Table 1.
Ad vector | Tumor targeting modification |
E3 status |
Effector gene |
Basis of tumor selectivity/antitumor action |
Tumor type | Route of inoculation |
Combination therapy |
Success rate/response |
Clinical phase |
Ref. |
---|---|---|---|---|---|---|---|---|---|---|
ONYX-015 | E1B 55 kDa deletion | ✘ | None | Defect in p53/late mRNA export | Head and neck cancer | i.t. | None | Objective response rate of 21% | II | [306] |
ONYX-015 | E1B 55 kDa deletion | ✘ | None | Defect in p53/late mRNA export | Head and neck cancer | i.t. | 5-FU + Cisplatin | Objective response rate of 63% | II | [57] |
ONYX-015 | E1B 55 kDa deletion | ✘ | None | Defect in p53/late mRNA export | Solid tumor/advanced carcinoma | i.v. | Enbrel* | 4/9 patients showed stable disease | I | [307] |
H101 | E1B 55 kDa deletion | ✘ | None | Defect in p53/late mRNA export | Head and neck or esophagus squamous cell cancer | i.t. | Cisplatin + 5- FU or adriamycin +5-FU | Objective response rate of 72.7% with chemotherapy | III | [61] |
CG5757 |
|
✓ | None |
|
Bladder transitional cell carcinoma, lung or prostate cancer xenograft mouse models | i.t.or i.v. | None | Regression in tumor growth rate by ~72% | PC | [308] |
CG7870 |
|
✓ | None | Upregulated probasin/PSA promoter activity | LNCaP xenografts mouse model | i.t. | Radiation | Drop in serum PSA Synergistic effect or radiation in tumor regression | PC | [287] |
AdE4PSES E1a | E1A and E4 under PSES bidirectional promoter | ✓ | None | Upregulated PSA/PSMA activity | CWR22rv prostate tumor cells in xenograft mouse model | i.t. or i.v. | None | Tumor growth regression | PC | [114] |
HILMI | E1A and E1B under TCF response elements | ✓ | None | Activated Wnt pathway | Anaplastic thyroid cancer xenograft mouse model | i.t. | None | Delay in tumor growth | PC | [309] |
Ad5- CD/TKrep | E1B 55 kDa deletion | ✘ | CD/HSV- TK |
|
Prostate cancer | i.pr. | Radiation therapy, 5-FC+ vGCV | Significant decline in PSA levels in all patients | I | [143] |
Ad5CMV- p53 (INGN201; Advexin) | None (Replication incompetent) | ✘ | p53 | Restoration of p53 function | Esophageal squamous cell carcinoma | i.t. | None | 6/10 patients had stable disease til l1yr | I/II | [20] |
Ad-mda7 (INGN241) | None (Replication incompetent) | ✘ | mda7/IL24 | Mda7-mediated cytotoxicity | Advanced cancer(multiple cancer types) | i.t. | None | Tumor cell apoptosis, immuneactivation | I | [310] |
E10A | None (Replication | ✘ | Endostatin | Anti-angiogenesis | Solid tumors | i.t. | None | Mild antitumor | I | [311] |
OC- CAVE1(Canine Ad-2) | E1A under osteocalcin promotor | ✓ | None | Upregulated osteocalcin activity | D22 canine osteosarcoma cells in xenograft mouse model | i.t. | None | Tumor growth regression | PC | [286] |
(Ad5Luc1- CK1) | Ad5 containing CAV-1 knob | ✓ | None | Enhanced transduction | Cancer cell lines/ovarian cancer/liver primary tissue slices | In vitro | None | Superior transduction than Ad5 | PC | [261] |
Ad5.pk7-Δ24 |
|
✓ | None |
|
Orthotopic breast cancer mouse model | i.t. or i.v. | None | Regression in tumor growth | PC | [312] |
Ad5/3- RGD | Ad5 with Ad3 knob having RGD motif | ✓ | None | Enhanced transduction | Human glioma xenograft mouse model | i.t. | None | 1000 fold increased infectivity than Ad5 | PC | [313] |
Internavec |
|
✘ | siRNA targeting k-ras |
|
|
|
None |
|
PC | [158] |
Ad.IFN-β | None (Replication incompetent) | ✘ | IFN-β | IFN-β mediated cytotoxicity and immune stimulation | Malignant pleural mesothelioma and metastatic pleural effusions | i.p. | None | 7/10 – antitumor immune response4/10 – Objective response | I | [314] |
YKL- IL12/B7 | E1B 55 kDa deletion | ✘ | IL-12 and B7–1 |
|
Murine melanoma B16-F10 tumor model | i.t. | None | Delayed tumor growth, increased survival rate, enhanced T-cell response | PC | [201] |
TNFerade | None (Replication incompetent) | ✘ | TNF-α under radio- induciblepromoter | TNF- α mediated cytotoxicity and immunostimulation | Soft tissue sarcoma | i.t. | Radiation therapy | Objective response rate of 85% | I | [302] |
Ad-E1A- COX | E1A gene ligation to COX2 3′UTR | ✘ | None | RAS/P-MAPK specific increased E1A mRNA stabilization |
|
|
None | Increased oncolysis in tumor cells with high P-MAPK activity | PC | [136] |
Ad5- CXCR4- UTR-E1A |
|
✘ | None |
|
|
|
None | Improvement in tumor selectivity | PC | [137] |
✓, intact;
recombinant dimer of human TNF- α receptor;
, partial or complete deletion; CAV, canine adenovirus; CD, cytosine deaminase; COX, cyclooxygenase; CXCR4, CXC chemokine receptor; E1A, E1B, E3, E4, Ad early genes; E2F, elongation factor; FGF, fibroblast growth factor; FU, fluorouracil; GCV, ganciclovir; HSV-TK, herpes simplex virus-thymidine kinase; hTERT, human telomerase reverse transcriptase; i.p., intrapleural; i.pr., intraproastatic; i.t., intratumoral; i.v., intravenous; IFN, interferon; IL, interleukin; MAPK, mitogen-activated protein kinase; MDA, melanoma-differentiation associated gene; PC, Pre-clinical; PSA, prostate-specific antigen; PSES, prostate-specific chimeric promoter-enhancer; PSMA, prostate-specific membrane antigen; Rb, retinoblastoma; siRNA, small interfering RNA; TCF, T-cell factor; TNF, tumor necrosis factor; UTR, untranslated region