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ASH 2021 | Novel strategies to target P53-mutant hematological malignancies

Treating hematological malignancies with P53 mutations can be a challenge with a lack of efficacious treatments available. Matthew Davids, MD, Dana-Farber Cancer Institute, Boston, MA, provides an overview of strategies to target aberrant P53, including targeting other mechanisms in the tumor, as well as finding targets downstream of P53. Dr Davids additionally highlights using immunotherapy and potentially reactivating P53. This interview took place at the 63rd ASH Annual Meeting and Exposition congress in Atlanta, GA.

Transcript (edited for clarity)

So this year’s ASH Presidential Symposium focused on p53 and its role in hematologic malignancies. Two of the speakers in the session focused more on the basic science underlying p53 dysfunction in hematologic malignancies. And I was tasked with the job of describing therapy for hematologic malignancies with aberrant p53. This is a very challenging area because we know that patients with these mutations tend to have a shorter survival with almost every therapy that’s been given historically, particularly with chemotherapy-based approaches...

So this year’s ASH Presidential Symposium focused on p53 and its role in hematologic malignancies. Two of the speakers in the session focused more on the basic science underlying p53 dysfunction in hematologic malignancies. And I was tasked with the job of describing therapy for hematologic malignancies with aberrant p53. This is a very challenging area because we know that patients with these mutations tend to have a shorter survival with almost every therapy that’s been given historically, particularly with chemotherapy-based approaches.

So in my presentation, I highlighted five novel ways to target p53 hematologic malignancies. These included controlling the disease through other mechanisms, targeting downstream of p53, combinations of these approaches, immune-based therapies and then actually ways to directly target p53, for example, p53 reactivating drugs.

And so I think that there are a lot of promising new approaches on the horizon, but this does still remain a difficult problem for our patients. And I’m very happy that ASH focused on this in the Presidential Symposium to bring light to this important issue that really spans across hematologic malignancies.

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Disclosures

Matthew Davids, MD, has received consultancy fees from AbbVie, BeiGene, Adaptive Biotechnologies, Janssen, Takeda, Merck, Eli Lilly and Company, and Celgene; consultancy fees and research funding from Pharmacyclics, Astra-Zeneca, BMS, TG Therapeutics, Genentech, MEI Pharma, Novartis, Verastem, Ascentage Pharma, and Surface Oncology.