SMARCB1/INI1 de ciency is seen in several malignant tumors including malignant rhabdoid tumor (MRT), a highly aggressive pediatric malignancy. Loss of SMARCB1/INI1 function alters diverse oncogenic cellular signals, making it di cult to discover effective targeting therapy. By utilizing an in vitro drug screening system, effective therapeutic agents against SMARCB1/INI1-de cient tumors were explored in this study.In the in vitro drug sensitivity test, 80 agents with various actions were screened for their cytotoxicity in a panel of ve SMARCB1/INI1-de cient tumor cell lines. The combination effect was screened based on the Bliss independent model. The growth inhibitory effect was determined in both the conventional twodimensional culture and the collagen-embedded three-dimensional culture system. Survivin expression after agent exposure was determined by Western blot analysis.All ve cell lines were found to be sensitive to YM155, a selective survivin inhibitor. In the drug combination screening, YM155 showed additive to synergistic effects with various agents including chrysin. Chrysin enhanced YM155-induced apoptosis, but not mitochondrial depolarization upon exposure of SMARCB1/INI1-de cient tumor cells to the two agents for 6 hours. YM155 and chrysin synergistically suppressed survivin expression, especially in TTN45 cells in which such suppression was observed as early as 6 hours after exposure to the two agents.Survivin is suggested to be a therapeutic target in MRT and other SMARCB1/INI1-de cient tumors. Chrysin, a avone that is widely distributed in plants, cooperatively suppressed survivin expression and enhanced the cytotoxicity of YM155.