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Updated: Jan 1, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Extended treatment with MY-NEOVAX, personalized neoantigen-enhanced oncolytic viruses, for two end-stage cancer
Michael Bouvet1, Tony R Reid2, Chris Larson2
1Department of Surgery, University of California San Diego, La Jolla, CA, USA.
Abstract:
Neoantigen vaccines involving multi-peptides and poly-epitope-encoding RNA or DNA have undergone early phase clinical testing with modest reported antitumor effects [ 1]. The less-than-expected activity of these neoantigenic vaccines may correspond with the development of immune escape mechanisms. One permutation on neoantigen vaccines, which may counter or prevent these adaptive immune escape mechanisms, are 'personalized' oncolytic viruses that encode one or more tumor-specific transgenes. Herein, positive therapeutic effects for MY-NEOVAX™, personalized neoantigen-enhanced oncolytic adenoviruses, are described for two heavily pretreated end-stage patients, one with high-grade metastatic neuroendocrine carcinoma of the pancreas and the other with colorectal cancer metastatic to the brain, liver and lungs. To date, treatment benefit has exceeded 12 months without dose-limiting toxicities or related serious adverse events and with documented radiologic stabilization and improved performance status.
Insights
Personalized oncolytic viruses encoding neoantigens show promise in treating advanced cancers. MY-NEOVAX™ demonstrated positive therapeutic effects and durable responses in two end-stage patients without significant adverse events.
Area of Science:
- Oncology
- Immunotherapy
- Virology
Background:
- Neoantigen vaccines using multi-peptides or nucleic acids have shown modest antitumor effects.
- Adaptive immune escape mechanisms may limit the efficacy of traditional neoantigen vaccines.
Observation:
- Personalized oncolytic viruses encoding tumor-specific transgenes offer a novel approach to overcome immune escape.
- MY-NEOVAX™, a personalized neoantigen-enhanced oncolytic adenovirus, was investigated in heavily pretreated, end-stage cancer patients.
Findings:
- Positive therapeutic effects were observed in two patients with advanced cancers (pancreatic neuroendocrine carcinoma and metastatic colorectal cancer).
- Treatment benefit exceeded 12 months with documented radiologic stabilization and improved performance status.
- No dose-limiting toxicities or serious adverse events were reported.
Implications:
- Personalized oncolytic virotherapy represents a promising strategy to enhance antitumor immunity and prevent immune escape.
- This approach may offer a durable treatment option for patients with advanced, refractory malignancies.
- Further clinical investigation of MY-NEOVAX™ is warranted to confirm its safety and efficacy.
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