OnCo
ideasIdea

Clear the zombie cells left behind by chemotherapy and radiotherapy

Treatment leaves behind damaged cells that stop dividing but do not die, and they release signals that help surviving cancer cells regrow. Removing them could reduce relapse.

Therapy-induced senescence produces a secretory phenotype that promotes proliferation, angiogenesis and immune suppression, and senescent tumour cells can re-enter the cell cycle. Senolytics such as navitoclax-class BCL-2 family inhibitors and dasatinib-quercetin combinations clear these cells in models, and a one-two sequence of pro-senescence therapy followed by a senolytic has shown benefit preclinically.

Hypothesis
A senolytic given after therapy-induced senescence reduces relapse rates in models and lowers markers of senescence and inflammation in patients after chemotherapy or radiotherapy.
Rationale
The sequence is mechanistically rational and both halves already exist clinically; senolytics are being tested in ageing and fibrosis, providing safety data.
What would test it
A window study measuring senescence markers in tumour and normal tissue before and after a short senolytic course following neoadjuvant chemotherapy, with residual disease as an exploratory endpoint.
Maturity
preclinical evidence
Who has to act
research
Cost to try
Medium ($1M to $50M)
Years to first evidence
5
Bottlenecks it attacks

Connected

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