In this study, an efficient one-pot procedure for preparing a new series of pyrazolo [3,4-b]pyridine-fused pyrimidines was described. The target hybrids were developed through a three-component reaction of 3-amino-1H-pyrazolo [3,4-b]pyridine, benzaldehydes, and acetophenones (molar ratio 1 : 1 : 1). The best conditions for the previous reaction were 2.5 equivalents of barium hydroxide in DMF at 150 °C for 6 h. New bis(pyrimidines) were synthesized in high yields using a similar one-pot reaction protocol with some modifications. Thus, two equivalents of each of the appropriate acetophenones and 3-aminopyrazolopyridine were reacted with one equivalent of the appropriate bis(aldehydes). The reaction was carried out at 150 °C for 8 h using 4.5 equivalents of barium hydroxide in DMF. Repeating the previous reaction with the appropriate bis(acetyl) derivatives and benzaldehydes resulted in good yields of the target bis(pyrimidines). The in vitro cytotoxic activity of new pyrimidines against the MCF-7, HEPG2, and Caco2 cell lines was evaluated using the reference doxorubicin (IC 50 values of 4.34 -6.97 μM). Hybrid 6h had the best activity against Caco2 and MCF-7 cell lines, IC 50 values of 12.62 and 14.50 μM, respectively. The IC 50 values for hybrids 6c, 6e, and 6f against MCF-7 and Caco2 cell lines were 23.99 -41.69 and 33.14 -43.33 μM, respectively. Furthermore, hybrid 6e displayed IC 50 value of 20.06 μM HEPG2 cell lines, while the hybrids 6c, 6f and 6h exhibited IC 50 values ranging between 26.29 -50.51 μM. Furthermore, hybrid 6e had an IC 50 value of 20.06 μM for the HEPG2 cell lines, whereas hybrids 6c, 6f, and 6h had IC 50 values ranging from 26.29 to 50.51 μM.