Evidence map›Paper›PMID 38843355›Full record

ArticleCancer research2024

IDH1 Inhibition Potentiates Chemotherapy Efficacy in Pancreatic Cancer.

Mehrdad Zarei, Omid Hajihassani, Jonathan J Hue, Alexander W Loftus, Hallie J Graor, Faith Nakazzi, Parnian Naji, Christina S Boutros, Vinayak Uppin, Ali Vaziri-Gohar and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in Cancer research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05209074 (A Phase I, Single-Center, Open-Label, Dose De-escalation and Expansion Study Ivosidenib + mFOLFIRINOX in Patients With Resectable Pancreatic Adenocarcinoma), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

NCT05209074 phase1active not recruitingnot on this map

A Phase I, Single-Center, Open-Label, Dose De-escalation and Expansion Study Ivosidenib + mFOLFIRINOX in Patients With Resectable Pancreatic Adenocarcinoma

TypeinterventionalSponsorCase Comprehensive Cancer CenterRan2022 to 2026Enrolled16ConditionsPancreatic Ductal Adenocarcinoma, Resectable Pancreatic CancerArmsIvosidenib, mFOLFIRINOX
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Melanoma resists chemotherapy through an adaptive mitochondrial response.Journal of experimental & clinical cancer research : CR · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Epigenetic regulation of ferroptosis in gastrointestinal cancers (Review).International journal of molecular medicine · 2025
    Review
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Mehrdad ZareiDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0003-0127-1489
Omid HajihassaniDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0003-2871-5318
Jonathan J HueDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.ORCID 0000-0002-1608-8874
Alexander W LoftusDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.ORCID 0000-0002-6421-7896
Hallie J GraorDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0002-4370-8688
Faith NakazziDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0003-4855-7302
Parnian NajiDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.ORCID 0009-0007-5055-3999
Christina S BoutrosDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Cleveland, Ohio.ORCID 0000-0003-3802-9055
Vinayak UppinCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0002-0338-1983
Ali Vaziri-GoharDepartment of Cancer Biology, Stritch School of Medicine, Loyola University Chicago, Chicago, Illinois.ORCID 0000-0002-6924-8691
Akram S ShalabyCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.ORCID 0009-0008-8394-2963
John M AsaraDivision of Signal Transduction and Mass Spectrometry Core, Beth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0001-7450-2589
Luke D RothermelDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0001-5700-8028
Jonathan R BrodyDepartment of Surgery, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0003-3680-3270
Jordan M WinterDepartment of Surgery, Case Western Reserve University, Cleveland, Ohio.ORCID 0000-0002-5200-6557

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Amar Desai · 1987 to 2026
$142.3M
Targeting 15-PGDH in Colon Cancer Prognosis, Prediction, Treatment and PreventionP50CA150964 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARKOWITZ, SANFORD D. · 2011 to 2022
$24.6M
Microbiology and Immunology Training for HIV and HIV-Related Research in Uganda (MITHU)D43TW010319 · FIC · CASE WESTERN RESERVE UNIVERSITY · PI BOOM, W. HENRY, JOLOBA, MOSES LUTAAKOME · 2016 to 2025
$3.1M
Comparative analysis between patient-derived models of pancreatic ductal adenocarcinomas and matched tumor specimensU01CA224012 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI BRODY, JONATHAN, COUSSENS, LISA M. · 2019 to 2023
$2.9M
Targeting pancreatic cancer's metabolic addiction to HuRR37CA227865 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI WINTER, JORDAN M · 2018 to 2024
$2.7M
Optimizing anti-wild-type IDH1 therapy in pancreatic cancerR01CA287672 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Jonathan Brody, Jordan M Winter · 2024 to 2026
$2.0M
Targeting HuR to improve a synthetic lethal therapy for pancreatic cancerR01CA212600 · NCI · THOMAS JEFFERSON UNIVERSITY · PI BRODY, JONATHAN · 2017 to 2021
$1.9M
Developing a patient derived model platform to treat BRCA1/2-mutant pancreatic cancersR21CA263996 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI BRODY, JONATHAN, SEARS, ROSALIE C · 2022 to 2023
$370k
All of Us Research Program (Precision Medicine Initiative Cohort Program) R01 CA281219American Association for Cancer Research (AACR) AACR Grant-15-90-25-BRODFIC NIH HHS D43 TW010319NCI NIH HHS P30 CA043703NCI NIH HHS P50 CA150964NCI NIH HHS R01 CA212600NCI NIH HHS R01 CA287672NCI NIH HHS R21 CA263996NCI NIH HHS R37 CA227865NCI NIH HHS U01 CA224012
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is associated with a 5-year overall survival rate of just 13%, and development of chemotherapy resistance is nearly universal. PDAC cells overexpress wild-type isocitrate dehydrogenase 1 (IDH1) that can enable them to overcome metabolic stress, suggesting it could represent a therapeutic target in PDAC. Here, we found that anti-IDH1 therapy enhanced the efficacy of conventional chemotherapeutics. Chemotherapy treatment induced reactive oxygen species (ROS) and increased tricarboxylic acid cycle activity in PDAC cells, along with the induction of wild-type IDH1 expression as a key resistance factor. IDH1 facilitated PDAC survival following chemotherapy treatment by supporting mitochondrial function and antioxidant defense to neutralize ROS through the generation of α-ketoglutarate and NADPH, respectively. Pharmacologic inhibition of wild-type IDH1 with ivosidenib synergized with conventional chemotherapeutics in vitro and potentiated the efficacy of subtherapeutic doses of these drugs in vivo in murine PDAC models. This promising treatment approach is translatable through available and safe oral inhibitors and provides the basis of an open and accruing clinical trial testing this combination (NCT05209074). Significance: Targeting IDH1 improves sensitivity to chemotherapy by suppressing mitochondrial function and inducing oxidative stress, supporting the potential of the combination as an effective strategy for treating pancreatic cancer.

Indexed as

Carcinoma, Pancreatic DuctalDrug SynergismIsocitrate DehydrogenasePancreatic NeoplasmsReactive Oxygen SpeciesAnimalsAntineoplastic Combined Chemotherapy ProtocolsCell Line, TumorCitric Acid CycleClinical Trials as TopicDrug Resistance, NeoplasmFemaleGemcitabineGlycineHumansMiceGemcitabineGlycineIDH1 protein, humanIsocitrate DehydrogenaseivosidenibPyridinesReactive Oxygen Species

Identifiers

PMID38843355
PMCPMC11403292

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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.