Oncolytic VSV Primes Differential Responses to Immuno-oncology Therapy

Nicholas M Durham1, Kathy Mulgrew1, Kelly McGlinchey1

  • 1MedImmune, LLC, One Medimmune Way, Gaithersburg, MD 20878, USA.

Insights

Vesicular stomatitis virus encoding the IFNβ transgene (VSV-IFNβ) effectively targets solid tumors. Combining VSV-IFNβ with checkpoint inhibitors significantly enhances anti-tumor activity by preventing T cell exhaustion.

Area of Science:

  • Oncolytic virotherapy
  • Immunotherapy
  • Cancer treatment

Background:

  • Vesicular stomatitis virus encoding the IFNβ transgene (VSV-IFNβ) demonstrates potent oncolytic activity against solid tumors.
  • Oncolytic viruses may enhance anti-tumor immune responses and sensitize tumors to checkpoint inhibitors.
  • Novel immuno-oncology agents, such as T cell agonists, are being developed to augment oncolytic virus efficacy.

Purpose of the Study:

  • To investigate the mechanisms of action of VSV-IFNβ.
  • To evaluate the combination therapy of VSV-IFNβ with checkpoint inhibitors and OX40 agonists.
  • To understand how these combinations impact anti-tumor immunity.

Main Methods:

  • Characterization of VSV-IFNβ's mechanisms, including direct cell killing and immune stimulation.
  • Assessment of VSV-IFNβ in combination with checkpoint inhibitors and OX40 agonists in preclinical models.
  • Analysis of viral replication, transgene expression, and immunophenotypic changes.

Main Results:

  • VSV-IFNβ exhibits direct cell killing, innate immune stimulation, CD8 T cell recruitment, and regulatory T cell depletion.
  • VSV-IFNβ promotes CD8 T cell responses against endogenous tumor antigens.
  • Combination of VSV-IFNβ with checkpoint inhibitors significantly enhanced anti-tumor function and tumor growth inhibition without increasing viral activity.
  • No enhancement was observed when combining VSV-IFNβ with OX40 agonists.

Conclusions:

  • VSV-IFNβ has multifaceted anti-tumor mechanisms.
  • Checkpoint inhibitors synergize with VSV-IFNβ to improve anti-tumor efficacy, likely by preventing T cell exhaustion.
  • VSV-IFNβ combined with checkpoint inhibitors represents a promising strategy for solid tumor treatment.

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