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Updated: Apr 12, 2026

Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
A distinct p53 target gene set predicts for response to the selective p53-HDM2 inhibitor NVP-CGM097
Sébastien Jeay1, Swann Gaulis1, Stéphane Ferretti1
1Disease Area Oncology, Novartis Institutes for BioMedical Research, Basel, Switzerland.
Abstract:
Biomarkers for patient selection are essential for the successful and rapid development of emerging targeted anti-cancer therapeutics. In this study, we report the discovery of a novel patient selection strategy for the p53-HDM2 inhibitor NVP-CGM097, currently under evaluation in clinical trials. By intersecting high-throughput cell line sensitivity data with genomic data, we have identified a gene expression signature consisting of 13 up-regulated genes that predicts for sensitivity to NVP-CGM097 in both cell lines and in patient-derived tumor xenograft models. Interestingly, these 13 genes are known p53 downstream target genes, suggesting that the identified gene signature reflects the presence of at least a partially activated p53 pathway in NVP-CGM097-sensitive tumors. Together, our findings provide evidence for the use of this newly identified predictive gene signature to refine the selection of patients with wild-type p53 tumors and increase the likelihood of response to treatment with p53-HDM2 inhibitors, such as NVP-CGM097.
Insights
Researchers discovered a 13-gene signature that predicts sensitivity to p53-HDM2 inhibitors like NVP-CGM097. This biomarker can improve patient selection for targeted anti-cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Targeted anti-cancer therapies require effective biomarkers for patient selection.
- The p53 pathway is a critical target in cancer treatment.
- NVP-CGM097 is an investigational p53-HDM2 inhibitor undergoing clinical trials.
Purpose of the Study:
- To discover a novel patient selection strategy for the p53-HDM2 inhibitor NVP-CGM097.
- To identify a predictive gene expression signature for NVP-CGM097 sensitivity.
Main Methods:
- Intersecting high-throughput cell line sensitivity data with genomic data.
- Identifying a gene expression signature predictive of drug response.
- Validating the signature in cell lines and patient-derived tumor xenograft models.
Main Results:
- A 13-gene expression signature, comprising up-regulated genes, was identified.
- This signature accurately predicts sensitivity to NVP-CGM097.
- The identified genes are downstream targets of p53, indicating p53 pathway activation.
Conclusions:
- The 13-gene signature serves as a predictive biomarker for NVP-CGM097.
- This signature can refine patient selection for p53-HDM2 inhibitors.
- Utilizing this biomarker may enhance treatment response rates in patients with wild-type p53 tumors.
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