Bromodomain inhibitor OTX015 (MK-8628) combined with targeted agents shows strong in vivo antitumor activity in lymphoma
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作者:
Gaudio, Eugenio
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Inst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Gaudio, Eugenio
[1
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Tarantelli, Chiara
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Inst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Tarantelli, Chiara
[1
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Ponzoni, Maurilio
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Ist Sci San Raffaele, Milan, ItalyInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Ponzoni, Maurilio
[2
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Odore, Elodie
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Hop Rene Huguenin, Inst Curie, St Cloud, FranceInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Odore, Elodie
[3
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Rezai, Keyvan
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Hop Rene Huguenin, Inst Curie, St Cloud, FranceInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Rezai, Keyvan
[3
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Bernasconi, Elena
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Inst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Bernasconi, Elena
[1
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Cascione, Luciano
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Inst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Oncol Inst Southern Switzerland IOSI, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Cascione, Luciano
[1
,4
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Rinaldi, Andrea
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Inst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Rinaldi, Andrea
[1
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Stathis, Anastasios
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Oncol Inst Southern Switzerland IOSI, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Stathis, Anastasios
[4
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Riveiro, Eugenia
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Oncol Therapeut Dev, Clichy, FranceInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Riveiro, Eugenia
[5
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Cvitkovic, Esteban
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Oncol Therapeut Dev, Clichy, FranceInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Cvitkovic, Esteban
[5
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Zucca, Emanuele
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Oncol Inst Southern Switzerland IOSI, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Zucca, Emanuele
[4
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Bertoni, Francesco
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Inst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Oncol Inst Southern Switzerland IOSI, Bellinzona, SwitzerlandInst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
Bertoni, Francesco
[1
,4
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机构:
[1] Inst Oncol Res IOR, Lymphoma & Genom Res Program, Bellinzona, Switzerland
[2] Ist Sci San Raffaele, Milan, Italy
[3] Hop Rene Huguenin, Inst Curie, St Cloud, France
The bromodomain inhibitor OTX015 (MK-8628) has shown anti-lymphoma activity as a single agent in both the preclinical and clinical settings, as well as in vitro synergism with several anticancer agents. Here, we report in vivo data for OTX015 in combination with the histone deacetylase inhibitor vorinostat, the Bruton's tyrosine kinase inhibitor ibrutinib, the anti-CD20 monoclonal antibody rituximab, and the mTOR inhibitor everolimus in a diffuse large B cell lymphoma model. The antitumor effect of OTX015-containing combinations in SU-DHL-2 xenografts in mice was much stronger than the activity of the corresponding single agents with almost complete tumor eradication for all four combinations. Pharmacokinetic analyses showed similar OTX015 levels in plasma and tumor samples of approximately 1.5 mu M, which is equivalent to the concentration showing strong in vitro activity. For all four combinations, mean terminal levels of the bromodomain inhibitor differed from those in mice exposed to single agent OTX015, indicating a need for thorough pharmacokinetic investigations in phase I combination studies. In conclusion, our results provide a strong rationale to explore OTX015-containing combinations in the clinical lymphoma setting.