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Updated: Jul 5, 2026

Examining BCL-2 Family Function with Large Unilamellar Vesicles
Published on: October 5, 2012
ABT-263: a potent and orally bioavailable Bcl-2 family inhibitor
Christin Tse1, Alexander R Shoemaker, Jessica Adickes
1Global Pharmaceutical Research and Development, Abbott Laboratories, Abbott Park, IL 60064-6101, USA.
Abstract:
Overexpression of the prosurvival Bcl-2 family members (Bcl-2, Bcl-xL, and Mcl-1) is commonly associated with tumor maintenance, progression, and chemoresistance. We previously reported the discovery of ABT-737, a potent, small-molecule Bcl-2 family protein inhibitor. A major limitation of ABT-737 is that it is not orally bioavailable, which would limit chronic single agent therapy and flexibility to dose in combination regimens. Here we report the biological properties of ABT-263, a potent, orally bioavailable Bad-like BH3 mimetic (K(i)'s of <1 nmol/L for Bcl-2, Bcl-xL, and Bcl-w). The oral bioavailability of ABT-263 in preclinical animal models is 20% to 50%, depending on formulation. ABT-263 disrupts Bcl-2/Bcl-xL interactions with pro-death proteins (e.g., Bim), leading to the initiation of apoptosis within 2 hours posttreatment. In human tumor cells, ABT-263 induces Bax translocation, cytochrome c release, and subsequent apoptosis. Oral administration of ABT-263 alone induces complete tumor regressions in xenograft models of small-cell lung cancer and acute lymphoblastic leukemia. In xenograft models of aggressive B-cell lymphoma and multiple myeloma where ABT-263 exhibits modest or no single agent activity, it significantly enhances the efficacy of clinically relevant therapeutic regimens. These data provide the rationale for clinical trials evaluating ABT-263 in small-cell lung cancer and B-cell malignancies. The oral efficacy of ABT-263 should provide dosing flexibility to maximize clinical utility both as a single agent and in combination regimens.
Insights
ABT-263 is an orally bioavailable drug that inhibits Bcl-2 family proteins, inducing apoptosis and tumor regression. It shows promise as a single agent and in combination therapies for various cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Overexpression of prosurvival Bcl-2 family proteins (Bcl-2, Bcl-xL, Mcl-1) drives tumor growth and chemoresistance.
- ABT-737, a Bcl-2 inhibitor, lacks oral bioavailability, limiting its therapeutic application.
- There is a need for orally bioavailable inhibitors targeting Bcl-2 family proteins.
Purpose of the Study:
- To report the biological properties of ABT-263, a novel, orally bioavailable Bcl-2 family inhibitor.
- To evaluate the efficacy of ABT-263 as a single agent and in combination therapy in preclinical cancer models.
Main Methods:
- ABT-263 was characterized as a Bad-like BH3 mimetic with high affinity for Bcl-2, Bcl-xL, and Bcl-w.
- Oral bioavailability of ABT-263 was assessed in preclinical models.
- The drug's mechanism of action, including disruption of Bcl-2 interactions and induction of apoptosis, was studied in human tumor cells.
- Efficacy was evaluated in xenograft models of small-cell lung cancer, acute lymphoblastic leukemia, B-cell lymphoma, and multiple myeloma.
Main Results:
- ABT-263 demonstrated oral bioavailability of 20-50% in preclinical models.
- The drug effectively disrupted Bcl-2/Bcl-xL interactions, leading to apoptosis initiation within 2 hours.
- Single-agent oral administration of ABT-263 induced complete tumor regressions in small-cell lung cancer and acute lymphoblastic leukemia models.
- ABT-263 significantly enhanced the efficacy of standard therapies in B-cell lymphoma and multiple myeloma models.
Conclusions:
- ABT-263 is a potent, orally bioavailable BH3 mimetic with significant anti-cancer activity.
- The drug's oral efficacy and ability to enhance combination regimens support its clinical development.
- ABT-263 warrants clinical trials for small-cell lung cancer and B-cell malignancies, offering dosing flexibility.
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