Why a protein-recycling system causes treatment resistance in small cell lung cancer

Understanding the molecular mechanism of a protein-recycling complex in small cell lung cancer treatment resistance.

['FUNDING_U01'] · UNIVERSITY HEALTH NETWORK · NIH-11135364

Researchers are looking at whether problems in a protein-recycling complex make small cell lung cancer resistant to platinum chemotherapy and PARP inhibitor drugs, to help people whose cancer returns after treatment.

Quick facts

Phase['FUNDING_U01']
Study typeNih_funding
SexAll
SponsorUNIVERSITY HEALTH NETWORK (nih funded)
Locations1 site (TORONTO, CANADA)
Trial IDNIH-11135364 on ClinicalTrials.gov

What this research studies

I have small cell lung cancer and the treatments that usually work sometimes stop working because the cancer becomes resistant. This project used a large-scale CRISPR genetic screen and laboratory experiments to find parts of a protein-recycling (SCF) complex that drive resistance to PARP inhibitors and platinum chemotherapy. The team validated their findings in cell models and compared them to genetic changes in patient relapse tumors, identifying loss of an F-box protein that may explain resistance in up to about 20% of relapsed cases. They aim to turn this knowledge into biomarkers and new approaches to overcome treatment resistance.

Who could benefit from this research

Good fit: Patients with small cell lung cancer—especially those whose cancer has relapsed after platinum-based chemotherapy or who are being considered for PARP inhibitor therapy—are the most likely candidates to participate or benefit.

Not a fit: People without small cell lung cancer or whose tumors do not show the specific protein-recycling defect identified here are unlikely to benefit directly from this research.

Why it matters

Potential benefit: If successful, this work could help predict which SCLC patients are unlikely to respond to PARP inhibitors or platinum drugs and point to new therapies that overcome resistance.

How similar studies have performed: PARP inhibitors are effective in BRCA-mutant cancers and CRISPR screens have revealed resistance mechanisms in other settings, but linking an F-box protein deficiency to PARP and cisplatin resistance in SCLC is a novel finding.

Where this research is happening

TORONTO, CANADA

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.