VIP Research
An evidence-led review of VIP and aviptadil research: regulatory status stated precisely, the COVID-19 and ARDS trials, and the erectile dysfunction evidence.
PNC-27 research is entirely preclinical, and every efficacy finding described below comes from cell culture or from animal models [18]. PNC-27 is a research chemical only, not an approved medicine in the United States and not for human consumption [16][22]. No registered clinical trial of this peptide has ever existed, in any registry checked [18].
PNC-27 is a 32-residue synthetic chimeric peptide, joining residues 12 to 26 of human p53, the HDM-2 binding domain, to a 17-residue membrane-residency leader [1][2]. That leader is KKWKMRRNQFWVKVQRG, derived from the Drosophila Antennapedia homeodomain, and the primary literature calls it the penetratin or Antp sequence [1][11]. It is a modified variant rather than penetratin as usually written, RQIKIWFQNRRMKWKK. PubChem records CAS 1159861-00-3 as CID 16201774, with a formula and molecular weight matching the published 32-residue sequence [2][20].
Searches of ClinicalTrials.gov, the EU Clinical Trials Register, CTIS and ISRCTN return zero registered trials for PNC-27, OM-301 or Oncolyze [18].
One ex vivo study used human tumor tissue without dosing a patient [6]. PNC-27 was cytotoxic to primary epithelial ovarian cancer cells isolated from two patients [6]. The control peptide PNC-29 was not cytotoxic to those cells [6]. Those cells were treated in a dish, and no patient received the peptide [6].
There is also no safety database, and openFDA queries return no adverse event and no enforcement records for PNC-27 [22]. That absence reflects a lack of surveillance rather than tolerability [18][22].
In January 2017 the FDA warned consumers not to buy or use PNC-27, then sold through a website as a cancer treatment [17]. An FDA laboratory had found the bacterium Variovorax paradoxus in a PNC-27 solution sample for inhalation [17]. The agency repeats that finding on its live health fraud page [16].
In a 27 March 2017 page update, the FDA reported Ralstonia insidiosa in another PNC-27 inhalation sample [17].
That same page records PNC-27 being sold in several dosage forms, including nebulized and intravenous solutions and suppositories [17]. As of 27 March 2017 the agency had received no illness reports related to PNC-27 [17].
The originating laboratory argues that PNC-27 binds HDM-2 displayed on the outer plasma membrane of cancer cells and forms pores [3][11]. Solution NMR showed amphipathic helix-coil-helix structures in membrane-mimetic solvent, the property proposed to explain membrane disruption [2]. In vitro, HDM-2 was detected in the membranes of several cancer cell lines but not in several untransformed lines [3]. Transfecting membrane-targeted HDM-2 into a resistant untransformed line made it susceptible in vitro [3]. Immuno-scanning electron microscopy found labeled PNC-27 and HDM-2 in ring-shaped structures at pores on cancer cells in vitro [11]. No pores formed in the untransformed fibroblasts treated in that same work [11]. In vitro work also indicates that the intact chimera does the killing, and that the naked p53 fragment without the leader is inactive [4][15].
The founding paper reported no effect on normal cells in culture, including human cord blood derived stem cells [1]. It also reported killing in p53 null cancer cells in culture, so the proposed mechanism is p53 independent [1].
The strongest independent result is in acute myeloid leukemia [9]. An independent group reported membrane HDM-2 on human and mouse AML blasts in vitro, but not on normal hematopoietic stem cells [9]. In mouse transplant experiments, PNC-27 killed both bulk blasts and leukemia stem cells [9]. That animal work supports the selectivity phenotype, while proposing a different mechanism involving E-cadherin ubiquitination and degradation rather than pore formation [9].
A second independent group contradicts the strong version of that selectivity [5]. Yang and colleagues measured PNC-27 IC50 values of 15 to 20 micromolar in tumor cell lines, against above 50 micromolar in normal cell lines, in vitro [5]. That is a window of roughly two to three fold [5]. PNC-27 was not without effect on normal cells in that study [5]. Swapping the Antennapedia leader for other carriers abolished selectivity in vitro, and pairing that same leader with unrelated cargoes recreated it [5]. They concluded that the p53-derived domain does not determine selectivity [5]. They proposed instead that the leader binds chondroitin sulfate on tumor cell surfaces, with death by mitochondrial disruption [5]. Removing endogenous chondroitin sulfate reduced killing in tumor cells in vitro [5]. They also frame that death as apoptosis, against the originating group's necrosis and pore model [5][12].
No published rebuttal has been found sixteen years on, and the originating group's 2024 mechanism review neither cites Yang and colleagues nor discusses chondroitin sulfate [12]. That group's own wording is also softer than the popular framing, since its 2024 review describes untransformed cell lines as expressing low or no observable membrane HDM-2 [12]. Low is not zero, so selectivity on their own account is a concentration-dependent window [12]. Their most recent in vitro study reports an IC50 of 12.4 micromolar against a cervical carcinoma line, with an untransformed cervical line reported unaffected [13].
A third independent group used PNC-27 as a targeting ligand rather than testing its selectivity claim [8]. A PNC-27 liposome conjugate improved doxorubicin efficacy in an HDM2-positive mouse colon tumor model, but not in an HDM2-negative mouse melanoma model [8]. That animal result is consistent with HDM2 dependence [8]. That study tested a conjugate rather than the free peptide [8]. A fourth independent group used these peptides as delivery ligands, not as a test of selectivity [23].
The remaining evidence cited here is one author network repeating one assay design across ovarian, colon, cervical and leukemia cell lines [7][10][13]. A mouse ovarian model from that network reported that cells surviving paclitaxel raised surface MDM-2 and became more susceptible to PNC-27 [7]. Apart from the conjugate study, no independent replication for any solid tumor indication in a live animal was found [8][9]. The pancreatic in vivo work most often quoted in this space used PNC-28, a different peptide [14].
PNC-27 is not an approved medicine in the United States [16][22]. Two FDA orphan drug designations are reported on OM-301, announced for acute myeloid leukemia in January 2022 and for multiple myeloma in April 2023 [19]. They are corroborated by the sponsor and by trade press, not by a retrieved FDA orphan register record [19]. Orphan designation is a development incentive, and it is not approval, not evidence of efficacy, and not evidence of safety [19].
The sponsor stated an intention to open a first-in-human phase 1/2 trial of OM-301 in 2023 [19]. As of August 2026 no such trial appears in any registry checked [18]. European agency status could not be verified here, and no European application of any kind was found [18].
One author network, spanning SUNY Downstate, Drexel and Thomas Jefferson, produced most of this evidence base [12]. Several of its papers sit in a single low-impact quarterly [6][7][13]. US patent 8,822,419, filed on 2 October 2009, names three of the PNAS 2010 authors as inventors and claims PNC-27 [21]. That PNAS paper, published online in January 2010, declares no conflict of interest [3]. The same group's 2022 paper does disclose the patents properly [11]. Its 2024 review discloses one author's company employment, then states that the remaining authors had no commercial relationship [12]. One of those remaining authors is a named inventor on that patent [21].
The strongest independent study is independent in authorship but not in materials, because Wang and colleagues declare that Oncolyze supplied PNC-27 and its controls [9].
PNC-27 is an early-stage research peptide, and no human has ever received it in a registered trial [18]. Its selectivity phenotype has partial independent support in an animal leukemia model [9]. Both the size of that selectivity and its mechanism are disputed by an in vitro study, and no published reply from the originating group has been found [5][12]. FDA laboratories also found bacterial contamination in consumer-channel PNC-27 twice in 2017 [17].
Has PNC-27 been tested in humans? No registered human trial of PNC-27 has ever existed, in any of the registries checked [18]. One ex vivo study treated primary ovarian cancer cells from two patients in a dish, and no patient received the peptide [6].
Is PNC-27 the same as PNC-28? They are different peptides, and PNC-28 is a shorter analog built from p53 residues 17 to 26 [14][15]. PNC-26 and PNC-29 are control peptides rather than active compounds [12][15].
Has the selectivity claim been independently replicated? The picture is split rather than settled [5][9]. One independent group supported the selectivity phenotype in mouse AML models, while proposing a different mechanism of killing [9]. A second independent group measured a window of roughly two to three fold in vitro, and attributed it to the leader sequence [5].
Do the FDA orphan drug designations mean PNC-27 is approved? Orphan designation is a development incentive, not approval, and not evidence of efficacy or safety [19]. The two designations are reported on the development name OM-301 [19]. They are corroborated by the sponsor and by trade press, not by a retrieved FDA orphan register record [19].
PNC-27 is available as a research compound, HPLC-verified with a batch-specific COA.
Certificate of Analysis
Batch DF/PNC/062026 · 99.342% purity by HPLC · certified Aug 2026
References
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