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Published on: January 7, 2019
Current status of clinical trials assessing oncolytic virus therapy for urological cancers
Satoru Taguchi1, Hiroshi Fukuhara1, Yukio Homma1
1Department of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Abstract:
Oncolytic virus therapy has recently been recognized as a promising new option for cancer treatment. Oncolytic viruses replicate selectively in cancer cells, thus killing them without harming normal cells. Notably, T-VEC (talimogene laherparepvec, formerly called OncoVEXGM-CSF ), an oncolytic herpes simplex virus type 1, was approved by the US Food and Drug Administration for the treatment of inoperable melanoma in October 2015, and was subsequently approved in Europe and Australia in 2016. The efficacies of many types of oncolytic viruses against urological cancers have been investigated in preclinical studies during the past decade, and some have already been tested in clinical trials. For example, a phase I trial of the third-generation oncolytic Herpes simplex virus type 1, G47Δ, in patients with prostate cancer was completed in 2016. We summarize the current status of clinical trials of oncolytic virus therapy in patients with the three major urological cancers: prostate, bladder and renal cell cancers. In addition to Herpes simplex virus type 1, adenoviruses, reoviruses, vaccinia virus, Sendai virus and Newcastle disease virus have also been used as parental viruses in these trials. We believe that oncolytic virus therapy is likely to become an important and major treatment option for urological cancers in the near future.
Insights
Oncolytic virus therapy shows promise for treating urological cancers. Clinical trials are evaluating various oncolytic viruses, including herpes simplex virus type 1, for prostate, bladder, and renal cell cancers.
Area of Science:
- Oncology
- Virology
- Immunotherapy
Background:
- Oncolytic virus therapy utilizes viruses to selectively infect and destroy cancer cells, sparing normal tissues.
- Talimogene laherparepvec (T-VEC), an oncolytic herpes simplex virus type 1, is FDA-approved for melanoma, indicating therapeutic potential.
- Urological cancers represent a significant area for exploring novel therapeutic strategies.
Purpose of the Study:
- To review the current clinical trial landscape of oncolytic virus therapy for major urological malignancies.
- To highlight the types of oncolytic viruses being investigated in clinical trials for prostate, bladder, and renal cell cancers.
- To assess the future prospects of oncolytic virus therapy as a treatment modality for urological cancers.
Main Methods:
- Systematic review of published preclinical and clinical studies on oncolytic virus therapy in urological cancers.
- Analysis of ongoing and completed clinical trials involving various oncolytic viruses.
- Inclusion of data on herpes simplex virus type 1, adenoviruses, reoviruses, vaccinia virus, Sendai virus, and Newcastle disease virus.
Main Results:
- Several oncolytic viruses have demonstrated efficacy in preclinical models of prostate, bladder, and renal cell cancers.
- Clinical trials, including a Phase I trial of G47Δ (herpes simplex virus type 1) for prostate cancer, have been initiated.
- Diverse viral platforms are being explored, showcasing the breadth of research in this field.
Conclusions:
- Oncolytic virus therapy is emerging as a significant therapeutic approach for urological cancers.
- Continued clinical investigation is crucial to establish the role of oncolytic viruses in treating these malignancies.
- Oncolytic virus therapy holds considerable potential to become a major treatment option for urological cancers in the near future.
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