Evidence map›Paper›PMID 40169546›Full record

ArticleNature communications2025

Targeting CCNE1 amplified ovarian and endometrial cancers by combined inhibition of PKMYT1 and ATR.

Haineng Xu, Erin George, David Gallo, Sergey Medvedev, Xiaolei Wang, Arindam Datta, Rosie Kryczka, Marc L Hyer, Jimmy Fourtounis, Rino Stocco and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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.

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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Biomarker-Driven Treatments for Ovarian Cancer: Moving Beyond HRD?International journal of women's health · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Haineng Xu *Penn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-7195-4897
Erin George *Penn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
David Gallo *Repare Therapeutics, Inc., 7171 Frederick-Banting, Ville St-Laurent, QC, Canada.
Sergey MedvedevPenn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Xiaolei WangPenn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Arindam DattaDepartment of Cancer Biology, Penn Center for Genome Integrity, Basser Center for BRCA, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Rosie KryczkaRepare Therapeutics, Inc., 7171 Frederick-Banting, Ville St-Laurent, QC, Canada.
Marc L HyerRepare Therapeutics, Inc., 101 Main St, Cambridge, MA, USA.
Jimmy FourtounisRepare Therapeutics, Inc., 7171 Frederick-Banting, Ville St-Laurent, QC, Canada.
Rino StoccoRepare Therapeutics, Inc., 7171 Frederick-Banting, Ville St-Laurent, QC, Canada.
Elia Aguado-FraileRepare Therapeutics, Inc., 101 Main St, Cambridge, MA, USA.
Adam PetroneRepare Therapeutics, Inc., 101 Main St, Cambridge, MA, USA.
Shou Yun YinRepare Therapeutics, Inc., 7171 Frederick-Banting, Ville St-Laurent, QC, Canada.
Ariya ShiwramRepare Therapeutics, Inc., 7171 Frederick-Banting, Ville St-Laurent, QC, Canada.
Fang LiuPenn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Matthew AndersonPenn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Hyoung KimPenn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-9975-8545
Roger A GreenbergDepartment of Cancer Biology, Penn Center for Genome Integrity, Basser Center for BRCA, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-1326-8981
C Gary MarshallRepare Therapeutics, Inc., 101 Main St, Cambridge, MA, USA.
Fiona SimpkinsPenn Ovarian Cancer Research Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. fiona.simpkins@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-0840-2368

Funding

SPORE in Ovarian CancerP50CA228991 · NCI · JOHNS HOPKINS UNIVERSITY · PI Amanda Nickles Fader · 2018 to 2026
$20.5M
University of Pennsylvania Patient-derived Xenograft Development and Trials CenterU54CA283759 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Nicolas Skuli · 2023 to 2026
$5.1M
Roles of Chromatin Modification in BRCA1 Dependent DNA RepairR01CA174904 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Roger A Greenberg · 2013 to 2026
$4.8M
A novel more effective genotoxic therapy for ovarian cancerR37CA215436 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SIMPKINS, FIONA · 2018 to 2024
$2.6M
Overcoming treatment-resistant gynecological cancers by combination of DNA damage response inhibitorsR50CA283807 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Haineng Xu · 2024 to 2026
$336k
NCI NIH HHS P50 CA228991NCI NIH HHS R01 CA174904NCI NIH HHS R37 CA215436NCI NIH HHS R50 CA283807NCI NIH HHS U54 CA283759U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1 R50CA283807-01A1U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1U54CA283759-01U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 5-P50-CA-228991-04U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 5R37CA215436-06
6 · The paper itself

Abstract

Ovarian cancers (OVCAs) and endometrial cancers (EMCAs) with CCNE1-amplification are often resistant to standard treatment and represent an unmet clinical need. Synthetic-lethal screening identified loss of the CDK1 regulator, PKMYT1, as synthetically lethal with CCNE1-amplification. We hypothesize that CCNE1-amplification associated replication stress will be more effectively targeted by combining PKMYT1 inhibitor lunresertib (RP-6306), with ATR inhibitor camonsertib (RP-3500/RG6526). Low dose combination RP-6306 with RP-3500 synergistically increases cytotoxicity more so in CCNE1-amplified compared to non-amplified cells. Combination treatment produces durable antitumor activity, reduces metastasis and increases survival in CCNE1-amplified patient-derived OVCA and EMCA xenografts. Mechanistically, low doses of RP-6306 with RP-3500 increase CDK1 activation more so than monotherapy, triggering rapid and robust induction of premature mitosis, DNA damage, and apoptosis in a CCNE1-dependent manner. These findings suggest that targeting CDK1 activity by combining RP-6306 with RP-3500 is an effective therapeutic approach to treat CCNE1-amplifed OVCAs and EMCAs.

Indexed as

Ataxia Telangiectasia Mutated ProteinsCyclin EEndometrial NeoplasmsOncogene ProteinsOvarian NeoplasmsAnimalsAntineoplastic Combined Chemotherapy ProtocolsApoptosisCDC2 Protein KinaseCell Line, TumorDrug SynergismFemaleGene AmplificationHumansMembrane ProteinsMiceAtaxia Telangiectasia Mutated ProteinsATR protein, humanCCNE1 protein, humanCDC2 Protein KinaseCyclin EMembrane ProteinsOncogene ProteinsPKMYT1 protein, humanProtein Serine-Threonine KinasesProtein-Tyrosine Kinases

Identifiers

PMID40169546
PMCPMC11962063

What OpenQuestion holds

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Registered trials

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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.