INGN 201 (Advexin): adenoviral p53 gene therapy for cancer
1University of South Florida, H. Lee Moffitt Cancer Center and the Department of Interdisciplinary Oncology, MRC 2067, 12902 Magnolia Dr., Tampa, FL 33612, USA. dgabril@moffitt.usf.edu
Abstract:
Mutations in the p53 gene are the most frequent genetic alterations in human tumours, occurring in approximately 50% of all cancers. The p53 protein is pivotal in maintaining genetic integrity after DNA damage, and alterations in the p53 pathway, including mutations in the p53 gene, greatly increase the probability of tumour formation. Gene therapy using adenoviral p53 has emerged as a novel treatment option, with the potential to be safe and effective in a wide range of cancer types. INGN 201 (Ad5CMV-p53, Advexin), a replication-impaired adenoviral vector that carries the p53 gene, has been evaluated in both preclinical and clinical trials. Results show that Advexin is a well-tolerated and efficacious treatment for numerous cancers, both as monotherapy and in combination with radiation and/or chemotherapy agents. In addition, there is now data to support the use of Advexin in cancer immunotherapy.
Insights
Mutations in the p53 gene are common in cancer. Adenoviral p53 gene therapy (Advexin) shows promise as a safe and effective cancer treatment, even in immunotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Gene Therapy
Background:
- p53 gene mutations are prevalent in ~50% of human cancers.
- The p53 protein is crucial for DNA damage response and maintaining genetic stability.
- p53 pathway alterations significantly elevate cancer risk.
Purpose of the Study:
- To evaluate the safety and efficacy of adenoviral p53 gene therapy (Advexin) as a cancer treatment.
- To explore Advexin's potential as monotherapy and in combination with other cancer treatments.
- To assess Advexin's role in cancer immunotherapy.
Main Methods:
- Preclinical and clinical trials of INGN 201 (Ad5CMV-p53, Advexin), a replication-impaired adenoviral vector.
- Evaluation of Advexin as a standalone treatment and in conjunction with radiation and chemotherapy.
- Investigation of Advexin's immunotherapeutic potential.
Main Results:
- Advexin demonstrated good tolerability in patients.
- Advexin proved efficacious across various cancer types.
- Evidence supports Advexin's utility in cancer immunotherapy.
Conclusions:
- Adenoviral p53 gene therapy (Advexin) is a safe and effective treatment option for diverse cancers.
- Advexin shows potential as a combination therapy and in cancer immunotherapy.
- Targeting the p53 pathway offers a promising strategy for cancer treatment.
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