Overview

A Pilot Trial of Atorvastatin in Tumor Protein 53 (p53) -Mutant and p53 Wild-Type Malignancies

Status:
Recruiting
Trial end date:
2025-08-01
Target enrollment:
0
Participant gender:
All
Summary
This is a window-of-opportunity trial to determine if atorvastatin given for 1 to 4 weeks at a dose of 80 milligrams per day (mg/day) is sufficient to decrease the level of conformational mutant tumor protein 53 (p53) in malignant diseases (solid tumor and relapsed Acute Myeloid Leukemia (AML)).
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Joaquina Baranda
Treatments:
Atorvastatin
Atorvastatin Calcium
Criteria
Inclusion Criteria:

- Ability of participant to understand this study, and participant to sign a written
informed consent. Legally authorized representative is not allowed to sign consent for
participant.

- Participants with tumor protein 53 (TP53) immunohistochemistry (IHC)-positive tumors

- Participants whose screening IHC shows TP53-IHC-negative including wild type (WT) and
null.

- Participants with histologic or cytologic confirmation of any malignant disease who
are planning and eligible to undergo surgical resection. For participants with Solid
Tumors Only

- Participants with previously treated acute myeloid leukemia (AML) are eligible if they
relapse and are in between two treatment regimens

- No concurrent or recent (within 30 days) use of systemic therapy including
chemotherapy, immunotherapy, hormonal therapy, cancer vaccine, or local therapy for
the cancer.

- Formalin-fixed paraffin-embedded (FFPE) tumor tissue deemed adequate for IHC analysis
and next generation sequencing (NGS) are required. Bone marrow aspirate tissue samples
from participants with AML are required.

- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

- Adequate organ and marrow function

- A negative urine or serum pregnancy test within 7 days before Day 1 dose of study
medication, if female participant is of childbearing potential.

- Women of child-bearing potential and men with partners of child-bearing potential must
agree to practice sexual abstinence, or to use two forms of adequate contraception
(hormonal AND barrier method of birth control) prior to study entry, for the duration
of study participation, and for 90 days following completion of therapy. If a woman
becomes pregnant or suspects she is pregnant while participating in this study, she
should inform her treating physician immediately.

Exclusion Criteria:

- Current or anticipated use of other investigational agents while participating in this
study.

- Pregnant or breast feeding.

- Diagnosis of squamous cell cancer of the oropharynx

- Previous malignancies (except non-melanoma skin cancers, and the following in situ
cancers: bladder, gastric, colon, endometrial, cervical/dysplasia, melanoma, or
breast), unless a complete remission was achieved at least 2 years prior to study
entry AND no additional therapy is required during the study period

- Prior use of statins in the past 30 days.

- History of rhabdomyolysis

- Active liver disease

- Participants who currently consume substantial quantities of alcohol (Male, more than
4 drinks a day, Female, more than 2 drinks a day)

- Concurrent use of drugs associated with myopathy

- Hypersensitivity to atorvastatin or any component of the formulation

- Untreated hypothyroidism

- Inability to comply with study and follow-up procedures as judged by the Investigator