Evidence map›Paper›PMID 42442920›Full record

ArticleJournal for immunotherapy of cancer2026

BCL-2/BCL-xL inhibitor pelcitoclax with osimertinib for

Yuxiang Ma, Chunjiao Wu, Yan-Qiu Zhao, Jiuwei Cui, Yan Huang, Wenfeng Fang, Yunpeng Yang, Yuanyuan Zhao, Chen Yang, Wentao Pan and 7 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04001777 (A Phase Ib Study of Safety and Efficacy of APG-1252 in Combination With Osimertinib), which is not on this map. Not yet cited in PubMed.

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

NCT04001777 phase1active not recruitingnot on this map

A Phase Ib Study of Safety and Efficacy of APG-1252 in Combination With Osimertinib (AZD9291) in EGFR TKI Resistant NSCLC Patients

TypeinterventionalSponsorAscentage Pharma Group Inc.Ran2019 to 2026Enrolled80ConditionsEGFR Positive Non-small Cell Lung CancerArmsAPG-1252, Osimertinib Mesylate Tablets
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Yuxiang Ma *Department of Clinical Research, Sun Yat-sen University Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.
Chunjiao Wu *Department of Oncology, Jilin Cancer Hospital, Changchun, Jilin, China.
Yan-Qiu Zhao *Department of Medical Oncology, Henan Cancer Hospital Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Jiuwei CuiDepartment of Oncology, The First Hospital of Jilin University, Changchun, Jilin, China.ORCID http://orcid.org/0000-0001-6496-7550
Yan HuangDepartment of Medical Oncology, Sun Yat-sen University Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.ORCID http://orcid.org/0000-0002-1789-5088
Wenfeng FangDepartment of Medical Oncology, Sun Yat-sen University Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.
Yunpeng YangDepartment of Medical Oncology, Sun Yat-sen University Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.
Yuanyuan ZhaoDepartment of Medical Oncology, Sun Yat-sen University Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.ORCID http://orcid.org/0000-0002-7148-7608
Chen YangAscentage Pharma, Suzhou, Jiangsu, China.
Wentao PanAscentage Pharma, Suzhou, Jiangsu, China.
Dengkun XiongAscentage Pharma, Suzhou, Jiangsu, China.
Lichuang MenAscentage Pharma, Suzhou, Jiangsu, China.
Hengbang WangAscentage Pharma, Suzhou, Jiangsu, China.
Dajun YangAscentage Pharma, Suzhou, Jiangsu, China.
Yifan ZhaiAscentage Pharma, Suzhou, Jiangsu, China.
Li ZhangDepartment of Medical Oncology, Sun Yat-sen University Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China.
Hongyun ZhaoDepartment of Clinical Research, Sun Yat-sen University Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, China zhaohy@sysucc.org.cn.ORCID http://orcid.org/0000-0002-1251-3888

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOvercoming tyrosine kinase inhibitor (TKI) resistance improves survival in advanced epidermal growth factor receptor (

methodsEnrolled patients included Cohort 1 (previously progressed after third-generation TKI treatment+chemotherapy), Cohort 2 (previously progressed after first-generation or second-generation TKI treatment+chemotherapy), and Cohort 3 (TKI treatment-naive±prior chemotherapy). Patients received intravenous pelcitoclax (160 mg in dose-expansion and either 160 or 240 mg in dose-escalation) weekly and oral osimertinib 80 mg daily. Primary endpoints were safety and recommended phase 2 dose (dose-escalation), objective response rate (ORR) and safety (dose-expansion).

results64 patients were enrolled (13, dose-escalation; 51, dose-expansion): 29 patients in Cohort 1, 8 in Cohort 2, and 27 in Cohort 3. One dose-limiting toxicity occurred at pelcitoclax 240 mg, and the recommended phase 2 dose was 160 mg plus osimertinib 80 mg. The ORR was 10.7% and median progression-free survival (mPFS) 2.7 months in patients previously progressed after third-generation TKI treatment+chemotherapy (Cohort 1) and 80.8% and 16.4 months in TKI treatment-naïve patients±prior chemotherapy (Cohort 3). mPFS was longer in Cohort 1 patients with high expression of BCL-xL (4.2 vs 2.7 months, p=0.058).

conclusionsPelcitoclax combined with osimertinib showed promising safety and antitumor activity in TRIAL REGISTRATION NUMBER: NCT04001777.

Indexed as

AcrylamidesAniline CompoundsAntineoplastic Combined Chemotherapy Protocolsbcl-X ProteinCarcinoma, Non-Small-Cell LungLung NeoplasmsProto-Oncogene Proteins c-bcl-2AdultAgedAged, 80 and overErbB ReceptorsFemaleHumansIndolesMaleMiddle AgedAcrylamidesAniline Compoundsbcl-X ProteinEGFR protein, humanErbB ReceptorsIndolesosimertinibpelcitoclaxPiperidinesProto-Oncogene Proteins c-bcl-2PyrimidinesLung Cancer

Identifiers

PMID42442920
PMCPMC13365785

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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.