naveen PemmarajuThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Prithviraj BoseThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Lucia MasarovaThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Kimal RajapaksheDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, 77030, USA.
Dimuthu PereraDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, 77030, USA.
Cristian CoarfaDepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, 77030, USA.
Christopher P MillThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Dyana T SaenzThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
David N SaenzThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Baohua SunThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Joseph D KhouryThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0003-2621-3584
Yu ShenAbbVie, Inc., North Chicago, IL, 60064, USA.
Marina KonoplevaThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Kapil N BhallaThe University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA. kbhalla@mdanderson.org.
The University of Texas MD Anderson Cancer Center · USBaylor College of Medicine · USAbbVie (United States) · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Michael M Ittmann · 2007 to 2026
$73.9M
University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SHPALL, ELIZABETH J · 2003 to 2023
$43.7M
UNIVERSITY OF TEXAS MD ANDERSON SPORE IN OVARIAN CANCERP50CA083639 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BAST, ROBERT C · 1999 to 2015
$33.0M
Integrative Pipeline for Analysis & Translational Application of TCGA Data (GDAC)U24CA143883 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI AKBANI, REHAN, MILLS, GORDON B. · 2009 to 2016
$10.6M
Novel Targeted Therapy for AMLR01CA171338 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BHALLA, KAPIL · 2013 to 2017
$1.6M
Targeted Therapy for AML Stem CellsR01CA173877 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BHALLA, KAPIL · 2013 to 2017
$1.6M
NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA125123NCI NIH HHS P50 CA083639NCI NIH HHS P50 CA100632NCI NIH HHS R01 CA171338NCI NIH HHS R01 CA173877NCI NIH HHS U24 CA143883
6 · The paper itself

Abstract

First-generation bromodomain extra-terminal protein (BETP) inhibitors (BETi) (e.g., OTX015) that disrupt binding of BETP BRD4 to chromatin transcriptionally attenuate AML-relevant progrowth and prosurvival oncoproteins. BETi treatment induces apoptosis of AML BPCs, reduces in vivo AML burden and induces clinical remissions in a minority of AML patients. Clinical efficacy of more potent BETis, e.g., ABBV-075 (AbbVie, Inc.), is being evaluated. Venetoclax and A-1210477 bind and inhibit the antiapoptotic activity of BCL2 and MCL1, respectively, lowering the threshold for apoptosis. BETi treatment is shown here to perturb accessible chromatin and activity of enhancers/promoters, attenuating MYC, CDK6, MCL1 and BCL2, while inducing BIM, HEXIM1, CDKN1A expressions and apoptosis of AML cells. Treatment with venetoclax increased MCL1 protein levels, but cotreatment with ABBV-075 reduced MCL1 and Bcl-xL levels. ABBV-075 cotreatment synergistically induced apoptosis with venetoclax or A-1210477 in patient-derived, CD34+ AML cells. Compared to treatment with either agent alone, cotreatment with ABBV-075 and venetoclax was significantly more effective in reducing AML cell-burden and improving survival, without inducing toxicity, in AML-engrafted immune-depleted mice. These findings highlight the basis of superior activity and support interrogation of clinical efficacy and safety of cotreatment with BETi and BCL2 or MCL1 inhibitor in AML.

Indexed as

AnimalsAntineoplastic AgentsBinding SitesBiomarkers, TumorBromodomain Containing ProteinsCell Line, TumorDisease Models, AnimalDrug SynergismFemaleHumansIndolesLeukemia, Myeloid, AcuteMyeloid Cell Leukemia Sequence 1 ProteinNeoplastic Stem CellsProtein BindingProtein Kinase InhibitorsA-1210477Antineoplastic AgentsBiomarkers, Tumorbromodomain and extra-terminal domain protein, humanBromodomain Containing ProteinsIndolesmivebresibMyeloid Cell Leukemia Sequence 1 ProteinProtein Kinase InhibitorsProteinsProto-Oncogene Proteins c-bcl-2PyridonesSulfonamides

Identifiers

PMID30647404
PMCPMC6333829
OpenAlexW2909486746

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.