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Published on: January 7, 2019
Clinical Trials with Oncolytic Measles Virus: Current Status and Future Prospects
Pavlos Msaouel1, Mateusz Opyrchal2, Angela Dispenzieri3,4
1MD Anderson Cancer Center, Division of Cancer Medicine, 1400 Holcombe Blvd, Unit 0463, Houston, TX 77030, USA.
Abstract:
Attenuated Edmonston lineage measles virus (MV-Edm) vaccine strains can preferentially infect and lyse a wide variety of cancer cells. Oncolytic MV-Edm derivatives are genetically engineered to express the human carcinoembryonic antigen (MV-CEA virus) or the human sodium iodide symporter (MV-NIS virus) and are currently being tested in clinical trials against ovarian cancer, glioblastoma multiforme, multiple myeloma, mesothelioma, head and neck cancer, breast cancer and malignant peripheral nerve sheath tumors. This review describes the basic and preclinical data that facilitated the clinical translation of MV-Edm strains, and summarizes the clinical results of this oncolytic platform to date. Furthermore, we discuss the latest clinically relevant MV-Edm vector developments and creative strategies for future translational steps.
Insights
Attenuated measles virus (MV-Edm) vaccine strains show promise as oncolytic agents, selectively targeting and destroying various cancer cells. Genetically engineered MV-Edm derivatives are advancing through clinical trials for multiple cancer types.
Area of Science:
- Oncolytic virotherapy
- Cancer research
- Viral immunology
Background:
- Attenuated Edmonston lineage measles virus (MV-Edm) vaccine strains exhibit selective oncolytic properties against diverse cancer types.
- Genetically engineered MV-Edm derivatives, such as MV-CEA and MV-NIS viruses, are being investigated for their therapeutic potential.
Purpose of the Study:
- To review the preclinical data supporting the clinical translation of MV-Edm strains.
- To summarize the clinical outcomes of the MV-Edm oncolytic platform.
- To discuss recent developments and future strategies for MV-Edm vector applications.
Main Methods:
- Review of basic science and preclinical studies on MV-Edm.
- Analysis of clinical trial data for MV-Edm derivatives.
- Discussion of ongoing and future translational research.
Main Results:
- MV-Edm strains demonstrate preferential infection and lysis of various cancer cells.
- Clinical trials are evaluating MV-Edm derivatives against ovarian cancer, glioblastoma, multiple myeloma, mesothelioma, head and neck cancer, breast cancer, and MPNSTs.
- Early clinical data suggest the potential of this oncolytic platform.
Conclusions:
- MV-Edm strains represent a promising oncolytic platform with demonstrated preclinical efficacy.
- Clinical translation is supported by robust basic and preclinical data.
- Ongoing research focuses on further vector development and strategic clinical applications for enhanced cancer treatment.
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