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Table 1 Clinical trial agents targeting p53 negative regulators

From: Targeting mutant p53 for cancer therapy: direct and indirect strategies

ClinicalTrial.gov identifier and reference

Study design

Intervention and sample size (n)

Outcomes (n)

Toxicities (n)

Conclusions

NCT02016729; Erba et al. [146]

Non-randomized phase 1, open label

AMG232 (26)

AMG232 + trametinib (10)

MLFS (4)

CR (1), PR (1)

AEs (25)

AEs (10)

AMG232 is activate and tolerable

NCT01164033, Patnaik et al. [147]

Randomized phase 1, open label

RG7112 single dose (23)

RG7112 multiple dose (53)

N/A

SD (6)

AEs (16), SAEs (2)

AEs (52), SAEs (13)

High-dose consecutive is superior

NCT00623870; Andreeff et al. [61]

Phase 1, open label

RG7112 for AML (96)

RG7112 for CML (20)

CR (2), CRp (1), PR (1), MLFS (1), MTD (1500 mg BID), DLTs (3)

PR (1), SD (15), MTD (N/A), DLTs (N/A)

AE grade ≥ 3 (86), AE grade ≥ 4 (34)

RG7112 is activated but need combination therapy

NCT02098967; Uy and Razak et al. [148, 149]

Non-randomized phase 1, open label

RG7775 for AML (26)

RG775 for solid tumor (41)

CR (2), PR (2), HI/SD (7), MTD (200 mg), DLTs (4)

SD (17), MTD (110 mg), DLTs (5)

AEs (25), SAEs (22)

AEs (40), SAEs (6), death (2)

No improvement of safety

NCT02264613; Saleh et al. [150]

Non-randomized phase 1/2, open label

ALRN-6924: 0.16–4.4 mg/kg (41)

ALRN-6924: 0.32–2.7 mg/kg (41)

CR (1), PR (1), SD (12), DLTs (5)

CR (1), PR (8), SD (8), DLTs (0)

SAEs (7)

SAEs (1)

ALRN-6924 is activated and tolerable

NCT01462175; Italiano et al. [151]

Non-randomized phase 1, open label

RG7388 QW*3 (36)

RG7388 QD*3 (15)

RG7388 QD*5 (34)

SD (10), MTD (1600 mg BID)

SD (5), MTD (500 mg BID)

SD (8), MTD (500 mg QD)

AEs (10), death (2)

AEs (12)

AEs (27), death (4)

RG7388 induces durable SD

NCT01773408; Yee et al. [44]

Non-randomized phase 1, open label

Idasanutlin (46)

Idasanutlin-C (76)

CRc (7)

CRc (21)

AE grade ≥ 3 (31), SAEs (24), death (11)

AE grade ≥ 3 (69), SAEs (48), death (16)

Idasanutlin is activated and safety

NCT02545283; Papai et al. [152]

Non-randomized phase 1, open label

[13/14C]-label idasanutlin (8)

SD (1)

N/A

Hepatic impair alters idasanutlin exposure

NCT01760525; Bauer et al. [153]

Non-randomized phase 1, open label

CGM097 400 mg QW*3 (31)

CMG097 300–700 mg QW*3 (20)

PR (1), SD (10)

SD (9)

AE grade ≥ 3 (25), AE grade ≥ 4 (12)

CMG097 is tolerable with partial efficacy

NCT02143635; Jeay et al. [154]

Non-randomized phase 1, open label

HDM201 daily (20)

HDM201 QW*3 (24)

N/A

N/A

Intermittent regimen is better

  1. MLFS: morphologic leukemia-free state; CR: complete response; PR: partial response; AEs: adverse events; SD: stable disease; CRp: complete remission without platelet recovery; MTD: maximum tolerated dose; BID: twice daily; DLTs: dose-limiting toxicities; HI: hematologic improvement; SAEs: serious adverse events; QW: once weekly; QD: once daily; CRc: composite complete remission