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Updated: Oct 27, 2025

Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Degradation of CCNK/CDK12 is a druggable vulnerability of colorectal cancer
Sebastian M Dieter1, Christine Siegl2, Paula L Codó3
1Department of Translational Medical Oncology, National Center for Tumor Diseases (NCT) Dresden and German Cancer Research Center (DKFZ), 01307 Dresden, Germany; Translational Functional Cancer Genomics, NCT and DKFZ Heidelberg, 69120 Heidelberg, Germany.
Abstract:
Novel treatment options for metastatic colorectal cancer (CRC) are urgently needed to improve patient outcome. Here, we screen a library of non-characterized small molecules against a heterogeneous collection of patient-derived CRC spheroids. By prioritizing compounds with inhibitory activity in a subset of-but not all-spheroid cultures, NCT02 is identified as a candidate with minimal risk of non-specific toxicity. Mechanistically, we show that NCT02 acts as molecular glue that induces ubiquitination of cyclin K (CCNK) and proteasomal degradation of CCNK and its complex partner CDK12. Knockout of CCNK or CDK12 decreases proliferation of CRC cells in vitro and tumor growth in vivo. Interestingly, sensitivity to pharmacological CCNK/CDK12 degradation is associated with TP53 deficiency and consensus molecular subtype 4 in vitro and in patient-derived xenografts. We thus demonstrate the efficacy of targeted CCNK/CDK12 degradation for a CRC subset, highlighting the potential of drug-induced proteolysis for difficult-to-treat types of cancer.
Insights
A new drug, NCT02, targets cyclin K (CCNK) and CDK12 degradation in a subset of metastatic colorectal cancer (CRC) patients, offering a novel therapeutic strategy for this difficult-to-treat cancer.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Metastatic colorectal cancer (CRC) requires novel treatments to improve patient outcomes.
- Existing therapies face challenges with resistance and toxicity.
Purpose of the Study:
- To identify novel small molecules for CRC treatment.
- To investigate the mechanism of action and efficacy of identified compounds.
Main Methods:
- Screening of small molecules against patient-derived CRC spheroids.
- Mechanistic studies involving ubiquitination, proteasomal degradation, and gene knockout.
- In vitro and in vivo efficacy assessments in CRC models.
Main Results:
- NCT02 identified as a promising candidate with specific activity against a subset of CRC spheroids.
- NCT02 induces ubiquitination and degradation of cyclin K (CCNK) and CDK12.
- CCNK/CDK12 depletion inhibits CRC cell proliferation and tumor growth.
- Sensitivity to NCT02 correlates with TP53 deficiency and consensus molecular subtype 4.
Conclusions:
- Targeted CCNK/CDK12 degradation is an effective strategy for a subset of metastatic CRC.
- Drug-induced proteolysis shows potential for treating difficult-to-treat cancers.
- NCT02 represents a promising therapeutic avenue for specific CRC patient populations.
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