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4d
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)
4d
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)
9d
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
21d
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)
24d
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)
27d
Identification and validation of a diagnostic and prognostic model based on immune escape and cancer-associated fibroblast-related genes in lung adenocarcinoma. (PubMed, Medicine (Baltimore))
Kyoto Encyclopedia of Genes and Genomes analysis revealed pathways related to morphine addiction and protein digestion/absorption...Sensitivity to chemotherapeutics, such as AZD6482, ABT-263, A-770041, and BMS-536924, was observed in LUAD. Reverse transcription-quantitative polymerase chain reaction validation results demonstrated that KRT8 and S100A16 were significantly upregulated in tumor tissues, while COL4A3 and SMAD9 expression was downregulated, which was consistent with the TCGA-LUAD database analysis. In conclusion, 6 genes (KRT8, S100A16, COL4A3, SMAD9, MAP3K8, and CCDC146) were identified as potential biomarkers, offering valuable insights into LUAD pathogenesis and therapeutic strategies.
Journal
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CD8 (cluster of differentiation 8) • MAP3K8 (Mitogen-Activated Protein Kinase Kinase Kinase 8) • S100A16 (S100 Calcium Binding Protein A16) • SMAD9 (SMAD Family Member 9)
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navitoclax (ABT 263) • AZD6482 • BMS-536924
29d
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
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)
2ms
BH3 mimetic therapies for CBFA2T3::GLIS2 pediatric acute megakaryoblastic leukemia. (PubMed, Trends Mol Med)
In this Opinion, we highlight various investigative strategies, used in parallel by multiple independent research teams, that point to a specific dependence of CG2-expressing leukemias on the B cell leukemia/lymphoma-2 (BCL-2) family of antiapoptotic proteins. We propose that this intrinsic feature renders these leukemias particularly vulnerable to BCL-2 homology 3 (BH3) mimetics.
Review • Journal
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BCL2 (B-cell CLL/lymphoma 2) • CBFA2T3 (CBFA2/RUNX1 Partner Transcriptional Co-Repressor 3) • GLIS2 (GLIS Family Zinc Finger 2)
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navitoclax (ABT 263)
3ms
BOGO: A Proteome-Wide Gene Overexpression Platform for Discovering Rational Cancer Combination Therapies. (PubMed, bioRxiv)
In particular, we proposed a synergistic combination of the BCL2 family inhibitor ABT-263 (Navitoclax) and the DNA analog TAS-102 (Lonsurf), which revealed that lysosomal modulation is a key mechanism driving DNA analog resistance. Together, these findings establish BOGO as a powerful gene overexpression perturbation platform for systematically identifying chemoresistance and chemosensitization drivers, and for discovering rational combination therapies. Its scalability and reproducibility position BOGO as a broadly applicable tool for functional genomics and therapeutic discovery beyond cancer resistance.
Journal • IO biomarker
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POLD1 (DNA Polymerase Delta 1) • POLD2 (DNA Polymerase Delta 2)
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navitoclax (ABT 263) • Lonsurf (trifluridine/tipiracil)