OSCR

ONC206 demonstrates potent antitumorigenic activity and is a potential novel therapeutic strategy for high-risk medulloblastoma.

Overview

Authors: Theophilos Tzaridis1, Jingbo Liu2, Franklin Lee Chien2, Anshu Malhotra2, Dan Zhu2, Isabella Gershon3, Hongying Zhang2, Jose E Velazquez Vega4, Matthew Schniederjan4, Teresa Sposito5, Peter D Adams1, Joshua E Allen6, Varun V Prabhu6, Robert J Wechsler-Reya7, Tobey J MacDonald1,8
  1. Cancer Genome and Epigenetics Program, NCI-Designated Cancer Center, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, California, USA
  2. Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA
  3. Department of Pediatrics, Emory University,Atlanta, Georgia, USA
  4. Department of Pathology, Children’s Healthcare of Atlanta, Atlanta, Georgia, USA
  5. Division of Regenerative Medicine, Department of Medicine, Moores Cancer Center and Sanford Stem Cell Institute, UC San Diego, La Jolla, California, USA
  6. Chimerix (a Jazz Pharmaceuticals Company), Durham, North Carolina, USA
  7. Department of Neurology and Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, New York, USA
  8. Aflac Cancer and Blood Disorders Center, Children’s Healthcare of Atlanta, Atlanta, Georgia, USA
Journal: Neuro-oncology, volume 28, issue 7, pages 1753-1768
Dates: received 18 September 2025; accepted 2 March 2026; published online 12 March 2026; in print July 2026
Type: Research article · Language: English
License: CC BY-NC
Identifiers: DOI 10.1093/neuonc/noag053 · PMID 41818696 · PMCID PMC13338324 · OpenAlex W7135240996
Open access: hybrid, a free copy (OpenAlex)
Status: data only
Categories: human (organism), mouse (organism), other condition (population)
Methods: Statistics, Evoked potentials
Keywords: ClpP, medulloblastoma, mitochondrial damage, novel therapy, ONC206
MeSH: Antineoplastic Agents*, Cerebellar Neoplasms*, Medulloblastoma*, Thiophenes*, Animals, Apoptosis, Benzyl Compounds, Cell Line, Tumor, Cell Proliferation, Endopeptidase Clp, Female, Heterocyclic Compounds, 3-Ring, Humans, Mice, Tumor Cells, Cultured, Xenograft Model Antitumor Assays (* major topic)
Journal subjects: Pediatric Neuro-Oncology
Topic: Glioma Diagnosis and Treatment (Genetics, Medicine), according to OpenAlex
Funding: Cure Group 4 Consortium; Deutsche Forschungsgemeinschaft (DFG) (TZ 102/1-1, 454298163); ChadTough Defeat DIPG Foundation; National Institute for neurological disorders and stroke (R35 NS122339); National Institute on Aging (P01 AG073084); SBP’s Shared Resources; National Cancer Institute (P30 CA030199); Ian’s Friends Foundation; Alex’s Lemonade Stand Foundation; Lassiter Family Foundation; CURE Childhood Cancer; V Foundation for Cancer Research; William’s Superhero Fund; McDowell Charity Trust
Citations: cited by 4 papers (Europe PMC); 43 references in the paper
Notices: A comment on this paper has been published (42105226, from Europe PMC)

Abstract

Background: Medulloblastoma (MB) is the most common malignant pediatric brain tumor, and has an urgent need for novel treatment approaches. Dordaviprone (ONC201) and its chemical derivative with nanomolar potency, ONC206, induce apoptosis of cancer cells by activation of the mitochondrial caseinolytic protease P (ClpP). Dordaviprone is currently in phase I clinical trials for pediatric patients with primary brain tumors.

Methods: In this study, we evaluated the preclinical therapeutic effects of ONC206 in MB and investigated its mechanism of action.

Results: We found evidence for high expression of ClpP at both the RNA and protein level in MB tumors, compared to very low expression in normal brain tissue. In addition, we saw a pronounced reduction in cell viability of human group 3 and group 4 and murine Sonic-Hedgehog-activated (SHH)-driven and group 3 MB cells treated with ONC206 with low IC-50s. After treatment with ONC206, we observed an induction of integrated stress response and mitochondrial damage. To test the efficacy of ONC206 in vivo, we used murine models of SHH-driven and group 3 MB as well as group 3 and group 4 patient-derived xenografts (PDXs). Dordaviprone led to a significant prolongation of survival in both murine models, with the SHH mice demonstrating survival extension from 70 to 140 days. Patient-derived xenograft-bearing mice also responded to ONC206, which led to a significant survival benefit.

Conclusion: Our results highlight ONC206 as a novel therapeutic option for patients with high-risk MB and provide strong rationale for testing the efficacy of ONC206 in the treatment of these patients.

Reproduced under the paper's license (CC BY-NC), from the paper cited above.

Code

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Data

Datasets cited

Data Availability

All data that support the findings of the study are available from the corresponding author upon request.

Reproduced under the paper's license (CC BY-NC), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 27 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 15 authors, 5 keywords, 16 MeSH terms, 14 funders, 43 references, 1 integrity notice.

Cite

This paper

Tzaridis, T., Liu, J., Chien, F. L., Malhotra, A., Zhu, D., Gershon, I., Zhang, H., Velazquez Vega, J. E., Schniederjan, M., Sposito, T., Adams, P. D., Allen, J. E., Prabhu, V. V., Wechsler-Reya, R. J., & MacDonald, T. J. (2026). ONC206 demonstrates potent antitumorigenic activity and is a potential novel therapeutic strategy for high-risk medulloblastoma. Neuro-oncology, 28(7), 1753-1768. https://doi.org/10.1093/neuonc/noag053

BibTeX

@article{tzaridis2026onc206,
author = {Tzaridis, Theophilos and Liu, Jingbo and Chien, Franklin Lee and Malhotra, Anshu and Zhu, Dan and Gershon, Isabella and Zhang, Hongying and Velazquez Vega, Jose E and Schniederjan, Matthew and Sposito, Teresa and Adams, Peter D and Allen, Joshua E and Prabhu, Varun V and Wechsler-Reya, Robert J and MacDonald, Tobey J},
title = {{ONC206 demonstrates potent antitumorigenic activity and is a potential novel therapeutic strategy for high-risk medulloblastoma}},
journal = {Neuro-oncology},
year = {2026},
month = jul,
volume = {28},
number = {7},
pages = {1753--1768},
publisher = {Oxford University Press},
issn = {1522-8517},
doi = {10.1093/neuonc/noag053},
url = {https://doi.org/10.1093/neuonc/noag053},
pmid = {41818696},
pmcid = {PMC13338324}
}

RIS

TY - JOUR
AU - Tzaridis, Theophilos
AU - Liu, Jingbo
AU - Chien, Franklin Lee
AU - Malhotra, Anshu
AU - Zhu, Dan
AU - Gershon, Isabella
AU - Zhang, Hongying
AU - Velazquez Vega, Jose E
AU - Schniederjan, Matthew
AU - Sposito, Teresa
AU - Adams, Peter D
AU - Allen, Joshua E
AU - Prabhu, Varun V
AU - Wechsler-Reya, Robert J
AU - MacDonald, Tobey J
TI - ONC206 demonstrates potent antitumorigenic activity and is a potential novel therapeutic strategy for high-risk medulloblastoma
T2 - Neuro-oncology
J2 - Neuro Oncol
PY - 2026
DA - 2026/07/01
VL - 28
IS - 7
SP - 1753
EP - 1768
SN - 1522-8517
PB - Oxford University Press
DO - 10.1093/neuonc/noag053
UR - https://doi.org/10.1093/neuonc/noag053
LA - en
ER -

CSL-JSON

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