Maintaining therapeutic activity in the operating room: compatibility of a gamma-retroviral replicating vector with

Ryan Burnett1, Carlos E Ibañez1, Pär L Pettersson1

  • 1Tocagen Inc., Bunker Hill St. , San Diego, CA, USA.

Insights

Toca 511, a novel cancer therapy vector, demonstrates good biocompatibility with common neurosurgical materials and fluids. It is stable for administration but incompatible with specific hemostatic agents and biopsy needles.

Area of Science:

  • Oncolytic Virotherapy
  • Biocompatibility Studies
  • Neurosurgery

Background:

  • Toca 511 is a retroviral replicating vector encoding cytosine deaminase for high-grade glioma treatment.
  • Phase 1 trials involve stereotactic injection into tumors or resection cavities.
  • Vector biocompatibility with neurosurgical agents is crucial but understudied.

Purpose of the Study:

  • To assess the biocompatibility of Toca 511 with materials and agents used in neurosurgery.
  • To determine Toca 511 stability and viability in the presence of various substances.

Main Methods:

  • Toca 511 was tested for stability and viability against delivery devices, MRI contrast agents (ProHance, Feraheme), hemostatic agents (SURGIFOAM, SURGICEL), biofluids (blood, CSF), and a needleless vial adapter.
  • Coinjection compatibility with ProHance for MRI-guided delivery was evaluated.
  • Compatibility with titanium biopsy needles was also assessed.

Main Results:

  • Toca 511 remained stable for at least 6 hours post-thawing.
  • Viability was unaffected by stainless steel/silica devices, Feraheme, ProHance, SURGIFOAM, blood, CSF, and the vial adapter.
  • Toca 511 showed incompatibility with SURGICEL and prolonged exposure to titanium biopsy needles.

Conclusions:

  • Toca 511 exhibits favorable biocompatibility with most tested neurosurgical materials and biofluids, supporting its clinical use.
  • Careful selection of hemostatic agents and biopsy needles is necessary to ensure vector integrity during administration.

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