Clinical trial · Interventional
Safety Study of a Cell Penetrating Peptide (p28) to Treat Solid Tumors That Resist Standard Methods of Treatment
A Phase I Trial of p28 (Cell Penetrating Peptide) in the Treatment of Refractory Solid Tumors
NCT00914914CI-TRIAL-00015924completedPhase 1ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The purpose of this study is to evaluate the safety of an experimental drug (p28) as a treatment for certain advanced cancers which express a protein called p53 and which have not responded to prior treatment.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Refractory Solid Tumors | Solid Neoplasm | CURATED_BROADER | 0.80 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| p28 | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- p28 Phase I Safety
- description
- A total of 15 patients were administered p28 i.v. as a short infusion three times per week for 4 weeks followed by a 2-week rest under an accelerated titration 3þ3 dose escalation design.
- interventionNames
- Drug: p28
Primary outcomes (2)
- measure
- Clinical and laboratory adverse reactions will be closely monitored by periodic physical and laboratory examination.
- timeFrame
- 32 weeks
- measure
- Grade 3 non-hematologic or Grade 4 hematologic toxicity will also define the Maximum Feasible Dose (MFD).
- timeFrame
- 32 weeks
Secondary outcomes (2)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Patients must have histologically proven solid tumor disease with documentation of measurable metastatic disease as defined by RECIST. * The term refractory solid tumor signifies patients with metastatic solid tumors who have failed all standard therapy or for whom no standard therapy exists. * In patients with refractory solid tumors, a pretreatment biopsy (either of the original primary or metastatic deposit) must show p53 (wild-type and to an extent mutant) expression by means of immunocytochemistry. * Patients must have distant metastases or unresectable local disease, but a projected life expectancy of at least 6 months. * Patients must have signed an informed consent. * This study is confined to adults of both sexes, age 18 or older. * Patients must have no medical problems that would pose an undue risk or that would limit full compliance with the study. * A minimum of 4 weeks must have elapsed since the completion of prior therapy, including hormonal therapy, chemotherapy, radiation therapy, immunotherapy, oral tyrosine kinase inhibitors and monoclonal antibodies. * Adequate baseline organ function assessed by the following laboratory values within 30 days prior to study entry: * Granulocyte count \>1,500/mm3, hematocrit \>30%, and platelets \>100,000/mm3. * Calculated creatinine clearance \>50ml/min. * Adequate liver function with SGOT, SGPT, LDH, and alkaline phosphatase \<3 x the upper limit of normal; serum bilirubin \<2.0 mg/dl. * PT and PTT not more than 1.5 times the upper limit of normal. * Adequate cardiac and pulmonary function. Patients with decreased LVEF or PFTs will be evaluated by a cardiologist or pulmonary physician prior to enrollment of this protocol. Exclusion Criteria: * Patients who are undergoing chemotherapy or immunotherapy, i.e., cytokines * Patients with refractory solid tumors whose primary tumor or metastatic deposits do not express p53 (null) will not be eligible. * Patients with serious additional illness, including HIV, hepatitis, or untreated active infection. * Patients with any underlying conditions that would contraindicate therapy with the study agent. * Patients with a history of prior malignancy in the past five years other than the current problem for which he/she is being considered for this trial (patients with prior history of basal cell carcinoma or squamous cell skin cancer are eligible). * Patients with any other serious medical, i.e., cardiovascular, uncontrolled diabetes (insulin resistant), or psychiatric illness that would prevent informed consent will not be eligible to participate in the study. * Patients who are either pregnant or lactating (all patients of childbearing potential will receive a pregnancy test within 2 days of study initiation). * Brain Metastases, current or past (unless treated at least one year prior to enrollment).
References
Publications (1)
- BACKGROUNDWarso MA, Richards JM, Mehta D, Christov K, Schaeffer C, Rae Bressler L, Yamada T, Majumdar D, Kennedy SA, Beattie CW, Das Gupta TK. A first-in-class, first-in-human, phase I trial of p28, a non-HDM2-mediated peptide inhibitor of p53 ubiquitination in patients with advanced solid tumours. Br J Cancer. 2013 Mar 19;108(5):1061-70. doi: 10.1038/bjc.2013.74. Epub 2013 Feb 28. PMID 23449360