Abstract

Oncolytic virotherapy is an emerging strategy that uses replication-competent viruses to kill tumor cells. We have reported the oncolytic effects of TG6002, a recombinant oncolytic vaccinia virus, in preclinical human xenograft models and canine tumor explants. To assess the safety, biodistribution and shedding of TG6002 administered by the intravenous route, we conducted a study in immune-competent healthy dogs. Three dogs each received a single intravenous injection of TG6002 at 105 PFU/kg, 106 PFU/kg or 107 PFU/kg, and one dog received three intravenous injections at 107 PFU/kg. The injections were well tolerated without any clinical, hematological or biochemical adverse events. Viral genomes were only detected in blood at the earliest sampling time point of one-hour post-injection at 107 PFU/kg. Post mortem analyses at day 35 allowed detection of viral DNA in the spleen of the dog which received three injections at 107 PFU/kg. Viral genomes were not detected in the urine, saliva or feces of any dogs. Seven days after the injections, a dose-dependent antibody mediated immune response was identified. In conclusion, intravenous administration of TG6002 shows a good safety profile, supporting the initiation of clinical trials in canine cancer patients as well as further development as a human cancer therapy.

Highlights

  • Oncolytic viruses (OV) are an emerging class of antitumor t­ herapies[1,2,3,4]

  • Systemic treatment with a thymidine kinase (TK)-ribonucleotide reductase (RR)-deficient Western Reserve Vaccinia virus (VACV) expressing the FCU1 gene in a mouse orthotopic model of renal carcinoma was associated with infiltration of C­ D8+ T lymphocytes and a decrease in the proportion of infiltrating Treg lymphocytes into the tumor, modifying the ratio of ­CD8+/CD4+ Treg lymphocytes in favor of C­ D8+ cytotoxic T c­ ells[28]

  • This study describes the clinical toxicity, viral shedding and immune response after intravenous administration of TG6002 in four healthy immune-competent dogs

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Summary

Introduction

Oncolytic viruses (OV) are an emerging class of antitumor t­ herapies[1,2,3,4]. OV are designed to replicate selectively within, and subsequently lyse, cancer cells. Systemic treatment with a TK-RR-deficient Western Reserve VACV expressing the FCU1 gene in a mouse orthotopic model of renal carcinoma was associated with infiltration of C­ D8+ T lymphocytes and a decrease in the proportion of infiltrating Treg lymphocytes into the tumor, modifying the ratio of ­CD8+/CD4+ Treg lymphocytes in favor of C­ D8+ cytotoxic T c­ ells[28]. Oncolytic virus delivery by the intravenous route to tumor sites can be impeded by specific OV antibodies, neutralizing antibodies, complement proteins, splenic or hepatic sequestration, transfer into and throughout the tumor, cellular antiviral responses and destruction of infected tumor cells by cells of the innate immune ­system[43,44,45,46]. Ultrasound mediated cavitation has shown efficacy to improve the intratumoral delivery of TG6002 after systemic a­ dministration[47]

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