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Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
[Current state of oncolytic virotherapy in Japan]
Mikihito Nakamori1, Hiroki Yamaue
1Second Dept. of Surgery, Wakayama Medical University, School of Medicine, Japan.
Abstract:
Oncolytic virotherapy is an emerging treatment strategy that uses replication-competent viruses to destroy cancers. Recent advances include preclinical proof of feasibility for a single-shot virotherapy cure, identification of drugs that accelerate intratumoral virus propagation, and strategies to maximize the immunotherapeutic action of oncolytic viruses. The primary clinical milestone has been completion of accrual in a phase 3 trial of intratumoral herpes simplex virus therapy using OncoVEX for metastatic melanoma. In Japan, clinical treatments such as oncolytic adenoviruses(OBP-301)for esophageal cancer and oncolytic herpes simplex viruses(G47b)for brain cancer have accelerated considerably. We hope that a steady stream of new oncolytic viruses will enter the clinical arena in our country.
Insights
Oncolytic virotherapy uses cancer-destroying viruses. Advances include preclinical cures, drug acceleration of virus spread, and enhanced immunotherapy, with a Phase 3 trial for melanoma nearing completion.
Area of Science:
- Oncolytic virotherapy
- Cancer research
- Virology
Context:
- Emerging cancer treatment strategy utilizing replication-competent viruses.
- Recent progress in preclinical studies and drug development for enhanced viral propagation.
- Significant clinical advancements, including a Phase 3 trial for metastatic melanoma.
Purpose:
- To summarize recent advances in oncolytic virotherapy.
- To highlight key preclinical and clinical milestones.
- To discuss the potential for new oncolytic viruses in clinical settings.
Summary:
- Oncolytic virotherapy employs viruses to selectively target and eliminate cancer cells.
- Key developments include preclinical proof-of-concept for single-shot cures, identification of agents to boost intratumoral virus spread, and strategies to enhance anti-tumor immune responses.
- A major clinical achievement is the completion of patient accrual for a Phase 3 trial of intratumoral herpes simplex virus (OncoVEX) in metastatic melanoma.
Impact:
- Accelerated clinical development of oncolytic adenoviruses (OBP-301) for esophageal cancer and oncolytic herpes simplex viruses (G47b) for brain cancer in Japan.
- Potential for a new wave of oncolytic virus therapies entering clinical practice.
- Improved therapeutic options for cancer patients through viral-mediated tumor destruction and immunotherapy.
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