Evidence map›Paper›PMID 40811853›Full record

ArticleBlood2025

Venetoclax plus gilteritinib is effective in preclinical models of FLT3-mutant BCL11B-a lineage-ambiguous leukemia.

Lindsey E Montefiori, Ilaria Iacobucci, Qingsong Gao, Jamila Moore, William C Wright, Huimei Wei, Pradyumna Baviskar, Surbhi Sona, Hongjian Jin, Amit Budhraja and 15 more

Abstract read
In one paragraph

Article in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Lindsey E MontefioriDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-2342-6349
Ilaria IacobucciDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-2008-1365
Qingsong GaoDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-9930-8499
Jamila MoorePreclinical Therapeutics Program, St. Jude Children's Research Hospital, Memphis, TN.
William C WrightDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-2274-9966
Huimei WeiDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.
Pradyumna BaviskarDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.
Surbhi SonaCenter for Applied Bioinformatics, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-6644-8970
Hongjian JinCenter for Applied Bioinformatics, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-3833-7170
Amit BudhrajaDepartment of Cell and Molecular Biology, St. Jude Children's Research Hospital, Memphis, TN.
Josi LottCenter of Excellence for Leukemia Studies, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0009-0004-2504-8657
Qi Zhang TatarataDepartment of Medicine, State University of New York Downstate Health Sciences University, Brooklyn, NY.
Zhongshan ChengCenter for Applied Bioinformatics, St. Jude Children's Research Hospital, Memphis, TN.
Tanya KhanDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.
Emily A Backhaus WagnerDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-1253-9148
Melissa JohnsonCenter for In Vivo Imaging and Therapeutics, St. Jude Children's Research Hospital, Memphis, TN.
Cyrus M MehrDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.
Burgess FreemanPreclinical Pharmacokinetic Shared Resource, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0003-2174-5119
Laura JankeComparative Pathology Core, St. Jude Children's Research Hospital, Memphis, TN.
Torsten HaferlachMunich Leukemia Laboratory, Munich, Germany.
Paul GeeleherDepartment of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN.
Paul E MeadDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.
Marina KonoplevaDepartment of Oncology, Albert Einstein College of Medicine, Bronx, NY.ORCID 0000-0002-9347-2212
Joseph T OpfermanDepartment of Cell and Molecular Biology, St. Jude Children's Research Hospital, Memphis, TN.
Charles G MullighanDepartment of Pathology, St. Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-1871-1850

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE J. BAKER · 1985 to 2026
$166.9M
Translating genomic discoveries to improved outcomes for high risk acute leukemiaR35CA197695 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Charles G Mullighan · 2017 to 2026
$11.4M
Role of BCL11B in lineage ambiguous leukemiaK99CA279756 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI MONTEFIORI, LINDSEY · 2023 to 2024
$272k
NCI NIH HHS K99 CA279756NCI NIH HHS P30 CA021765NCI NIH HHS R35 CA197695
6 · The paper itself

Abstract

abstractAberrant activation of BCL11B (BCL11B-a) defines a subtype of lineage-ambiguous leukemias with T-lymphoid and myeloid features, co-occurring activating FLT3 mutations, and a stem/progenitor immunophenotype and gene expression profile. Similar to other lineage-ambiguous leukemias, optimal treatment is unclear, and there are limited targeted therapeutic options. Here, we investigated the efficacy of B-cell lymphoma 2 (BCL-2) and FMS-like tyrosine kinase 3 (FLT3) inhibition with venetoclax and gilteritinib, respectively, in preclinical models of BCL11B-a leukemia. Despite variation in response to single-agent therapies, the combination of venetoclax plus gilteritinib (VenGilt) was highly effective in all models evaluated. BH3 profiling suggested that resistance to venetoclax monotherapy was due to the tumor-intrinsic dependence on additional BCL-2 family proteins before drug treatment. Longitudinal single-cell RNA sequencing analysis identified mitochondrial pathways and a pro-lymphoid gene expression signature as potential drivers of rare cell survival on VenGilt therapy. These data support clinical evaluation of venetoclax in combination with gilteritinib in BCL11B-a lineage-ambiguous leukemias.

Indexed as

Aniline CompoundsAntineoplastic Combined Chemotherapy ProtocolsBridged Bicyclo Compounds, Heterocyclicfms-Like Tyrosine Kinase 3LeukemiaMutationPyrazinesSulfonamidesAnimalsCell Line, TumorFemaleHumansMiceProto-Oncogene Proteins c-bcl-2Xenograft Model Antitumor AssaysAniline CompoundsBridged Bicyclo Compounds, HeterocyclicFLT3 protein, humanfms-Like Tyrosine Kinase 3gilteritinibProto-Oncogene Proteins c-bcl-2PyrazinesSulfonamidesvenetoclax

Identifiers

PMID40811853
PMCPMC12377505

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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.