Table 4.
Summary of combination therapies with oncolytic poxviruses tested in clinical or preclinical studies
Poxvirus | Tumor type(s) | Combination therapy |
Status | Outcomes | Reference |
---|---|---|---|---|---|
GLV-1h68 | Pancreatic tumors | Bevacizumab | Preclinical | Enhanced tumor regression, followed by complete regression | 74 |
Cisplatin | Preclinical | Accelerated tumor regression with complete tumor regression in 88% of mice | 150 | ||
Gemcitabine | Preclinical | Accelerated tumor regression; inhibited tumor growth | 150 | ||
BRAF mutant melanoma | Radiation | Preclinical | Delayed tumor growth; prolonged survival; increased cytotoxicity and apoptosis | 122 | |
Glioma | Nonionizing radiationa | Preclinical | Preferential virus replication in preirradiated tumors | 120 | |
Breast cancer | β-gal-activatable prodrug | Preclinical | Beneficial effects on tumor regression | 124 | |
LIVP 1.1.1 | Glioma | Nonionizing radiationa | Preclinical | Preferential virus replication in preirradiated tumors | 120 |
GLV-1h324 | Solid tumors | Laser-induced thermotherapy | Preclinical | Enhanced tumor regression | 128 |
GLV-1h164 | Glioma | Radiation | Preclinical | Increased reduction in intratumoral VEGF levels and tumor vessel numbers | 121 |
GLV-1h153 | Pancreatic cancer | Radioiodine | Preclinical | Successful radiouptake; enhanced tumor killing | 90 |
GLV-1h90 | Prostate cancer | Chemotherapy | Preclinical | Enhanced antitumor effect of the virus; reduced chemotherapy-induced side effects | 125 |
Pexa-Vec (JX-594) | Hepatocellular carcinoma | Sorafenibb | Preclinical | Prolonged time-to-tumor progression | 115 |
Melanoma | Sorafenibc | Preclinical | Enhanced reduction of lung tumors | 115 | |
Hepatocellular carcinoma | Sorafenibb | Clinical | Rapid tumor necrosis; no progressive disease | 115 | |
Renal cell cancer | Sunitinibb | Clinical | Whole-body tumor response; free of disease for more than 4 years | 115 | |
vMyx-gfp | Late-stage metastatic pancreatic carcinomatosis | Gemcitabineb | Preclinical | Enhanced survival | 116 |
Gliomas | Rapamycinb | Preclinical | Prolonged survival | 111 | |
Medulloblastoma | Rapamycinb | Preclinical | Long-term survival | 123 | |
Human brain tumor–initiating cells | Rapamycind | Preclinical | Prolonged survival | 127 |
Preirradiation of tumors prior to virus administration.
Virus administration followed by drug.
Simultaneous administration of virus and drug.
Drug treatment 1 day prior to virus administration.