“…With the multiple effects exerted by pevonedistat, it is not surprising that additive or synergistic antitumor effects are observed with mechanistically diverse antineoplastic agents including conventional cytotoxic drugs (Kee et al, 2012;Jazaeri et al, 2013;Nawrocki et al, 2013;Garcia et al, 2014;Li et al, 2014b;Ho et al, 2015;Czuczman et al, 2016;Xu et al, 2018b), radiotherapy (Wei et al, 2012;Wang et al, 2016;Xie et al, 2017;Vanderdys et al, 2018), differentiation therapy (Tan et al, 2011), and targeted therapies such as Bcl-2 inhibitors (Knorr et al, 2015), epigenetic modulators (Visconte et al, 2016;Zhou et al, 2016), monoclonal antibodies (Czuczman et al, 2016), immunomodulatory drugs (Liu et al, 2019;Zhou et al, 2019b), poly (ADPribose) polymerase inhibitors (Guo et al, 2017), BRAF inhibitors (Benamar et al, 2016), and other investigational therapies (Chen et al, 2015;Sumi et al, 2016;Cooper et al, 2017;Ishikawa et al, 2017). In certain malignancies, the cytotoxicity of pevonedistat is ameliorated by the induction of cytoprotective autophagy (Luo et al, 2012), an effect that can be overcome by combination with autophagy inhibitors leading to synergistic antitumor effects (Zhao et al, 2012;Chen et al, 2015).…”