Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2010-10-4
pubmed:abstractText
Augmenting antitumor immunity is a promising way to enhance the potency of oncolytic adenoviral therapy. Granulocyte-macrophage colony-stimulating factor (GMCSF) can mediate antitumor effects by recruiting natural killer cells and by induction of tumor-specific CD8(+) cytotoxic T-lymphocytes. Serotype 5 adenoviruses (Ad5) are commonly used in cancer gene therapy. However, expression of the coxsackie-adenovirus receptor is variable in many advanced tumors and preclinical data have demonstrated an advantage for replacing the Ad5 knob with the Ad3 knob. Here, a 5/3 capsid chimeric and p16-Rb pathway selective oncolytic adenovirus coding for GMCSF was engineered and tested preclinically. A total of 21 patients with advanced solid tumors refractory to standard therapies were then treated intratumorally and intravenously with Ad5/3-D24-GMCSF, which was combined with low-dose metronomic cyclophosphamide to reduce regulatory T cells. No severe adverse events occurred. Analysis of pretreatment samples of malignant pleural effusion and ascites confirmed the efficacy of Ad5/3-D24-GMCSF in transduction and cell killing. Evidence of biological activity of the virus was seen in 13/21 patients and 8/12 showed objective clinical benefit as evaluated by radiology with Response Evaluation Criteria In Solid Tumors (RECIST) criteria. Antiadenoviral and antitumoral immune responses were elicited after treatment. Thus, Ad5/3-D24-GMCSF seems safe in treating cancer patients and promising signs of efficacy were seen.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1525-0024
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1874-84
pubmed:dateRevised
2011-10-3
pubmed:meshHeading
pubmed-meshheading:20664527-Adenoviridae, pubmed-meshheading:20664527-Adolescent, pubmed-meshheading:20664527-Adult, pubmed-meshheading:20664527-Aged, pubmed-meshheading:20664527-Animals, pubmed-meshheading:20664527-Cell Line, pubmed-meshheading:20664527-Cell Line, Tumor, pubmed-meshheading:20664527-Cricetinae, pubmed-meshheading:20664527-Cyclophosphamide, pubmed-meshheading:20664527-Female, pubmed-meshheading:20664527-Gene Therapy, pubmed-meshheading:20664527-Granulocyte-Macrophage Colony-Stimulating Factor, pubmed-meshheading:20664527-Humans, pubmed-meshheading:20664527-Immunosuppressive Agents, pubmed-meshheading:20664527-Male, pubmed-meshheading:20664527-Mesocricetus, pubmed-meshheading:20664527-Middle Aged, pubmed-meshheading:20664527-Neoplasms, pubmed-meshheading:20664527-Oncolytic Virotherapy, pubmed-meshheading:20664527-Xenograft Model Antitumor Assays, pubmed-meshheading:20664527-Young Adult
pubmed:year
2010
pubmed:articleTitle
Treatment of cancer patients with a serotype 5/3 chimeric oncolytic adenovirus expressing GMCSF.
pubmed:affiliation
Cancer Gene Therapy Group, Transplantation Laboratory, Haartman Institute and Finnish Institute for Molecular Medicine, University of Helsinki, Helsinki, Finland.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't