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DRUG CLASS:

Bcl-xL inhibitor

4d
A Study With ABBV-155 Alone and in Combination With Taxane Therapy in Adults With Relapsed and/or Refractory Solid Tumors (clinicaltrials.gov)
P1, N=168, Completed, AbbVie | Active, not recruiting --> Completed | Trial completion date: Jun 2025 --> Sep 2025 | Trial primary completion date: Jun 2025 --> Sep 2025
Trial completion • Trial completion date • Trial primary completion date • First-in-human
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EGFR (Epidermal growth factor receptor) • HER-2 (Human epidermal growth factor receptor 2) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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PD-L1 expression • HER-2 positive • EGFR mutation • HR positive • BRAF mutation • HER-2 negative • ALK mutation • ROS1 positive • HR positive + HER-2 negative
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paclitaxel • docetaxel • mirzotamab clezutoclax (ABBV-155)
6d
22P.205: Navitoclax in Relapsed or Refractory High-Risk Myelodysplastic Syndrome (clinicaltrials.gov)
P1, N=6, Active, not recruiting, Thomas Jefferson University | Phase classification: P1/2 --> P1
Phase classification
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BCL2 (B-cell CLL/lymphoma 2)
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Venclexta (venetoclax) • azacitidine • decitabine • navitoclax (ABT 263)
7d
A Macrophage-Derived 7-Gene Signature Predicts Prognosis and Therapeutic Response in Hepatocellular Carcinoma. (PubMed, IUBMB Life)
Conversely, the high-risk group exhibited distinct genomic features and was predicted to be more sensitive to specific targeted agents, including Navitoclax and Sorafenib. We identified and validated a novel 7-gene prognostic signature derived from a subpopulation of EGFR-TKI-resistant macrophages. This signature accurately predicts patient survival, offers insights into the molecular mechanisms of therapy resistance in HCC, and provides a promising tool for improved patient stratification and the development of personalized treatment strategies.
Journal • Gene Signature • IO biomarker
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FAM83D (Family With Sequence Similarity 83 Member D) • PPM1G (Protein Phosphatase, Mg2+/Mn2+ Dependent 1G) • SLC41A3 (Solute Carrier Family 41 Member 3)
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sorafenib • navitoclax (ABT 263)
11d
Proteasome inhibition as a potential therapeutic target in thymic cancer. (PubMed, Cell Death Dis)
Carfilzomib synergized with BCL2 family protein inhibitors (navitoclax or AZD5991), suggesting that drug combinations could be used to reduce the dose of each drug to minimize toxicity. Notably, thymic carcinomas differed from squamous cell carcinomas in other organs by higher levels of β5i (PSMB8) and constitutive proteasome β5 (PSMB5). We hypothesize that TC (and probably many TH) are uniquely suited for treatment with proteasome inhibitors alone or in combination with selective BH3 mimetics.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • PSMB8 (Proteasome 20S Subunit Beta 8) • PSMB10 (Proteasome 20S Subunit Beta 10)
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navitoclax (ABT 263) • carfilzomib • AZD5991
23d
Remodeling of the immune microenvironment is linked to adverse outcome in pediatric T cell acute lymphoblastic leukemia. (PubMed, Nat Commun)
Inhibiting Rap1 signaling results in increased sensitivity to the BCL2/BCL-XL inhibitor navitoclax. Our study provides insights into the immune microenvironment of pediatric hematologic malignancies, forming the basis for identifying potential (immuno) therapeutic targets and risk stratification for treatment.
Journal • Adverse events
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BCL2 (B-cell CLL/lymphoma 2) • CD8 (cluster of differentiation 8) • BCL2L1 (BCL2-like 1) • CD4 (CD4 Molecule) • CXCL16 (C-X-C Motif Chemokine Ligand 16)
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navitoclax (ABT 263)
27d
Dual tissue mRNA and serum protein signatures improve risk stratification in hepatocellular carcinoma. (PubMed, NPJ Precis Oncol)
High-risk HCC responded poorly to sorafenib and transarterial chemoembolization (TACE) but sensitively to agent ABT-263 in silico, in vitro, and in vivo experiments. Interpretability analysis revealed consistent biomarker contributions in both signatures. Conclusively, the dual signatures show promise for HCC risk stratification, pending external validation.
Journal
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SPINK1 (Serine peptidase inhibitor, kazal type 1) • AKR1B10 (Aldo-Keto Reductase Family 1 Member B10)
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sorafenib • navitoclax (ABT 263)
1m
FRET two-hybrid assay-based target drug screening in living cells. (PubMed, J Biotechnol)
The FRET-HBTDS method was performed on the FRETscope with a 20× objective for the cells co-expressing CFP-Bcl-xL and YFP-Bak to assess the action of eight compounds (A1331852, S63845, AC, DSF/Cu, Met, REGO, SOFA, ABT199) on the interaction between Bcl-xL and Bak. Our data firmly demonstrate that A1331852 unlocks the binding state of Bcl-xL and Bak, while DSF/Cu modifies the structure of the Bcl-xL-Bak complex. These findings demonstrate that FRET-HBTDS can be used to assess the efficacy of a drug by revealing the binding state and complex molecular structure of the target proteins using FRET technology in living cells, which may be a potential targeted drug screening method.
Journal
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BCL2L1 (BCL2-like 1)
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Venclexta (venetoclax) • S63845 • A-1331852
1m
First in human phase 1 study of DT2216, a selective BCL-xL degrader, in patients with relapsed/refractory solid malignancies. (PubMed, J Hematol Oncol)
Based on the rapid recovery of transient thrombocytopenia that occurred only in the first cycle and the degradation of BCL-XL in peripheral leukocytes, the RP2D of DT2216 is 0.4 mg/kg IV BIW. (NCT04886622).
P1 data • Journal • First-in-human
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BCL2L1 (BCL2-like 1)
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navitoclax (ABT 263) • DT2216
1m
Elimination of docetaxel-induced senescence attenuates malignant progression in RB1-deficient CRPC. (PubMed, Cell Oncol (Dordr))
DIS accelerates the malignant progression of shRB1 CRPC, mediated by tumorigenic SASP, especially IL-20 enrichment. Notably, we identifies a novel FOXA1-IL-20-IL20Rβ axis that drives M2-like macrophage polarization and contributes to tumor aggressiveness and docetaxel resistance. Importantly, senolytic agent ABT-263 not only selectively eliminated shRB1-DIS cells but also restricted expression of tumorigenic SASPs, thereby restoring sensitivity to docetaxel. Wherein, IL-20 is inhibited through its interaction with ABT-263. These results provide a novel mechanistic rationale for using senolytic therapies to mitigate SASP-driven malignancy and improve treatment response in RB1-deficient CRPC.
Journal
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RB1 (RB Transcriptional Corepressor 1) • CCL20 (C-C Motif Chemokine Ligand 20) • FOXA1 (Forkhead Box A1) • IL20RB (Interleukin 20 Receptor Subunit Beta) • MMP3 (Matrix metallopeptidase 3)
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RB1 mutation
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docetaxel • navitoclax (ABT 263)
1m
BCL-2 family dysregulation in HTLV-1 and BLV pathogenesis and its implications for leukemogenesis and therapy. (PubMed, Mol Biol Rep)
Small-molecule inhibitors such as ABT-737 and Navitoclax, kinase inhibitors targeting NF-κB (Nuclear Factor kappa-light-chain-enhancer of Activated B Cells) and JAK/STAT (Janus Kinase/Signal Transducer and Activator of Transcription) pathways, and natural compounds including fucoxanthin, peridinin, and thymoquinone have demonstrated the ability to overcome apoptosis resistance in preclinical models. Recent strategies combining MCL-1 inhibitors with antiretroviral therapy or immune checkpoint blockade further highlight the translational potential of targeting BCL-2 pathways. Collectively, the evidence positions the BCL-2 family as a critical determinant of deltaretroviral persistence and leukemogenesis, and as a promising therapeutic axis for the development of novel treatments for HTLV-1-Associated Myelopathy/Tropical Spastic Paraparesis (HAM/TSP) and BLV-associated leukosis.
Review • Journal
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BCL2 (B-cell CLL/lymphoma 2) • BCL2L1 (BCL2-like 1) • BCL2L11 (BCL2 Like 11) • BAX (BCL2-associated X protein) • BID (BH3 Interacting Domain Death Agonist)
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navitoclax (ABT 263) • ABT-737
1m
New P1 trial
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Avastin (bevacizumab) • 5-fluorouracil • irinotecan • leucovorin calcium • R-(-)-gossypol (AT 101)
2ms
Senolytic Elimination of Senescent Ovarian Clear Cell Carcinoma Cells Induced by CEP-1347 With the BH3 Mimetic Navitoclax. (PubMed, Anticancer Res)
CEP-1347 induced cellular senescence in OCCC cells with wild-type TP53. The combination of CEP-1347 with senolytics, such as navitoclax, represents a rational strategy to ensure the selective elimination of senescent OCCC cells and enhance therapeutic efficacy.
Journal
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MDM4 (The mouse double minute 4)
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TP53 mutation • TP53 wild-type
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navitoclax (ABT 263)