Evidence map›Paper›PMID 32139432›Full record

ArticleHaematologica2021

Phase II-like murine trial identifies synergy between dexamethasone and dasatinib in T-cell acute lymphoblastic leukemia.

Yuzhe Shi, Melanie C Beckett, Helen J Blair, Ricky Tirtakusuma, Sirintra Nakjang, Amir Enshaei, Christina Halsey, Josef Vormoor, Olaf Heidenreich, Anja Krippner-Heidenreich and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06855810 (Chinese Children's Cancer Group T-cell Acute Lymphoblastic Leukemia -2025 Project), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.2field-weighted citation impact, top 4% 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.

NCT06855810 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Chinese Children's Cancer Group T-cell Acute Lymphoblastic Leukemia -2025 Project

TypeinterventionalSponsorInstitute of Hematology & Blood Diseases Hospital, ChinaRan2025 to 2031Enrolled610ConditionsAcute Lymphoblastic Leukemia, Childhood Leukemia, Acute Lymphoblastic, T Cell Acute Lymphoblastic Leukemia/Lymphoblastic LymphomaArmsVenetoclax, Dasatinib, homoharringtonine
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Novel Biomarkers and Molecular Targets in ALL.Current hematologic malignancy reports · 2024
    Review
  8. Study Deciphering the Crucial Involvement of Notch Signaling Pathway in Human Cancers.Endocrine, metabolic & immune disorders drug targets · 2024
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

11 authors at 3 institutions in 2 countries.

Yuzhe ShiWolfson Childhood Cancer Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Melanie C BeckettWolfson Childhood Cancer Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Helen J BlairWolfson Childhood Cancer Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Ricky TirtakusumaWolfson Childhood Cancer Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Sirintra NakjangWolfson Childhood Cancer Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Amir EnshaeiWolfson Childhood Cancer Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Christina HalseyWolfson Wohl Cancer Research Centre, University of Glasgow, Glasgow, UK.
Josef VormoorPrinses Máxima Centrum voor Kinderoncologie, Utrecht, The Netherlands.
Olaf HeidenreichPrinses Máxima Centrum voor Kinderoncologie, Utrecht, The Netherlands.
Anja Krippner-HeidenreichPrinses Máxima Centrum voor Kinderoncologie, Utrecht, The Netherlands.
Frederik W van DelftWolfson Childhood Cancer Research Centre, Newcastle University, Newcastle upon Tyne, UK.
Newcastle University · GBPrincess Máxima Center · NLUniversity of Glasgow · GB

Funding

Cancer Research UK 23389Chief Scientist Office ETM/374
6 · The paper itself

Abstract

T-cell Acute Lymphoblastic Leukemia (T-ALL) is frequently characterized by glucocorticoid (GC) resistance, which is associated with inferior outcomes, thus highlighting the need for novel therapeutic approaches for GC resistant T-ALL. The pTCR/TCR signaling pathways play a critical role in cell fate decisions during physiological thymocyte development, with an interplay between TCR and glucocorticoid receptor (GR) signaling determining the T-lymphocyte selection process. We performed an shRNA screen in vitro and in vivo in T-ALL cell lines and patient derived xenograft (PDX) samples to identify vulnerabilities in the pTCR/TCR pathway and identified a critical role for the kinase LCK in cell proliferation. LCK knockdown or inhibition with dasatinib (DAS) caused cell cycle arrest. Combination of DAS with dexamethasone (DEX) resulted in significant drug synergy leading to cell death. The efficacy of this drug combination was underscored in a randomized phase II-like murine trial, recapitulating an early phase human clinical trial. T-ALL expansion in immunocompromised mice was significantly impaired using this drug combination, relative to mice receiving control vehicle or single drug treatment, highlighting the immediate clinical relevance of this drug combination for high risk T-ALL patients. Our results thus provide a strategy to improve the efficacy of current chemotherapy platforms and circumvent GC resistance.

Indexed as

Precursor Cell Lymphoblastic Leukemia-LymphomaPrecursor T-Cell Lymphoblastic Leukemia-LymphomaAnimalsApoptosisCell Line, TumorDasatinibDexamethasoneDrug Resistance, NeoplasmGlucocorticoidsHumansMiceT-LymphocytesDasatinibDexamethasoneGlucocorticoids

Identifiers

PMID32139432
PMCPMC8018112
OpenAlexW3009169122

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.