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Cited by 779

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

Randomized dose-finding clinical trial of oncolytic immunotherapeutic vaccinia JX-594 in liver cancer

Open access
Heo, Jeong, Reid, Tony, Ruo, Leyo, Breitbach, Caroline J, Rose, Steven, Bloomston, Mark, Cho, Mong, Lim, Ho Yeong, Chung, Hyun Cheol, Kim, Chang Won, Burke, James, Lencioni, Riccardo, Hickman, Theresa, Moon, Anne, Lee, Yeon Sook, Kim, Mi Kyeong, Daneshmand, Manijeh, Dubois, Kara, Longpre, Lara, Ngo, Minhtran, Rooney, Cliona, Bell, John C, Rhee, Byung-Geon, Patt, Richard, Hwang, Tae-Ho, Kirn, David H·2013·Nature Medicine

Abstract

Oncolytic viruses and active immunotherapeutics have complementary mechanisms of action (MOA) that are both self amplifying in tumors, yet the impact of dose on subject outcome is unclear. JX-594 (Pexa-Vec) is an oncolytic and immunotherapeutic vaccinia virus. To determine the optimal JX-594 dose in subjects with advanced hepatocellular carcinoma (HCC), we conducted a randomized phase 2 dose-finding trial (n = 30). Radiologists infused low- or high-dose JX-594 into liver tumors (days 1, 15 and 29); infusions resulted in acute detectable intravascular JX-594 genomes. Objective intrahepatic Modified Response Evaluation Criteria in Solid Tumors (mRECIST) (15%) and Choi (62%) response rates and intrahepatic disease control (50%) were equivalent in injected and distant noninjected tumors at both doses. JX-594 replication and granulocyte-macrophage colony-stimulating factor (GM-CSF) expression preceded the induction of anticancer immunity. In contrast to tumor response rate and immune endpoints, subject survival duration was significantly related to dose (median survival of 14.1 months compared to 6.7 months on the high and low dose, respectively; hazard ratio 0.39; P = 0.020). JX-594 demonstrated oncolytic and immunotherapy MOA, tumor responses and dose-related survival in individuals with HCC.

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Crossref · 10.1038/nm.3089

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Metadata

Authors
Heo, J., Reid, T., Ruo, L., Breitbach, C. J., Rose, S., Bloomston, M., Cho, M., Lim, H. Y., Chung, H. C., Kim, C. W., Burke, J., Lencioni, R., Hickman, T., Moon, A., Lee, Y. S., Kim, M. K., Daneshmand, M., Dubois, K., Longpre, L., Ngo, M., Rooney, C., Bell, J. C., Rhee, B.-G., Patt, R., Hwang, T.-H., & Kirn, D. H.
Venue
Nature Medicine
Published
2013-02-10
Volume
19
Issue
3
Pages
329-336
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2093059993
Cited by
779
References
4
FWCI
55.64
Type
journal article
Language
en
Open access
green

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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