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Seliciclib, a cell-cycle modulator that acts through the inhibition of cyclin-dependent kinases
Robert C Jackson1, Anna L Barnett, Steven J McClue
1Pharmacometrics Ltd, 51 North Road, Whittlesford, Cambridge CB22 4NZ, UK +44 1382 206062 ; +44 1382 206067 ; rjackson1943@aol.com.
Abstract:
Seliciclib is an inhibitor of cyclin-dependent kinases 2, 7 and 9. Its primary mechanism of action is the inhibition of transcription, resulting in the selective downregulation of rapidly cycling mRNA transcripts, including Mcl-1 and cyclin D1. It possesses antitumour activity as a single agent and also synergises with a wide range of cytotoxic and targeted drugs. Seliciclib has high oral bioavailability and is in clinical development in a capsule formulation. The clinical dose has been determined in Phase I clinical trials for schedules of 3 - 10 consecutive days per cycle of 2 or 3 weeks duration. Its major clinical toxicities include nausea, vomiting, asthenia, hypokalaemia, elevation of creatinine levels and liver function tests, which are reversible after cessation of dosing. Seliciclib is non-myelosuppressive and does not cause intestinal toxicity. Phase II trials have commenced in non-small cell lung cancer and will be initiated shortly in nasopharyngeal carcinoma.
Insights
Seliciclib, a CDK inhibitor, shows anti-tumor activity by blocking transcription and downregulating key cancer-related genes. It is orally available and well-tolerated, with ongoing Phase II trials for lung and nasopharyngeal cancers.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Seliciclib targets cyclin-dependent kinases 2, 7, and 9.
- It inhibits transcription, downregulating Mcl-1 and cyclin D1 mRNA.
- Possesses single-agent and synergistic anti-tumor activity.
Purpose of the Study:
- To summarize the mechanism of action, anti-tumor activity, and clinical development of Seliciclib.
- To outline its pharmacokinetic properties and determined clinical dosing.
- To report on its safety profile and ongoing clinical trials.
Main Methods:
- In vitro and in vivo studies evaluating anti-tumor effects.
- Pharmacokinetic and pharmacodynamic assessments.
- Phase I and II clinical trials to determine dosing, safety, and efficacy.
Main Results:
- Seliciclib inhibits transcription and selectively downregulates Mcl-1 and cyclin D1.
- Demonstrates anti-tumor activity alone and synergistically with other agents.
- Achieves high oral bioavailability; Phase I trials established dosing.
- Major toxicities (nausea, vomiting, hypokalemia, elevated creatinine/LFTs) are reversible.
- Non-myelosuppressive and non-intestinal toxic.
Conclusions:
- Seliciclib is an orally bioavailable CDK inhibitor with demonstrated anti-tumor activity.
- Its toxicity profile is manageable and reversible, supporting further clinical development.
- Ongoing Phase II trials in non-small cell lung cancer and nasopharyngeal carcinoma are evaluating its efficacy.
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