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  1. Article ; Online: Cellular and molecular mechanisms in fibrosis.

    Dees, Clara / Chakraborty, Debomita / Distler, Jörg H W

    Experimental dermatology

    2020  Volume 30, Issue 1, Page(s) 121–131

    Abstract: The activation of fibroblasts is required for physiological tissue remodelling such as wound healing. However, when the regulatory mechanisms are disrupted and fibroblasts remain persistently activated, the progressive deposition of extracellular matrix ... ...

    Abstract The activation of fibroblasts is required for physiological tissue remodelling such as wound healing. However, when the regulatory mechanisms are disrupted and fibroblasts remain persistently activated, the progressive deposition of extracellular matrix proteins leads to tissue fibrosis, which results in dysfunction or even loss of function of the affected organ. Although fibrosis has been recognized as a major cause of morbidity and mortality in modern societies, there are only few treatment options available that directly disrupt the release of extracellular matrix from fibroblasts. Intensive research in recent years, however, identified several pathways as core fibrotic mechanisms that are shared across different fibrotic diseases and organs. We discuss herein selection of those core pathways, especially downstream of the profibrotic TGF-β pathway, which are druggable and which may be transferable from bench to bedside.
    MeSH term(s) Animals ; DNA Methylation ; Ephrins/metabolism ; Fibroblast Growth Factor 9/metabolism ; Fibrosis/genetics ; Fibrosis/metabolism ; Fibrosis/pathology ; Guanylate Cyclase/metabolism ; Histone Code ; Humans ; Idiopathic Pulmonary Fibrosis/genetics ; Idiopathic Pulmonary Fibrosis/metabolism ; Idiopathic Pulmonary Fibrosis/pathology ; Janus Kinases/metabolism ; Myofibroblasts ; Receptors, Cytoplasmic and Nuclear/metabolism ; STAT Transcription Factors/metabolism ; Scleroderma, Systemic/genetics ; Scleroderma, Systemic/metabolism ; Scleroderma, Systemic/pathology ; Serotonin/metabolism ; Signal Transduction ; Skin/pathology ; Transforming Growth Factor beta/metabolism
    Chemical Substances Ephrins ; Fibroblast Growth Factor 9 ; Receptors, Cytoplasmic and Nuclear ; STAT Transcription Factors ; Transforming Growth Factor beta ; Serotonin (333DO1RDJY) ; Janus Kinases (EC 2.7.10.2) ; Guanylate Cyclase (EC 4.6.1.2)
    Language English
    Publishing date 2020-10-09
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 1130936-2
    ISSN 1600-0625 ; 0906-6705
    ISSN (online) 1600-0625
    ISSN 0906-6705
    DOI 10.1111/exd.14193
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Conference proceedings: Disturbed spatial activation of WNT/β-catenin signaling in Systemic Sclerosis

    Bergmann, Christina / Chenguiti Fakhouri, Sara / Konstantinidis, Laura / Zhu, Honglin / Rigaz, Aleix / Györfi, Andrea-Hermina / Eckstein, Markus / Geppert, Carol-Immanuel / Dees, Clara / Kreuter, Alexander / Sticherling, Michael / Schett, Georg / Distler, Jörg

    2023  , Page(s) VK.20

    Event/congress Deutscher Rheumatologiekongress 2023, 51. Kongress der Deutschen Gesellschaft für Rheumatologie (DGRh), 37. Jahrestagung der Deutschen Gesellschaft für Orthopädische Rheumatologie (DGORh), 33. Jahrestagung der Gesellschaft für Kinder- und Jugendrheumatologie (GKJR); Leipzig; ; Gesellschaft für Kinder- und Jugendrheumatologie; 2023
    Keywords Medizin, Gesundheit
    Publishing date 2023-08-30
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/23dgrh215
    Database German Medical Science

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  3. Article ; Online: Canonical Wnt signalling as a key regulator of fibrogenesis - implications for targeted therapies?

    Dees, Clara / Distler, Jörg H W

    Experimental dermatology

    2013  Volume 22, Issue 11, Page(s) 710–713

    Abstract: Canonical Wnt signalling belongs to the so-called morphogen pathways and plays essential roles in development and tissue homeostasis. Being such a crucial regulatory pathway, Wnt signalling is tightly controlled at different levels. However, uncontrolled ...

    Abstract Canonical Wnt signalling belongs to the so-called morphogen pathways and plays essential roles in development and tissue homeostasis. Being such a crucial regulatory pathway, Wnt signalling is tightly controlled at different levels. However, uncontrolled activation of canonical Wnt signalling has been implicated into the pathogenesis of various human disorders. In the last years, aberrant Wnt signalling has been demonstrated in fibrotic diseases including systemic sclerosis (SSc). In this review, we will discuss the current state of research on canonical Wnt signalling in SSc. Activation of canonical Wnt signalling induces fibroblast activation with subsequent myofibroblast differentiation and excessive collagen release resulting in tissue fibrosis. Genetic or pharmacological blockade of Wnt activation ameliorates experimental fibrosis in different preclinical models. These findings have direct translational implications because several small molecule inhibitors of Wnt signalling are currently evaluated in clinical trials and some already showed first promising results.
    MeSH term(s) Animals ; Apoptosis ; Clinical Trials as Topic ; Collagen/metabolism ; Cytokines/metabolism ; Fibroblasts/metabolism ; Fibrosis/metabolism ; Fibrosis/pathology ; Humans ; Mice ; Myofibroblasts/cytology ; Scleroderma, Systemic/metabolism ; Scleroderma, Systemic/pathology ; Skin/pathology ; Stem Cells/cytology ; Wnt Proteins/metabolism ; Wnt Signaling Pathway/physiology
    Chemical Substances Cytokines ; Wnt Proteins ; Collagen (9007-34-5)
    Language English
    Publishing date 2013-11
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 1130936-2
    ISSN 1600-0625 ; 0906-6705
    ISSN (online) 1600-0625
    ISSN 0906-6705
    DOI 10.1111/exd.12255
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Assessment of myocardial fibrosis in patients with systemic sclerosis using [

    Treutlein, Christoph / Distler, Jörg H W / Tascilar, Koray / Fakhouri, Sara Chenguiti / Györfi, Andrea-Hermina / Atzinger, Armin / Matei, Alexandru-Emil / Dees, Clara / Büttner-Herold, Maike / Kuwert, Torsten / Prante, Olaf / Bäuerle, Tobias / Uder, Michael / Schett, Georg / Schmidkonz, Christian / Bergmann, Christina

    European journal of nuclear medicine and molecular imaging

    2022  Volume 50, Issue 6, Page(s) 1629–1635

    Abstract: Purpose: Myocardial fibrosis (MF) is a factor of poor prognosis in systemic sclerosis (SSc). Direct in-vivo visualization of fibroblast activation as early readout of MF has not been feasible to date. Here, we characterize : Methods: In this proof-of- ...

    Abstract Purpose: Myocardial fibrosis (MF) is a factor of poor prognosis in systemic sclerosis (SSc). Direct in-vivo visualization of fibroblast activation as early readout of MF has not been feasible to date. Here, we characterize
    Methods: In this proof-of-concept trial, six SSc patients with and eight without MF of the EUSTAR cohort Erlangen underwent [
    Results: [
    Conclusions: We present first in-human evidence that [
    MeSH term(s) Humans ; Gallium Radioisotopes ; Positron Emission Tomography Computed Tomography ; Contrast Media ; Gadolinium ; Scleroderma, Systemic/complications ; Scleroderma, Systemic/diagnostic imaging ; Fibrosis
    Chemical Substances 68Ga-FAPI ; Gallium Radioisotopes ; Contrast Media ; Gadolinium (AU0V1LM3JT)
    Language English
    Publishing date 2022-12-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 8236-3
    ISSN 1619-7089 ; 0340-6997 ; 1619-7070
    ISSN (online) 1619-7089
    ISSN 0340-6997 ; 1619-7070
    DOI 10.1007/s00259-022-06081-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: From pathogenesis to therapy--Perspective on treatment strategies in fibrotic diseases.

    Ramming, Andreas / Dees, Clara / Distler, Jörg H W

    Pharmacological research

    2015  Volume 100, Page(s) 93–100

    Abstract: Although fibrosis is becoming increasingly recognized as a major cause of morbidity and mortality in modern societies, there are very few treatment strategies available that specifically target the pathogenesis of fibrosis. Early in disease, inflammation ...

    Abstract Although fibrosis is becoming increasingly recognized as a major cause of morbidity and mortality in modern societies, there are very few treatment strategies available that specifically target the pathogenesis of fibrosis. Early in disease, inflammation and vascular changes and an increase in reactive oxygen species play pivotal roles. After inflammation has subsided, fibrosis and scarring are predominant in later phases. Fibrosis is driven by a complex, not-yet fully understood interplay between inflammatory cells on one hand and endothelium and fibroblasts on the other hand. The latter are regarded as the key players due to their extensive synthesis of extracellular matrix components which results in skin and organ fibrosis. Various cytokines orchestrate altered functions of the mentioned cell types. There are promising targets with therapeutic potential that have been extensively characterized in recent years connected with the hope to translate these preclinical results into clinical practice.
    MeSH term(s) Animals ; Cytokines/metabolism ; Endothelium/drug effects ; Endothelium/metabolism ; Endothelium/pathology ; Extracellular Matrix/drug effects ; Extracellular Matrix/metabolism ; Fibroblasts/drug effects ; Fibroblasts/metabolism ; Fibroblasts/pathology ; Fibrosis/drug therapy ; Fibrosis/metabolism ; Fibrosis/pathology ; Humans ; Inflammation/drug therapy ; Inflammation/metabolism ; Inflammation/pathology ; Skin/drug effects ; Skin/metabolism ; Skin/pathology
    Chemical Substances Cytokines
    Language English
    Publishing date 2015-10
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1003347-6
    ISSN 1096-1186 ; 0031-6989 ; 1043-6618
    ISSN (online) 1096-1186
    ISSN 0031-6989 ; 1043-6618
    DOI 10.1016/j.phrs.2015.06.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Morphogen pathways as molecular targets for the treatment of fibrosis in systemic sclerosis.

    Beyer, Christian / Dees, Clara / Distler, Jörg H W

    Archives of dermatological research

    2013  Volume 305, Issue 1, Page(s) 1–8

    Abstract: Wnt-, Hedgehog- and Notch-signaling cascades are morphogen pathways that play crucial roles in development and tissue homeostasis. While morphogen pathways are tightly regulated at multiple levels, inappropriate activation of Wnt, Hedgehog and Notch ... ...

    Abstract Wnt-, Hedgehog- and Notch-signaling cascades are morphogen pathways that play crucial roles in development and tissue homeostasis. While morphogen pathways are tightly regulated at multiple levels, inappropriate activation of Wnt, Hedgehog and Notch signaling has been implicated into the pathogenesis of various diseases. In particular, Wnt, Hedgehog and Notch signaling have emerged as central players in the pathogenesis of fibrotic diseases. Here, we will review the pro-fibrotic effects of Wnt, Hedgehog and Notch signaling in systemic sclerosis (SSc), prototypical systemic fibrotic disease. Wnt, Hedgehog and Notch pathways are activated in SSc. They potently stimulate fibroblasts to differentiate into myofibroblasts and to release collagen and other extracellular matrix components. Genetic or pharmacological inhibition of morphogen pathways effectively prevents experimental fibrosis in different preclinical models and induces regression of pre-established fibrosis. As several inhibitors of Wnt, Hedgehog and Notch have recently been developed with first ones being already approved for clinical trials, morphogen pathways maybe a novel approach for the treatment of fibrosis.
    MeSH term(s) Animals ; Drug Design ; Fibroblasts/drug effects ; Fibroblasts/metabolism ; Fibroblasts/pathology ; Fibrosis ; Hedgehog Proteins/antagonists & inhibitors ; Hedgehog Proteins/metabolism ; Humans ; Molecular Targeted Therapy ; Myofibroblasts/drug effects ; Myofibroblasts/metabolism ; Myofibroblasts/pathology ; Receptors, Notch/antagonists & inhibitors ; Receptors, Notch/metabolism ; Scleroderma, Systemic/diagnosis ; Scleroderma, Systemic/drug therapy ; Scleroderma, Systemic/metabolism ; Scleroderma, Systemic/pathology ; Signal Transduction/drug effects ; Wnt Signaling Pathway/drug effects
    Chemical Substances Hedgehog Proteins ; Receptors, Notch
    Language English
    Publishing date 2013-01
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 130131-7
    ISSN 1432-069X ; 0340-3696
    ISSN (online) 1432-069X
    ISSN 0340-3696
    DOI 10.1007/s00403-012-1304-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Engrailed 1 coordinates cytoskeletal reorganization to induce myofibroblast differentiation.

    Györfi, Andrea-Hermina / Matei, Alexandru-Emil / Fuchs, Maximilian / Liang, Chunguang / Rigau, Aleix Rius / Hong, Xuezhi / Zhu, Honglin / Luber, Markus / Bergmann, Christina / Dees, Clara / Ludolph, Ingo / Horch, Raymund E / Distler, Oliver / Wang, Jiucun / Bengsch, Bertram / Schett, Georg / Kunz, Meik / Distler, Jörg H W

    The Journal of experimental medicine

    2021  Volume 218, Issue 9

    Abstract: Transforming growth factor-β (TGFβ) is a key mediator of fibroblast activation in fibrotic diseases, including systemic sclerosis. Here we show that Engrailed 1 (EN1) is reexpressed in multiple fibroblast subpopulations in the skin of SSc patients. We ... ...

    Abstract Transforming growth factor-β (TGFβ) is a key mediator of fibroblast activation in fibrotic diseases, including systemic sclerosis. Here we show that Engrailed 1 (EN1) is reexpressed in multiple fibroblast subpopulations in the skin of SSc patients. We characterize EN1 as a molecular amplifier of TGFβ signaling in myofibroblast differentiation: TGFβ induces EN1 expression in a SMAD3-dependent manner, and in turn, EN1 mediates the profibrotic effects of TGFβ. RNA sequencing demonstrates that EN1 induces a profibrotic gene expression profile functionally related to cytoskeleton organization and ROCK activation. EN1 regulates gene expression by modulating the activity of SP1 and other SP transcription factors, as confirmed by ChIP-seq experiments for EN1 and SP1. Functional experiments confirm the coordinating role of EN1 on ROCK activity and the reorganization of cytoskeleton during myofibroblast differentiation, in both standard fibroblast culture systems and in vitro skin models. Consistently, mice with fibroblast-specific knockout of En1 demonstrate impaired fibroblast-to-myofibroblast transition and are partially protected from experimental skin fibrosis.
    MeSH term(s) Adult ; Aged ; Animals ; Case-Control Studies ; Cell Differentiation/physiology ; Cytoskeleton/genetics ; Cytoskeleton/metabolism ; Female ; Gene Expression Regulation ; Homeodomain Proteins/genetics ; Homeodomain Proteins/metabolism ; Humans ; Male ; Mice, Knockout ; Middle Aged ; Myofibroblasts/cytology ; Myofibroblasts/pathology ; Myofibroblasts/physiology ; Scleroderma, Systemic/pathology ; Skin/pathology ; Transforming Growth Factor beta/metabolism ; Young Adult ; rho-Associated Kinases/metabolism ; Mice
    Chemical Substances EN1 protein, human ; En1 protein, mouse ; Homeodomain Proteins ; Transforming Growth Factor beta ; rho-Associated Kinases (EC 2.7.11.1)
    Language English
    Publishing date 2021-07-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 218343-2
    ISSN 1540-9538 ; 0022-1007
    ISSN (online) 1540-9538
    ISSN 0022-1007
    DOI 10.1084/jem.20201916
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: TGF-β-induced epigenetic deregulation of SOCS3 facilitates STAT3 signaling to promote fibrosis.

    Dees, Clara / Pötter, Sebastian / Zhang, Yun / Bergmann, Christina / Zhou, Xiang / Luber, Markus / Wohlfahrt, Thomas / Karouzakis, Emmanuel / Ramming, Andreas / Gelse, Kolja / Yoshimura, Akihiko / Jaenisch, Rudolf / Distler, Oliver / Schett, Georg / Distler, Jörg Hw

    The Journal of clinical investigation

    2020  Volume 130, Issue 5, Page(s) 2347–2363

    Abstract: Fibroblasts are key effector cells in tissue remodeling. They remain persistently activated in fibrotic diseases, resulting in progressive deposition of extracellular matrix. Although fibroblast activation may be initiated by external factors, prolonged ... ...

    Abstract Fibroblasts are key effector cells in tissue remodeling. They remain persistently activated in fibrotic diseases, resulting in progressive deposition of extracellular matrix. Although fibroblast activation may be initiated by external factors, prolonged activation can induce an "autonomous," self-maintaining profibrotic phenotype in fibroblasts. Accumulating evidence suggests that epigenetic alterations play a central role in establishing this persistently activated pathologic phenotype of fibroblasts. We demonstrated that in fibrotic skin of patients with systemic sclerosis (SSc), a prototypical idiopathic fibrotic disease, TGF-β induced the expression of DNA methyltransferase 3A (DNMT3A) and DNMT1 in fibroblasts in a SMAD-dependent manner to silence the expression of suppressor of cytokine signaling 3 (SOCS3) by promoter hypermethylation. Downregulation of SOCS3 facilitated activation of STAT3 to promote fibroblast-to-myofibroblast transition, collagen release, and fibrosis in vitro and in vivo. Reestablishment of the epigenetic control of STAT3 signaling by genetic or pharmacological inactivation of DNMT3A reversed the activated phenotype of SSc fibroblasts in tissue culture, inhibited TGF-β-dependent fibroblast activation, and ameliorated experimental fibrosis in murine models. These findings identify a pathway of epigenetic imprinting of fibroblasts in fibrotic disease with translational implications for the development of targeted therapies in fibrotic diseases.
    MeSH term(s) Animals ; DNA (Cytosine-5-)-Methyltransferase 1/biosynthesis ; DNA (Cytosine-5-)-Methyltransferases/biosynthesis ; Epigenesis, Genetic ; Female ; Fibrosis ; Gene Expression Regulation, Enzymologic ; Humans ; Male ; Mice ; Myofibroblasts/metabolism ; Myofibroblasts/pathology ; STAT3 Transcription Factor/metabolism ; Scleroderma, Systemic/metabolism ; Scleroderma, Systemic/pathology ; Signal Transduction ; Suppressor of Cytokine Signaling 3 Protein/metabolism ; Transforming Growth Factor beta/metabolism
    Chemical Substances SOCS3 protein, human ; STAT3 Transcription Factor ; STAT3 protein, human ; Suppressor of Cytokine Signaling 3 Protein ; Transforming Growth Factor beta ; DNA (Cytosine-5-)-Methyltransferase 1 (EC 2.1.1.37) ; DNA (Cytosine-5-)-Methyltransferases (EC 2.1.1.37) ; DNA methyltransferase 3A (EC 2.1.1.37) ; DNMT1 protein, human (EC 2.1.1.37)
    Language English
    Publishing date 2020-04-13
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3067-3
    ISSN 1558-8238 ; 0021-9738
    ISSN (online) 1558-8238
    ISSN 0021-9738
    DOI 10.1172/JCI122462
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  9. Article ; Online: Gedatolisib in combination with palbociclib and endocrine therapy in women with hormone receptor-positive, HER2-negative advanced breast cancer: results from the dose expansion groups of an open-label, phase 1b study.

    Layman, Rachel M / Han, Hyo S / Rugo, Hope S / Stringer-Reasor, Erica M / Specht, Jennifer M / Dees, E Claire / Kabos, Peter / Suzuki, Samuel / Mutka, Sarah C / Sullivan, Brian F / Gorbatchevsky, Igor / Wesolowski, Robert

    The Lancet. Oncology

    2024  Volume 25, Issue 4, Page(s) 474–487

    Abstract: Background: The PI3K-mTOR pathway is frequently dysregulated in breast cancer. Combining an inhibitor targeting all class I PI3K isoforms and mTOR complex 1 (mTORC1)-mTOR complex 2 (mTORC2) with endocrine therapy and a CDK4/6 inhibitor might provide ... ...

    Abstract Background: The PI3K-mTOR pathway is frequently dysregulated in breast cancer. Combining an inhibitor targeting all class I PI3K isoforms and mTOR complex 1 (mTORC1)-mTOR complex 2 (mTORC2) with endocrine therapy and a CDK4/6 inhibitor might provide more effective tumour control than standard-of-care therapy. To evaluate this hypothesis, gedatolisib, a pan-PI3K-mTOR inhibitor, was assessed in a phase 1b trial combined with palbociclib and endocrine therapy in patients with hormone receptor-positive, HER2-negative, advanced breast cancer. Results from the dose expansion portion of this trial are reported herein.
    Methods: This multicentre, open-label, phase 1b study recruited female patients aged at least 18 years from 17 sites across the USA with hormone-receptor-positive, HER2-negative, advanced breast cancer and an Eastern Cooperative Oncology Group performance status of 0-1. Four patient groups were studied in the dose expansion portion of the study: treatment-naive in the advanced setting (first line; group A), progression on 1-2 lines of endocrine therapy but CDK4/6 inhibitor-naive (group B); and one or more previous lines (second-line and higher) of therapy, including a CDK4/6 inhibitor (groups C and D). Gedatolisib 180 mg was administered intravenously weekly in 28-day treatment cycles for groups A-C, and on days 1, 8, and 15 for group D. Letrozole (group A), fulvestrant (groups B-D), and palbociclib (all groups) were administered at standard doses and schedules. The primary endpoint was investigator-assessed objective response rate per RECIST version 1.1 in the evaluable analysis set. This trial is completed and registered with ClinicalTrials.gov, NCT02684032.
    Findings: Between Dec 19, 2017, and June 19, 2019, 103 female participants were enrolled in the dose expansion groups A (n=31), B (n=13), C (n=32), and D (n=27). Median follow-up was 16·6 months (IQR 5·7-48·4) for group A, 11·0 months (7·6-16·9) for group B, 3·6 months (1·8-7·5) for group C, and 9·4 months (5·3-16·7) for group D for the primary endpoint. Gedatolisib, palbociclib, and endocrine therapy induced an objective response in 23 (85·2%; 90% CI 69·2-94·8) of 27 evaluable first-line participants (group A). In the second-line and higher setting, an objective response was observed in eight (61·5%; 90% CI 35·5-83·4) of 13 evaluable group B participants, seven (25·0%; 12·4-41·9) of 28 evaluable group C participants, and 15 (55·6%; 38·2-72·0) of 27 evaluable group D participants; this included participants with both wild-type and mutated PIK3CA tumours. The most common grade 3-4 treatment-related adverse events were neutropenia (65 [63%] of 103), stomatitis (28 [27%]), and rash (21 [20%]). Grade 3-4 hyperglycaemia was reported in six (6%) participants. 23 (22%) of 103 participants had a treatment-related serious adverse event, and there were no treatment-related deaths. Nine (9%) participants discontinued treatment because of a treatment-emergent adverse event.
    Interpretation: Gedatolisib plus palbociclib and endocrine therapy showed a promising objective response rate compared with the published results for standard-of-care therapies and had an acceptable safety profile.
    Funding: Pfizer and Celcuity.
    MeSH term(s) Female ; Humans ; Adolescent ; Adult ; Breast Neoplasms/drug therapy ; Breast Neoplasms/genetics ; Breast Neoplasms/metabolism ; Receptor, ErbB-2/metabolism ; Disease-Free Survival ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; TOR Serine-Threonine Kinases ; Morpholines ; Piperazines ; Pyridines ; Triazines
    Chemical Substances palbociclib (G9ZF61LE7G) ; gedatolisib (96265TNH2R) ; Receptor, ErbB-2 (EC 2.7.10.1) ; TOR Serine-Threonine Kinases (EC 2.7.11.1) ; Morpholines ; Piperazines ; Pyridines ; Triazines
    Language English
    Publishing date 2024-03-26
    Publishing country England
    Document type Multicenter Study ; Clinical Trial, Phase I ; Journal Article
    ZDB-ID 2049730-1
    ISSN 1474-5488 ; 1470-2045
    ISSN (online) 1474-5488
    ISSN 1470-2045
    DOI 10.1016/S1470-2045(24)00034-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online ; Thesis: Evaluation neuer molekularer Ansätze für die Behandlung der Systemischen Sklerose

    Dees, Clara [Verfasser] / Brandstätter, Johann-Helmut [Akademischer Betreuer]

    2012  

    Author's details Clara Dees. Betreuer: Johann-Helmut Brandstätter
    Keywords Biowissenschaften, Biologie ; Life Science, Biology
    Subject code sg570
    Language English
    Publisher Universitätsbibliothek der Universität Erlangen-Nürnberg
    Publishing place Erlangen
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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