Local Administration of REOLYSIN® in Combination with Radiation for Patients with Advanced Cancers
In May 2010, Oncolytics announced the publication of positive results in its completed Phase Ia/Ib clinical trial to evaluate the feasibility, safety and antitumor effects of intratumoral administration of REOLYSIN® in combination with radiation in patients with advanced cancers.
A total of twenty-three patients received a range of two to six intratumoral doses of REOLYSIN® at escalating dosages up to a maximum of 1 x 1010 TCID50 with a constant localized radiation dose of either 20 Gy or 36 Gy. Of the seven evaluable patients in the low-dose (20 Gy) radiation group, two patients had a partial response (PR) (esophageal adenocarcinoma and squamous cell carcinoma (SCC) of the skin) and five had stable disease (SD) including patients with malignant melanoma, pancreatic adenocarcinoma, SCC of the larynx and SCC of the skin (two). In the high-dose (36 Gy) radiation group, five of seven evaluable patients had PRs (two with malignant melanoma and one each with lung adenocarcinoma, colorectal adenocarcinoma and ovarian adenocarcinoma) and two had SD (malignant melanoma), for a clinical benefit rate (PR + SD + complete response) of 100%. The treatment was tolerated well in all cohorts, with no dose-limiting toxicities, and no maximum tolerated dose was reached.
The primary objective of the study was to determine the maximum tolerated dose, dose-limiting toxicity and safety profile of REOLYSIN® when administered intratumorally to patients receiving radiation treatment. A secondary objective was to examine any evidence of antitumor activity. The principal investigator for the study was Dr. Kevin Harrington of the Institute of Cancer Research and the Royal Marsden Hospital in London. Patients were enrolled at both the Royal Marsden Hospital and St. James's Hospital, also in the United Kingdom.
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