Table 2.

Effect of CYC202 (5 μg/mL), fludarabine (20 μM), or irradiation (5 Gy) on apoptosis in 26 B-CLL tumors




% apoptotic cells, mean (95% CI)
Genotype
No.
No drug
CYC202
Fludarabine
Irradiation
After 24 hours      
   All types   26   23.3 (18.7-27.9)   83.9 (78.6-89.2)   28.7* (24.3-33.1)   33.5* (27.6-39.3)  
   ATM/TP53 wt   15   22.5 (17.3-27.7)   82.5 (73.5-91.5)   29.3* (23.5-35.1)   36.3* (29.1-43.5)  
   ATM mut   7   19.0 (11.1-26.9)   84.2 (77.4-91.0)   22.9* (15.2-30.6)   21.7* (12.9-30.5)  
   TP53 mut   4   33.8 (9.9-57.7)   88.6 (77.6-99.6)   36.7 (18.5-54.9)   46.8 (27.2-66.4)  
After 48 hours      
   All types   26   25.8 (20.8-30.8)   87.5 (83.1-91.9)   64.2* (53.9-74.5)   47.0* (39.2-54.8)  
   ATM/TP53 wt   15   24.1 (18.2-30.0)   87.6 (80.9-94.3)   69.0 (54.8-83.2)   52.8* (42.7-63.0)  
   ATM mut   7   20.7 (12.2-29.2)   84.5 (75.4-93.6)   48.4 (28.2-68.6)   31.4* (17.7-45.2)  
   TP53 mut   4   41.3 (25.2-57.4)   92.3 (83.8-100)   73.6 (47.8-99.4)   54.3 (40.2-68.3)  
After 72 hours      
   All types   22   31.7 (25.3-38.1)   89.3 (84.0-94.6)   79.0 (67.1-90.8)   62.2* (51.1-73.3)  
   ATM/TP53 wt   12   28.8 (22.8-34.9)   92.8 (88.1-97.5)   89.1 (78.2-99.9)   73.4 (61.2-85.6)  
   ATM mut   6   22.4 (14.4-30.4)   79.7 (62.3-97.1)   53.9 (20.3-87.6)   39.0 (16.1-61.9)  
   TP53 mut
 
4
 
54.4 (38.5-70.4)
 
93.4 (85.8-100)
 
87.6 (74.5-100)
 
67.5 (64.9-70.0)
 



% apoptotic cells, mean (95% CI)
Genotype
No.
No drug
CYC202
Fludarabine
Irradiation
After 24 hours      
   All types   26   23.3 (18.7-27.9)   83.9 (78.6-89.2)   28.7* (24.3-33.1)   33.5* (27.6-39.3)  
   ATM/TP53 wt   15   22.5 (17.3-27.7)   82.5 (73.5-91.5)   29.3* (23.5-35.1)   36.3* (29.1-43.5)  
   ATM mut   7   19.0 (11.1-26.9)   84.2 (77.4-91.0)   22.9* (15.2-30.6)   21.7* (12.9-30.5)  
   TP53 mut   4   33.8 (9.9-57.7)   88.6 (77.6-99.6)   36.7 (18.5-54.9)   46.8 (27.2-66.4)  
After 48 hours      
   All types   26   25.8 (20.8-30.8)   87.5 (83.1-91.9)   64.2* (53.9-74.5)   47.0* (39.2-54.8)  
   ATM/TP53 wt   15   24.1 (18.2-30.0)   87.6 (80.9-94.3)   69.0 (54.8-83.2)   52.8* (42.7-63.0)  
   ATM mut   7   20.7 (12.2-29.2)   84.5 (75.4-93.6)   48.4 (28.2-68.6)   31.4* (17.7-45.2)  
   TP53 mut   4   41.3 (25.2-57.4)   92.3 (83.8-100)   73.6 (47.8-99.4)   54.3 (40.2-68.3)  
After 72 hours      
   All types   22   31.7 (25.3-38.1)   89.3 (84.0-94.6)   79.0 (67.1-90.8)   62.2* (51.1-73.3)  
   ATM/TP53 wt   12   28.8 (22.8-34.9)   92.8 (88.1-97.5)   89.1 (78.2-99.9)   73.4 (61.2-85.6)  
   ATM mut   6   22.4 (14.4-30.4)   79.7 (62.3-97.1)   53.9 (20.3-87.6)   39.0 (16.1-61.9)  
   TP53 mut
 
4
 
54.4 (38.5-70.4)
 
93.4 (85.8-100)
 
87.6 (74.5-100)
 
67.5 (64.9-70.0)
 

wt indicates wild type; mut, mutant.

Footnote symbols in “Fludarabine” and “Irradiation” indicate results of comparisons with CYC202 at each time point; no symbol indicates no significant difference.

*

P < .001

P < .01

P < .05

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