Table 3

Key clinical trials of OVVs from ClinicalTrials.gov

NameGenetic modificationsEnrolmentInterventionsIndicationClinical responsesStatusNCT number
Pexa-Vec (JX-594)Wyeth strain (ΔTK) Transgenic expression of GM-CSF and β-galactosidase34+Drug: Durvalumab (anti-PD1); Tremelimumab (anti-CTLA-4)Colorectal cancerMedian PFS 2.3 months (PexaVec/durvalumab/tremelimumab cohorts) vs. 2.1 months (the PexaVec/durvalumab cohorts)Phase I; Phase IINCT0320607365
10MonotherapyMelanomaDOR and PFS were not assessable since most patients went off study within 6 weeksCompleted Phase I; Phase IINCT00429312109
15MonotherapyColorectal carcinomaPFS and OS of all eligible patients were 61 days and 10.3 monthsCompleted Phase IINCT0146961163
23+Drug: SorafenibCarcinoma, hepatocellularFGF-2 stimulated JX-594 activation in endothelial cells; JX-594 was able to specifically target and infect TECsCompleted Phase IINCT01171651110
14MonotherapyNeoplasms, liverMedian survival for all 14 patients was 9 monthsCompleted Phase INCT0062975945
6MonotherapyNeuroblastoma4 of 6 patients had a SD and 2 had PD in the injected target lesionCompleted Phase INCT01169584111
30MonotherapyCarcinoma, hepatocellularMedian OS 14.1 months (high dose) vs. 6.7 months (low dose)Completed Phase IINCT0055437267
129MonotherapyCarcinoma, hepatocellularMedian OS 4.2 months (Pexa-Vec+BSC) vs. 4.4 months (BSC)Completed Phase IINCT01387555112
23MonotherapyMelanomaDose-related antitumor activity was correlated with delivery and replication of JX-594Completed Phase I; Phase IINCT0062545640
GL-ONC1 (GLV-1h68)Lister strain (ΔF14.5L, ΔA56R and ΔTK) Transgenic expression of Luc-GFP, β-glucuronidase64+Drug: Chemotherapy or bevacizumab (anti-EGFR)Ovarian cancerMedian OS 18.5 months (platinum-resistant group) vs. 14.7 months (platinum-refractory group)Completed Phase I; Phase IINCT02759588113
19MonotherapyCancer of the head and neckWith median follow-up of 30 months, 1-year (2-year) PFS and OS were 74.4% (64.1%) and 84.6% (69.2%), respectivelyCompleted Phase INCT0158428469
9MonotherapyPeritoneal carcinomatosisGL-ONC1 was well tolerated when administered into the peritoneal cavity of patients with advanced stage peritoneal carcinomatosisCompleted Phase I; Phase IINCT0144326068
TroVaxModified vaccinia virus Ankara Transgenic expression of tumor antigen 5T4733+Drug: SunitinibRenal cell cancerNo significant difference in OS was evident in the two treatment arms; The magnitude of the 5T4-specific antibody response induced by vaccination with MVA-5T4 was associated with enhanced patient survivalCompleted Phase II/IIINCT00397345114
TG4010Modified vaccinia virus Ankara Transgenic expression of MUC1 and IL-2222+Drug: First-line chemotherapyNon-small-cell lung carcinomaMedian PFS 5.9 months (TG4010 group) vs. 5.1 months (the placebo group)Terminated Phase II/IIINCT01383148115
PROSTVACWyeth strain (ΔTK) Transgenic expression of B7.1, ICAM-1, and LFA-3120MonotherapyProstate cancerPROSTVAC-VF immunotherapy was well-tolerated and associated with a 44% reduction in the death rate and an 8.5-month improvement in the median OSCompleted Phase IINCT0007858580
PANVACWyeth strain (ΔTK) Transgenic expression of CEA, MUC-1, B7.1, ICAM-1, and LFA348+Drug: DocetaxelBreast cancerMedian PFS 7.9 months (combination group) vs. 3.9 months (control group)Completed Phase IINCT00179309116
MVA-5T4Modified vaccinia virus Ankara Transgenic expression of tumor antigen 5T425MonotherapyRenal cell cancerVaccination with MVA-5T4 did not improve ORR of IL-2 therapy, but did result in SD associated with an increase in the ratio of 5T4-specific effector-to-regulatory T cells in selected patients.Completed Phase IIISRCTN 83977250117
rV-B7.1Wyeth strain (ΔTK) Transgenic expression of B7.112MonotherapyMelanomaMelanoma patients injected with rV-B7.1 develop anti-vaccinia virus antibody responses and T cell responses against defined melanoma antigensCompleted Phase INCT0000414879
IN rVVCopenhagen strain (ΔTK and ΔI4L)15MonotherapyMelanomaOf 10 remaining patients 7 showed evidence of induction of CTLs directed against at least one epitopeCompleted Phase I/IINot found117

PFS, progression-free survival; DOR, durability of responses; TECs, tumor-associated endothelial cells; SD, stable disease; PD, progressive disease; BSC, basic support care; ORR, objective response rates; CTLs, cytotoxic T lymphocytes. Some clinical trials without publicly available results have not been included in the table.