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Published on: January 7, 2019
Oncolytic vaccinia virus for the treatment of cancer
Kilian Guse1, Vincenzo Cerullo, Akseli Hemminki
1Baylor College of Medicine, Department of Human and Molecular Genetics, Houston, TX, USA.
Introduction:
Gene therapy offers promising approaches for the development of anticancer agents with new modes of action. Among gene therapy vectors, vaccinia virus has emerged as an attractive agent especially when used as an oncolytic virus.
Areas Covered:
This review describes the use of vaccinia virus in cancer therapy as a gene therapy vector, as an oncolytic virus and in the generation of oncolysates. The main achievements of each field are summarized with a special emphasis on vaccinia as an oncolytic vector and its combination therapies. The virus that has advanced furthest in clinical trials, GM-CSF expressing JX-594, is described in detail and its preclinical and clinical data are reviewed.
Expert Opinion:
Vaccinia virus has great potential in cancer gene therapy, especially when used as an oncolytic virus. In particular, JX-594 has shown promising preclinical and clinical data, and a multi-continental randomized Phase III trial in hepatocellular carcinoma is expected to start soon.
Insights
Vaccinia virus shows promise in cancer gene therapy, particularly as an oncolytic virus. The GM-CSF expressing vaccinia virus, JX-594, demonstrates strong clinical data, with a Phase III trial upcoming.
Area of Science:
- Oncology
- Virology
- Gene Therapy
Background:
- Gene therapy presents novel strategies for developing anticancer agents.
- Vaccinia virus is a notable gene therapy vector, especially for oncolytic virus applications.
Purpose of the Study:
- This review explores vaccinia virus applications in cancer therapy.
- It focuses on vaccinia virus as a gene therapy vector, oncolytic virus, and in oncolysate generation.
- Emphasis is placed on vaccinia as an oncolytic vector and combination therapies.
Main Methods:
- Review of literature on vaccinia virus in cancer therapy.
- Summary of achievements in gene therapy vector, oncolytic virus, and oncolysate applications.
- Detailed review of GM-CSF expressing JX-594, including preclinical and clinical data.
Main Results:
- Vaccinia virus exhibits significant potential in cancer gene therapy.
- JX-594, a vaccinia virus, has shown promising preclinical and clinical results.
- A Phase III trial for JX-594 in hepatocellular carcinoma is anticipated.
Conclusions:
- Vaccinia virus holds substantial promise for cancer gene therapy, particularly as an oncolytic virus.
- JX-594 has demonstrated encouraging preclinical and clinical outcomes.
- Advancements position vaccinia virus as a key player in future cancer treatment strategies.
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