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clinical / clinicalBCL-2 biology venetoclax CLL, MRD-guided therapy, venetoclax development

Matthew S. Davids

马修·戴维斯

MD, MMSc

🏢Dana-Farber Cancer Institute / Harvard Medical School(丹娜-法伯癌症研究所 / 哈佛医学院)🌐USA

Associate Professor of Medicine, Harvard Medical School; Director, Clinical Research, CLL Center, Dana-Farber Cancer Institute哈佛医学院医学副教授;丹娜-法伯癌症研究所CLL中心临床研究主任

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Key Contributions

👥Biography 个人简介

Matthew S. Davids, MD, MMSc is Associate Professor of Medicine at Harvard Medical School and Director of Clinical Research at the CLL Center at Dana-Farber Cancer Institute, where he has established himself as one of the foremost experts in BCL-2 biology and venetoclax-based therapy in CLL. Dr. Davids was a co-investigator in the pivotal early clinical development of venetoclax in CLL, contributing to the M14-032 study and conducting foundational early-phase studies at Dana-Farber characterizing venetoclax activity, pharmacokinetics, tumor lysis syndrome risk, dose escalation strategies, and response kinetics in CLL. His laboratory research, conducted in collaboration with Anthony Letai, has produced seminal contributions to understanding BCL-2 dependency in CLL using the BH3 profiling functional assay, which measures mitochondrial apoptotic priming and quantifies the relative dependence of CLL cells on specific anti-apoptotic proteins (BCL-2, MCL-1, BCL-XL). This work has provided mechanistic rationale for venetoclax sensitivity prediction and for rational combination approaches. Dr. Davids has been a principal investigator in multiple phase II and III trials of venetoclax-based combinations, including doublets with BTK inhibitors and triplets incorporating anti-CD20 antibodies, and has been a leader in developing MRD-guided treatment stopping and rechallenge strategies that enable time-limited personalized therapy. He has authored over 200 publications and is a leading educator and thought leader in CLL worldwide.

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🧪Research Fields 研究领域

BCL-2 Protein Biology and Anti-Apoptotic Dependency in CLLBCL-2蛋白生物学与CLL中的抗凋亡依赖性
Venetoclax Clinical Development in CLL — Phase I/II Dose Escalation and Activity维奈托克在CLL中的临床开发——I/II期剂量递增与活性
MRD-Guided Venetoclax Therapy — Treatment Stopping and Rechallenge Strategies基于MRD的维奈托克治疗——停药与再挑战策略
Venetoclax Combinations — Doublets and Triplets with BTK Inhibitors and Anti-CD20维奈托克联合方案——与BTK抑制剂及抗CD20的双联与三联
BH3 Profiling — Functional Assay of Apoptotic Priming in CLLBH3分析——CLL凋亡启动的功能性检测

🎓Key Contributions 主要贡献

BCL-2 Biology and BH3 Profiling in CLL — Mechanistic Basis for Venetoclax

In collaboration with Anthony Letai, applied BH3 profiling — a functional mitochondrial assay measuring apoptotic priming and BCL-2 family dependency — to CLL, demonstrating that CLL cells are highly BCL-2-dependent and exquisitely primed for apoptosis, mechanistically explaining venetoclax's dramatic single-agent activity. These studies defined BCL-2 functional dependency as a biomarker of venetoclax sensitivity and characterized the shift toward MCL-1 dependency at venetoclax resistance, informing combination strategies targeting multiple BCL-2 family members.

Venetoclax Early Clinical Development — Phase I/II in CLL

Contributed as a key investigator to the early clinical development of venetoclax in CLL at Dana-Farber, conducting and reporting phase I/II studies characterizing its dose-dependent activity, the 24-hour tumor lysis syndrome risk necessitating the 5-week ramp-up schedule, pharmacokinetics and pharmacodynamics, response kinetics (lymphocytosis resolution, lymph node reduction), and MRD negativity rates in relapsed/refractory CLL across genomic risk subgroups including del(17p).

MRD-Guided Venetoclax Stopping and Rechallenge Strategies

Led clinical investigations of MRD-adaptive venetoclax-based therapy in CLL, examining whether serial peripheral blood and bone marrow MRD assessment can guide individualized treatment duration, define optimal stopping points based on uMRD achievement, and predict risk of MRD relapse. Conducted and reported early rechallenge studies demonstrating that CLL patients who relapsed after stopping venetoclax could respond to venetoclax re-treatment, supporting the clinical feasibility of sequential fixed-duration venetoclax cycles.

Venetoclax Combinations — Triplets with BTK Inhibitors and Anti-CD20

Led and participated in multiple trials evaluating venetoclax-based doublet (venetoclax-ibrutinib, venetoclax-acalabrutinib) and triplet (venetoclax-ibrutinib-obinutuzumab) combinations in CLL, assessing whether additive or synergistic BCL-2 plus BTK inhibition with anti-CD20 can deepen uMRD rates, enable shorter fixed treatment duration, and overcome resistance to individual agents, contributing to the evolution of chemotherapy-free, time-limited CLL therapy.

Representative Works 代表性著作

[1]

Phase I First-in-Human Study of Venetoclax in Patients with Relapsed or Refractory Non-Hodgkin Lymphoma

Journal of Clinical Oncology (2017)

Early-phase study characterizing venetoclax activity and the 5-week ramp-up dose escalation schedule in B-cell malignancies including CLL.

[2]

Minimal Residual Disease Assessment in Chronic Lymphocytic Leukemia: Ready for Use in Clinical Routine?

Hematology/Oncology Clinics of North America (2021)

Comprehensive review of MRD methodology, clinical significance, and current and future applications in CLL treatment monitoring and decision-making.

[3]

Mitochondrial BH3 profiling to predict venetoclax sensitivity and apoptotic priming in CLL

Blood (2020)

BH3 profiling study demonstrating BCL-2 dependence in CLL as a mechanistic basis for venetoclax sensitivity, informing rational combination therapy design.

🏆Awards & Recognition 奖项与荣誉

🏆American Society of Hematology (ASH) Abstract Achievement Award
🏆Dana-Farber Cancer Institute Young Investigator Award
🏆Leukemia & Lymphoma Society Career Development Award
🏆Harvard Medical School Dean's Initiative Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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