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Profile Name | MDM2 amp TP53 wild-type |
Gene Variant Detail | |
Relevant Treatment Approaches |
Molecular Profile | Indication/Tumor Type | Response Type | Relevant Treatment Approaches | Therapy Name | Approval Status | Evidence Type | Efficacy Evidence | References |
---|---|---|---|---|---|---|---|---|
MDM2 amp TP53 wild-type | osteosarcoma | sensitive | KRT-232 | Preclinical | Actionable | In a preclinical study, KRT-232 (AMG 232) inhibited tumor growth in osteosarcoma cell line xenograft models with wild-type TP53 and MDM2 amplification (PMID: 25567130, PMID: 24967612). | 24967612 25567130 | |
MDM2 amp TP53 wild-type | osteosarcoma | sensitive | SAR405838 | Preclinical - Cell line xenograft | Actionable | In a preclinical study, SAR405838 inhibited growth of TP53 wild-type, MDM2 amplified osteosarcoma in culture and resulted in tumor regression in cell line xenograft models (PMID: 25145672). | 25145672 | |
MDM2 amp TP53 wild-type | osteosarcoma | sensitive | Doxorubicin + KRT-232 | Preclinical - Cell line xenograft | Actionable | In a preclinical study, the combination of KRT-232 (AMG 232) and Adriamycin (doxorubicin) inhibited tumor growth and induced tumor regression in an MDM2-amplifed TP53 wild-type osteosarcoma cell line xenograft model, with increased efficacy over either agent alone (PMID: 25567130). | 25567130 | |
MDM2 amp TP53 wild-type | liposarcoma | sensitive | SAR405838 | Preclinical - Cell line xenograft | Actionable | In a preclinical study, SAR405838 decreased viability and induced cell cycle arrest in MDM2-amplified dedifferentiated liposarcoma cell lines with wild-type TP53 in culture, and induced TP53 pathway activation and tumor regression in xenograft models (PMID: 26475335). | 26475335 | |
MDM2 amp TP53 wild-type | glioblastoma | sensitive | RG7112 | Preclinical - Cell line xenograft | Actionable | In a preclinical study, glioblastoma multiforme (GBM) cell lines with amplification of MDM2 and wild-type TP53 demonstrated sensitivity to RG7112 in culture, resulting in decreased viability and restoration of Tp53 signaling, and treatment with RG7112 resulted in growth inhibition in MDM2-amplified TP53 wild-type GBM cell line xenograft models (PMID: 26482041). | 26482041 | |
MDM2 amp TP53 wild-type | glioblastoma | predicted - sensitive | KRT-232 | Phase I | Actionable | In a Phase I trial, KRT-232 (AMG 232) demonstrated acceptable safety, and resulted in stable disease in 60% (6/10) of patients with TP53 wild-type, MDM2 amplified glioblastoma, with a median duration of 1.8 months (PMID: 31359240; NCT01723020). | 31359240 | |
MDM2 amp TP53 wild-type | Advanced Solid Tumor | predicted - sensitive | KRT-232 | Phase I | Actionable | In a Phase I trial, KRT-232 (AMG 232) demonstrated acceptable safety, and resulted in stable disease in 62.5% (10/16) of patients with TP53 wild-type, MDM2 amplified solid tumors other than liposarcoma, glioblastoma, and breast cancer, with a median duration of 3.3 months, and a patient with squamous cell carcinoma achieved unconfirmed partial response per central evaluation (PMID: 31359240; NCT01723020). | 31359240 | |
MDM2 amp TP53 wild-type | Advanced Solid Tumor | predicted - sensitive | ALRN-6924 | Phase I | Actionable | In a Phase I trial, treatment with ALRN-6924 resulted in a disease control rate of 71% (5/7) in advanced solid tumors patients with wild-type TP53 and MDM2 amplification (PMID: 34301750; NCT02264613). | 34301750 | |
MDM2 amp TP53 wild-type | dedifferentiated liposarcoma | predicted - sensitive | BI 907828 | Phase I | Actionable | In a Phase I trial, BI 907828 demonstrated activity in patients with TP53 wild-type, MDM2-amplified tumors, including a disease control rate (DCR) of 93% and progression-free survival greater than 10.5 months (PFS>10.5) in 5 of 11 dedifferentiated liposarcoma patients, a DCR of 88% and PFS>10.5 months in 4 of 8 well-differentiated liposarcoma patients (Ann Oncol (2022) 33 (suppl_7): S197-S224; NCT03449381). | detail... | |
MDM2 amp TP53 wild-type | well-differentiated liposarcoma | predicted - sensitive | BI 907828 | Phase I | Actionable | In a Phase I trial, BI 907828 demonstrated activity in patients with TP53 wild-type, MDM2-amplified tumors, including a disease control rate (DCR) of 93% and progression-free survival greater than 10.5 months (PFS>10.5) in 5 of 11 dedifferentiated liposarcoma patients, a DCR of 88% and PFS>10.5 months in 4 of 8 well-differentiated liposarcoma patients (Ann Oncol (2022) 33 (suppl_7): S197-S224; NCT03449381). | detail... |