Clinical Application of Oncolytic Viruses: A Systematic Review

Leveraging the immune system to thwart cancer is not a novel strategy and has been explored via cancer vaccines and use of immunomodulators like interferons. However, it was not until the introduction of immune checkpoint inhibitors that we realized the true potential of immunotherapy in combating c...

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Main Authors: Mary Cook, Aman Chauhan
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/20/7505
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author Mary Cook
Aman Chauhan
author_facet Mary Cook
Aman Chauhan
author_sort Mary Cook
collection DOAJ
description Leveraging the immune system to thwart cancer is not a novel strategy and has been explored via cancer vaccines and use of immunomodulators like interferons. However, it was not until the introduction of immune checkpoint inhibitors that we realized the true potential of immunotherapy in combating cancer. Oncolytic viruses are one such immunotherapeutic tool that is currently being explored in cancer therapeutics. We present the most comprehensive systematic review of all oncolytic viruses in Phase 1, 2, and 3 clinical trials published to date. We performed a systematic review of all published clinical trials indexed in PubMed that utilized oncolytic viruses. Trials were reviewed for type of oncolytic virus used, method of administration, study design, disease type, primary outcome, and relevant adverse effects. A total of 120 trials were found; 86 trials were available for our review. Included were 60 phase I trials, five phase I/II combination trials, 19 phase II trials, and two phase III clinical trials. Oncolytic viruses are feverously being evaluated in oncology with over 30 different types of oncolytic viruses being explored either as a single agent or in combination with other antitumor agents. To date, only one oncolytic virus therapy has received an FDA approval but advances in bioengineering techniques and our understanding of immunomodulation to heighten oncolytic virus replication and improve tumor kill raises optimism for its future drug development.
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spelling doaj.art-9d9c48bcca7c4f1b9ee2b281f21099b52023-11-20T16:43:49ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-10-012120750510.3390/ijms21207505Clinical Application of Oncolytic Viruses: A Systematic ReviewMary Cook0Aman Chauhan1Department of Internal Medicine, Marlene and Stewart Greenebaum Comprehensive Cancer Center, University of Maryland Medical Center, 22 S. Greene Street, Baltimore, MD 21201, USADepartment of Internal Medicine-Medical Oncology, University of Kentucky, Lexington, KY 40536, USALeveraging the immune system to thwart cancer is not a novel strategy and has been explored via cancer vaccines and use of immunomodulators like interferons. However, it was not until the introduction of immune checkpoint inhibitors that we realized the true potential of immunotherapy in combating cancer. Oncolytic viruses are one such immunotherapeutic tool that is currently being explored in cancer therapeutics. We present the most comprehensive systematic review of all oncolytic viruses in Phase 1, 2, and 3 clinical trials published to date. We performed a systematic review of all published clinical trials indexed in PubMed that utilized oncolytic viruses. Trials were reviewed for type of oncolytic virus used, method of administration, study design, disease type, primary outcome, and relevant adverse effects. A total of 120 trials were found; 86 trials were available for our review. Included were 60 phase I trials, five phase I/II combination trials, 19 phase II trials, and two phase III clinical trials. Oncolytic viruses are feverously being evaluated in oncology with over 30 different types of oncolytic viruses being explored either as a single agent or in combination with other antitumor agents. To date, only one oncolytic virus therapy has received an FDA approval but advances in bioengineering techniques and our understanding of immunomodulation to heighten oncolytic virus replication and improve tumor kill raises optimism for its future drug development.https://www.mdpi.com/1422-0067/21/20/7505immunotherapyclinical trialsoncolytic viruses
spellingShingle Mary Cook
Aman Chauhan
Clinical Application of Oncolytic Viruses: A Systematic Review
International Journal of Molecular Sciences
immunotherapy
clinical trials
oncolytic viruses
title Clinical Application of Oncolytic Viruses: A Systematic Review
title_full Clinical Application of Oncolytic Viruses: A Systematic Review
title_fullStr Clinical Application of Oncolytic Viruses: A Systematic Review
title_full_unstemmed Clinical Application of Oncolytic Viruses: A Systematic Review
title_short Clinical Application of Oncolytic Viruses: A Systematic Review
title_sort clinical application of oncolytic viruses a systematic review
topic immunotherapy
clinical trials
oncolytic viruses
url https://www.mdpi.com/1422-0067/21/20/7505
work_keys_str_mv AT marycook clinicalapplicationofoncolyticvirusesasystematicreview
AT amanchauhan clinicalapplicationofoncolyticvirusesasystematicreview