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Published on: October 27, 2014
Phase I study of VSV-GP (BI 1831169) as monotherapy or combined with ezabenlimab in advanced and refractory solid
Mercedes Porosnicu1, Anne-Marie Quinson2, Kate Crossley3
1Department of Internal Medicine, Section on Hematology & Oncology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Abstract:
Patients with advanced, recurrent or metastatic cancer have poor prognosis despite treatment advancements. Vesicular stomatitis virus (VSV)-glycoprotein (GP; BI 1831169) is a chimeric VSV with its neurotropic glycoprotein G replaced by the non-neurotropic GP of the lymphocytic choriomeningitis virus. This live, recombinant oncolytic virus has demonstrated preclinical efficacy as a viral-based immunotherapy due to its interferon-dependent tumor specificity, potent oncolysis and stimulation of antitumor immune activity. Co-administration of the immune checkpoint inhibitor, ezabenlimab (BI 754091), alongside VSV-GP may synergistically enhance antitumor immune activity. Here, we describe the rationale and design of the first-in-human, phase I, dose-escalation study of VSV-GP alone and in combination with the immune checkpoint inhibitor ezabenlimab in patients with advanced, metastatic or relapsed and refractory solid tumors (NCT05155332).
Insights
This study investigates a novel oncolytic virus therapy (VSV-GP) and its combination with an immune checkpoint inhibitor (ezabenlimab) for advanced solid tumors. The phase I trial assesses safety and efficacy in patients with poor prognosis.
Area of Science:
- Oncology
- Immunotherapy
- Virology
Background:
- Patients with advanced, recurrent, or metastatic cancers face poor prognoses despite current treatments.
- Vesicular stomatitis virus (VSV)-glycoprotein (GP; BI 1831169) is a recombinant oncolytic virus engineered for tumor-specific activity.
- Preclinical studies show VSV-GP effectively targets tumors, induces cell death (oncolysis), and stimulates anti-tumor immunity.
Purpose of the Study:
- To evaluate the safety and tolerability of VSV-GP.
- To determine the optimal dose of VSV-GP when administered alone and in combination with ezabenlimab.
- To explore the preliminary efficacy of this combination therapy in patients with advanced solid tumors.
Main Methods:
- Phase I, dose-escalation clinical trial (NCT05155332).
- Recruitment of patients with advanced, metastatic, or relapsed/refractory solid tumors.
- Administration of VSV-GP alone and in combination with ezabenlimab (BI 754091).
Main Results:
- This section will be populated once the study is completed and results are available.
- Data on dose-limiting toxicities and maximum tolerated dose will be reported.
- Preliminary efficacy data, including response rates and duration of response, will be analyzed.
Conclusions:
- The combination of VSV-GP and ezabenlimab presents a promising novel therapeutic strategy for advanced solid tumors.
- Further clinical trials are warranted to confirm the efficacy and safety of this combination therapy.
- This approach has the potential to improve outcomes for patients with limited treatment options.
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